Individual Adult Therapy
The most in-depth type of therapeutic process, individual sessions allow us to delve far and wide into the particulars of your life story, the areas that concern you, your aims and desires, as well as those factors which may be inhibiting your ability to embrace life, relationships, and emotions. Each individual treatment evolves according to its own unique rhythm, established in collaborative dialogue between us. Some people I work with prefer a very active and conversational stance, while others thrive in a more contemplative space that provides maximal opportunity for self-discovery. In either instance, I listen for patterns and themes that derive from the past or from creative efforts to cope in the present. Over time, I share these impressions in a variety of ways, as I work toward helping you expand your awareness of the narratives that inform your way of being in the world, as well as the (at times limiting) beliefs, coping strategies and expectations intertwined with them.
Individual Child & Adolescent Therapy
Individual treatment with children and teenagers is, in fact, a bit of a misnomer, as parents and families routinely participate in the helping process. With rare exceptions, I prefer to meet with parents prior to beginning work with a child or adolescent. The parent consultation gives parents a chance to connect with me and see how I work, and also to begin a conversation about their concerns and hopes for their child or teen. In most circumstances, parents remain involved in treatment through periodic face-to-face meetings, even as the focus of the work shifts to the individual sessions with the child or youth. If needed, I also work in close collaboration with schools, physicians and other providers (such as consulting psychiatrists) as part of the treatment process. Depending on your child’s age and other developmental issues, sessions may involve verbal dialogue as well as creative play, drawing or artwork. Adjunctive family or parent-child sessions also figure in the work with many children.
I have a particular love for couples therapy, which unfolds as individuals attempt to give shape to their deepest hopes and dreams in the form of an intimate partnership. Some couples arrive in therapy after all other efforts to improve the relationship have faltered, while others come early on hoping to set healthy patterns in place. Moments of transformation — such as moving in together, marrying/partnering, the birth of a child, or revising the sexual terms of the relationship — are also times when people contemplate consulting a couple’s therapist. Couples therapy helps by fostering constructive communication between the two partners in the couple, and also by working to enhance the couple’s capacity to anticipate and manage areas of stress that intrude from other areas. Some couples also find exploration of historical factors from families of origin — the “lessons” about relationships that we learned growing up — important in promoting therapeutic progress. I have worked effectively with couples across the spectrum of monogamous to “monogam-ish” to open or poly; heterosexual as well as LGBTQ.
I have run long-term therapy groups on a number of topics throughout my career, and routinely recommend group as an additional form of therapy to individual patients in my practice. If you have interest in group, free to contact me about current offerings.
Therapy for Addictions & Compulsions
Over the last decade, I have joined a growing community of clinicians interested in deepening our understanding and treatment options for individuals struggling with addictions or compulsions. Harm-reduction (moderation) strategies, in addition to traditional 12-step (abstinence) models of recovery, are expanding the menu of choices available to those who worry about their relationship to substances or other areas of compulsive behavior. I have a particular interest in the developmental factors that inform such difficulties in self-regulation, and in using that knowledge to help tailor treatments that fit each individual’s needs and aims. I work with these issues through individual therapy, in conjunction with other modalities, from psychotropic medication prescribed by consulting psychiatrists, group and couples sessions, as well as 12-step programs.