I work with children, adolescents and adults struggling to manage anxiety, depression, or difficulties with executive functioning and attention.

I provide individual therapy, and when appropriate family or couples work and have worked with fairly severe issues of anxiety and major depression, including clients who cut and/or who have suicidal ideation.  In cases in which symptoms are severe, I typically collaborate with apsychiatrist.

In todays strange and estranging political world, with pressures from school, work, and relationship problems, many people find themselves overwhelmingly worried, which can then exacerbate problems rather then assist in addressing them. I help clients form a more realistic picture of their situation, transforming worry into meaningful and useful responses to their daily challenges. Using CBT, DBT, ACT, and mentalization approaches I help clients form a right-sized picture of concerns, understand more clearly what they can, and cannot control, and learn to accept things they cannot change and change things they can.

At times worry becomes still more extreme, and some begin to give up hope that problems are solvable, or that a happy future exists for them.  Depression can be paralyzing, and over time, self-fulfilling. I work with clients to make small changes to have a sense of efficacy.  This may include exercise, meditation, changes in diet and sleep habits, as well as changes in attitude and perception in relationships. We develop long and short term goals, and begin to make meaningful steps to make changes, build confidence and feel hopeful.  When possible this may be done in family or couples work.

Loss, whether due to the death of a loved one, or change in an important relationships, or loss of abilities we counted on, is nearly always painful and difficult. When we get stuck in our response to the loss it can lead to depression, and color our vision of the future. 

Each person's situation is unique, and I work with them to find an entry point to begin to transform grief, sadness into reflection, appreciation for both the past and the future, and a sense of confidence.

People with anxiety and depression can feel lonely and disconnected, even when they are not actually as isolated as they feel.  While I have a "bag of tricks" of therapeutic techniques learned over many years of practice, my ability to be fully present with the suffering and joy of others and my genuine concern is perhaps the most powerful catalyst for change.