What I help with.
What you're carrying often has a name. Sometimes more than one. Here's the work I do across specialties, organized by what people are usually carrying when they reach out.
Some of what brings people to therapy has a clean name. Most of it doesn't. You don't have to know what to call it — the specialty pages below are entry points, not a diagnostic system you have to fit into.
I work with individuals around anxiety, depression, stress and life transitions, OCD and intrusive-thought patterns, and the habits and addictions people can't seem to break on their own. I work with couples around the cycles that keep firing, the drift, broken trust, and the high-conflict dynamics ordinary couples therapy hasn't been able to soften.
Most clients don't arrive with a single, clean shape. They arrive with two or three of these threads running at once, and we figure out which one to pull first. If you're not sure where you fit, the entry phrases in each card below are written to help you find the closest match — you can also read about the methods I work from to see how the work itself unfolds.
Read the first lines.
Each card opens with how the work usually sounds in people's own words. If one of those lines lands — that's your entry point.
“The mind that won't quiet down at 2am. The constant low-grade dread that something is about to go wrong.”
Generalized anxiety, social anxiety, panic, overthinking. Methods: TEAM-CBT, DBT, EMDR.
“Not always sadness. Sometimes the flatness. Sometimes the heaviness that makes everything take more effort.”
Low mood, anhedonia, fatigue, the slow erosion of motivation. Methods: TEAM-CBT, DBT, EMDR.
“When the load got heavy. When the path forward stopped being clear. Divorce, grief, career upheaval, parenting strain.”
Chronic stress, burnout, major transitions. Methods: TEAM-CBT, DBT, EMDR.
“Intrusive thoughts that won't let go. Compulsions you can't seem to stop. Therapy that didn't help because it wasn't built for this.”
Pure-O, contamination, harm, relationship, scrupulosity, checking. Methods: ERP and I-CBT.
“The freeway you stopped taking. Asking someone else to drive and hoping they don't ask why. Getting back behind the wheel after a collision.”
A specific shape of anxiety with its own page. Methods: TEAM-CBT, EMDR where an accident is underneath, DBT skills for the drive itself.
“The pattern you understand and still can't break. Substance use, alcohol, screens, food, procrastination.”
Behavioral and substance patterns. Methods: TEAM-CBT, DBT, EMDR where there's older material underneath.
“The same fight on a loop. The drift. The broken trust. We're not okay and we can't figure out why.”
General couples work. Method: EFT (Emotionally Focused Therapy).
“When the dynamic has hardened. When the standard tools aren't working. When you've tried therapy before and it didn't take.”
Couples work for relationships where the cycle has gotten heated or frozen. Method: EFT-based work with high-conflict-specific pacing.
The label isn't the work.
If you read those entry phrases and nothing fit, or several fit, or you're not sure — that's normal. People don't show up with neatly bordered diagnoses. They show up with patterns they're tired of, relationships that hurt, weight they can't put down. The specialty labels are a way to organize the site, not a system you have to choose between.
The free consultation exists for exactly this. Tell me what's actually going on; I'll tell you whether this is the kind of work I do, and if it's not, where you might find a better fit. Either way, no pressure.
What if my situation doesn't fit one category cleanly?
It probably won't, and that's normal. People rarely arrive with a single, clean diagnostic shape — most of what brings someone to therapy lives at the overlap of several categories. The specialty pages are a way to find your closest entry point, not a system you have to choose between. In the consultation we map out what's actually going on; the category labels become less load-bearing from there.
I have more than one of these going on at the same time.
Usually that's the situation — anxiety and depression often travel together; stress and habits often interact; trauma can fire all of the above. The work doesn't require you to pick one. We figure out which threads are most live, which one to start with, and how they connect. Treating them in sequence or in parallel depends on what's actually happening.
Do I need a diagnosis before starting therapy?
No. You don't need a diagnosis to work with me — and a diagnosis isn't a prerequisite for change. If insurance reimbursement requires one (for out-of-network superbills), I can provide it once we've established what fits. Otherwise, we work from what you bring, not from a label.
How do you decide which methods to use for which specialty?
Different specialties have different methods with the best evidence behind them. OCD needs ERP or I-CBT. Couples work needs EFT. Anxiety and depression respond well to TEAM-CBT and DBT skills. Trauma-rooted patterns respond to EMDR. There's a method/specialty matrix on the approach page if you want to read about how the methods work.
Whatever the shape of it.
Start with a free 15-minute consultation. We'll talk through what's going on and figure out the closest entry point together.