Home · How I work
Person-centered. Paced by you.
You don't need to know what to talk about. You don't need a tidy summary of "the problem." Here is the actual shape of working with me.
The free 15-minute consult, if you want one
Some clients prefer a short conversation before booking a session - by text, by phone, or by email - where you tell me a little about what is bringing you here, I tell you how I work, and we decide together whether we are a fit. If not, I usually know someone who is and will point you there. Other clients prefer to skip the consult and book the first session directly. Either path is fine; the consult is offered, not required. Tell me which you prefer when you reach out.
The first session
Reserved for logistics and the diagnostic intake assessment, which I administer interview-style rather than as a paperwork stack. The intake gives us a shared baseline of what's going on, what you've tried, and what you'd like the work to do; the logistics piece covers consent forms, insurance verification, and how we'll meet (telehealth, in-person, or a mix). By the end of the session we have a starting picture and a plan for session two.
Cadence
I offer weekly or every-other-week to start. We hold that cadence for four to six sessions, which is usually long enough to know whether the work is moving and whether the rhythm fits your life. After that we adjust: weekly, every other week, monthly, or a maintenance cadence are all on the table. You drive the pace.
What sessions feel like
Slower than the rest of your week. Conversation-shaped, not worksheet-shaped. We talk about what came up since the last session, we notice patterns, and sometimes we try a small experiment between sessions. Not homework. Small experiments. Usually about a single sentence you did not say or a single choice you tried differently.
Methods I draw on
I am trained in cognitive behavioral therapy, dialectical behavioral skills, person-centered, family systems, solution-focused, and trauma-focused approaches. Which ones come into our work together depends on you, not on what is currently trending in the field. Most clients get some mix; few get just one.
Confidentiality
Sessions are confidential within the limits required by law. The standard exceptions are imminent risk of serious harm to yourself or others, disclosed abuse of a child or vulnerable adult, and court orders. I will walk through these clearly at the first session.
Records and insurance
If you use insurance, my notes and a diagnosis code are submitted to the insurer as part of the billing process. If you pay privately, that does not happen. We can talk about which makes more sense for you at the consult or first session.
Between sessions
I do not provide between-session crisis support. If you are in active crisis, please call 988 (the Suicide & Crisis Lifeline) or go to your nearest emergency department. We can resume the regular work as soon as you are stable enough that weekly therapy will land.
How long therapy lasts
Some clients work with me for three or four months on a specific topic and finish. Some stay a year. Some work with me on and off as life sends new chapters. There is no right length. We will talk about your timeline at the first session and revisit it.
Ending
When you decide you are ready to wrap up, the last few sessions slow down, we look back at what changed, and we name what to keep doing on your own. You can come back if you need to.