Change is uncomfortable.
Don’t play it solo.
People come to therapy for a crisis, a sadness that will not shake, a focus that will not hold, or a pattern in relationships that keeps repeating. Most arrive wanting change without a clear path to it. Therapy is the rehearsal space: a standing hour to work out what is going on, practice what comes next, and keep your values calling the tune. I have been keeping that hour for more than twenty years.
Wanting change is the easy part.
Sometimes it is a recent crisis or an external event that is simply too heavy. Other times it is internal: a low mood you cannot explain, trouble focusing at work, relationships that keep ending the same way. Whatever the reason, change takes work, life is already full, and it is easy to leave the whole project on the back burner. Sometimes there is even a biological or health reason making it harder, which is why I pay attention to the whole picture, not just the hour.
Therapy gives change a standing appointment. We figure out what is going on, then work out a way forward that fits who you are, not who a workbook assumes you are. Like anything worth playing well, it gets better with practice and a good ear across the table.
Even great players take lessons.
Look for the three E’s.
Therapy is an investment, in money, in time, and in your soul. (Fun fact: psychotherapy comes from the Greek, literally "soul healing.") If you are investing that much, choose a therapist with education, experience, and empathy.
Education, because therapy is a science as well as an art, and a good therapist follows the research, not just habit. Experience, because book smarts have to meet street smarts: every person is unique, and there are still universal threads a trained eye learns to find without losing the individual in them. Mine has had more than twenty years of clinical work to sharpen it. Empathy, because if a therapist will not walk in your shoes, no amount of the other two will help. The research is blunt on this point: the relationship itself does much of the healing.
I see adults
whose minds keep their own time.
ADHD and the autism spectrum are the center of my practice, with depression and anxiety close behind, because they so often travel together. I also practice integrated care: with your permission I coordinate with your physicians, so the people caring for your mind and your body play from the same sheet of music.
You do not need a diagnosis to start, and you do not need your problems sorted into categories before you arrive. Sorting them out is part of the work.
My clients come from every race, culture, and background, and everyone is welcome here.
Start with a soundcheck.
The first consultation is free, by phone or video, and there is nothing to prepare. Tell me what is going on, ask me anything, and we will see whether we play well together. If not, I will point you to someone who fits.
Currently accepting new clients. I reply within 24 hours.