While a specific problem may bring you in, I believe that my clients are often most helped by gaining insight into and mastery over long-standing patterns in relationships, feelings, or behaviors.  These patterns have likely been helpful earlier in your life but seem to get in the way of your personal growth and meeting your goals. This approach (called psychodynamic or psychoanalytic treatment) tries to effect lasting change and build increased capacities to use over the course of your life, in addition to temporary symptom management.

Yes. Momentum and continuity are both key to helping you meet your goals. I understand that people are mobile and cannot always take the time to leave school, the office, or childcare commitments to come in for a session. I am happy to help you to work around all of that. Standard of care is that I must meet you in person once for your evaluation, however after that, as long as it is safe and will be therapeutic for you, I am happy to continue to treat you over a HIPAA approved teleconference service.

Yes, I use email for scheduling, medication refills, and for notifying me of any side effects you’re having with medications. I do not do psychotherapy nor can I effectively handle emergencies over email.

While insurance plans make therapy accessible to many, there are risks and considerations that should be thoughtfully considered. Like any other medical procedure, insurance companies will cover a portion of the costs of therapy. It is my ethical responsibility to recommend a plan or course of treatment that I believe will best help you, regardless of your insurance coverage/limits.  Additionally, many insurance companies require diagnostic information and regular “clinical reviews”. To some patients, such reviews can feel intrusive or concerning. Should your insurance company request such information, I will speak with you first. Some clients, for the above confidentiality reasons, choose not to use insurance for therapy.

Depending on your goals, therapy can take months to years. Keep in mind that all patterns take years to develop. Time is often required to recognize problematic patterns, un-learn them, and then to build new, more effective ways of coping with your life.

Like learning a language, becoming skilled at a sport, or practicing an instrument, understanding yourself and truly changing lifelong habits takes time, commitment, and practice. More frequency often helps therapy gain momentum and can be exponentially more effective. I see most patients 1-4 times weekly and will make a recommendation to you about frequency within the first several sessions.

We will meet for an initial period during which I will get to know you, you can get a sense of my style, discuss your history, and talk about what brings you into therapy. When I have gathered enough information to make a recommendation for you, we will discuss my impressions and how we might work together.