Fremont

How does the distance work in practice?

Fremont sits about 35 miles northwest of Omaha. That is near enough that an in person session is realistic, and far enough that a weekday appointment can swallow most of an afternoon once you count the drive both ways.

So the real question is less whether to come in person and more when it is worth it. Online sessions can cover the ordinary weeks, and the office is there for the weeks when you want a room. Weather plays a part as well. On a winter evening with bad roads, choosing video still gets you a full session, and nobody has to cancel.

When does meeting in person make sense?

You might want to meet face to face for a first session and then move to video. A couple might prefer the office for the harder conversations, so neither partner is hosting the session in their own living room. You might save in person for the weeks when something big needs a different setting.

None of that has to be decided in advance. We can work out a rhythm that fits your week, and change it when your week changes.

What if I work in Omaha?

Then an in person session might fit around a workday in the city instead of requiring a separate trip, depending on the times we find together. If you already commute into the metro, part of the drive you make anyway can become the time that makes therapy possible.

On days you work from home or stay in Fremont, video fills the gap. What matters is a private space and an hour without interruptions. A closed door at home or a quiet spot in your car both work, and if you share a house, it helps to agree ahead of time on what a closed door means.

What can we work on together?

Anything that is weighing on you: anxiety, low mood, grief, a marriage that has drifted, a family that has stopped talking, or a job that asks too much of you. Couples work, which this practice is known for, can happen in the office or online. Some weeks the focus is one person, and other weeks it is the whole household.

DBT is my primary method, so alongside the talking there are practical skills, built from your real week rather than a workbook. Goals are agreed together, kept specific and achievable, and reviewed as things change. If something is not helping, we change it.

How do we start?

Send a short message saying what is going on, in a sentence or two, and whether you are leaning toward online, in person, or both. There is no online calendar. Times are set in a conversation, so we can find one that fits your drive or your desk.

The first conversation is a free consultation. It is a chance to describe what is going on, ask anything you want about how I work, and decide together whether this is a good fit. If it is not, I will tell you plainly and suggest where else to look.

Ways to set it up from Fremont

• Online every week, from home or a parked car
• In person at the Omaha office for the first session, then online
• In person on days you are already in Omaha
• Couples sessions in the office, with check-ins by video
• A rhythm that changes with the seasons and your schedule

Questions people ask

Where to go from here

• OmahaThe one office, for in person sessions.

• Online therapyWhat you need on your end for a video session.

• Couples therapyThe work I am best known for, in the office or online.

• Where I practiceEvery area served, across Nebraska and Rhode Island.

• Getting startedWhat happens after the first message.