I fought doing online therapy at first, but gave in (not that I've given up the office). Despite the obvious problem, fitting families and couples onto a small screen, it is a snap with individuals, and much of my work is with just that one person. Having a long geographic reach appeals to my need for a diverse practice. In the end, fitting couples onto a small screen turns out to be a good intimacy exercise.
Having worked at this profession more years than I care to admit, I have developed a few
biases about therapy. Click here for more about those.
But let’s talk about therapy:
Working with all kinds of people, and treating seemingly infinite problems, a therapist learns that
evaluation is everything; it guides practice. Even when resources for therapy are limited, a good
diagnostic is a priority. Get a worthwhile evaluation if that is all you can afford. You can do that
in two visits—maybe one.
Still, there really is nothing more satisfying than sinking into that sofa and talking your head off.
Even if you think it’s going to be hard to talk about some things, you’ll find it isn’t nearly as hard as you thought it would
On the other hand, brief therapy is still useful, and like committing to an evaluation, cost effective. For the
therapist it means delivering an evaluation and a treatment plan that worked straight away. My style, overall, is
pscho-educational and interactive. But you’ll find me quiet until you've run out of words.
Significant others are welcome.
I'm comfortable using a wide variety of treatment modalities, including CBT and Mindfulness
CBT, ACT, EMDR (a nice little hypnotic thing), grief work, and many techniques for emotional
management, including managing obsessive thoughts and memories from childhood. I have
double licensure, meaning quite a bit of extra training in relationship therapies, and I’m up
on how things have changed, how we’ve added and subtracted diagnoses in the DSM and
What are the boundaries here? Who’s joining in?
I treat just about every recognizable disorder or the disorder of the day on Oprah. But I might
have to refer you to someone else if it feels out of my range or cuts too close to home. That
doesn’t happen very often. Therapy itself always depends upon what you want and need,
but sometimes we’re just not a good fit, and at least one of us gets that. Why keep wearing
something that doesn’t fit?
A word about treating kids. If a child is an identified patient then it’s likely I’ll want to see
parents in the initial visit, maybe later, too, unless (a) the child or adolescent has asked to be
in treatment alone, and/or (b) he or she isn’t self-destructive or dangerous to others. Sibling
therapy can be very powerful, too, especially with blended families, and special diagnoses, the
psychoses and autism spectrum generally beg help for those who must be in supporting actor
Finally, in relationship therapies there is usually some individual work to be done. I like to do
all of it, prefer that you discontinue your therapy with someone else so that what we do is not
inadvertently sabotaged. I’ll want to see each of you alone, probably a few times. I’ve learned
how, over the years, to keep what you want confidential.
Mine isn’t a “take sides” role, although you’ll find support here, no question.
You’re both wonderful, not that we all couldn’t use some improvement. Why else would you
have chosen one another?