Psychotherapy
I’m offering individual psychotherapy for adults who are ready to explore longstanding patterns and difficulties more deeply.
This is ongoing work, built on a steady therapeutic relationship over time. It's separate from my consultation service, which is a focused, time-limited evaluation.
This is ongoing work, built on a steady therapeutic relationship over time. It's separate from my consultation service, which is a focused, time-limited evaluation.
Why consider psychotherapy?
Some difficulties don't change with a new diagnosis or a different medication. They show up as patterns: the same struggles returning, the same ways of reacting, a sense of being stuck even when you understand why.
Psychotherapy provides the time to explore those longstanding patterns and difficulties more deeply, at a pace that can facilitate real change.
Psychotherapy provides the time to explore those longstanding patterns and difficulties more deeply, at a pace that can facilitate real change.
My approach:
My approach to psychotherapy is grounded in the core principles of Acceptance and Commitment Therapy (ACT). I also draw on enduring insights from philosophical and contemplative traditions often referred to as the perennial wisdom.
Much of our work will center on awareness. Together, we’ll look at how you relate to your thoughts, emotions and patterns of behavior. The aim of ACT isn't to argue with our difficult experiences or make them disappear, but to notice them more clearly and respond with greater flexibility.
Much of our work will center on awareness. Together, we’ll look at how you relate to your thoughts, emotions and patterns of behavior. The aim of ACT isn't to argue with our difficult experiences or make them disappear, but to notice them more clearly and respond with greater flexibility.
What we’ll work on:
We'll explore what matters to you and how you want to live in keeping with your values.
Over time, this often means making different choices in the places where we feel most stuck, and relating to ourselves with greater compassion.
Over time, this often means making different choices in the places where we feel most stuck, and relating to ourselves with greater compassion.
Psychotherapy with a psychiatrist:
Psychiatrists are trained in the art and science of diagnoses and pharmacology. My medical background informs my work as a psychotherapist without becoming the focus of it.
This can be helpful if your history includes trauma, a complex diagnostic picture, or years of pharmacological treatment that haven't brought the change you hoped for. Some of my clients are clinicians themselves and prefer to seek care outside their own professional circles.
This can be helpful if your history includes trauma, a complex diagnostic picture, or years of pharmacological treatment that haven't brought the change you hoped for. Some of my clients are clinicians themselves and prefer to seek care outside their own professional circles.
Psychotherapy vs consultation:
A consultation is a focused, time-limited evaluation of your diagnosis, medication history, and overall treatment. Psychotherapy is an ongoing therapeutic relationship that usually continues over a longer period of time.
If you're already working with a therapist and would like psychiatric input, a consultation will likely be the better fit. The goal is not to replace a therapeutic relationship that's already helping you.
I don't currently prescribe through this practice, so if you take medications, you'll want to continue working with your current prescriber.
If you're already working with a therapist and would like psychiatric input, a consultation will likely be the better fit. The goal is not to replace a therapeutic relationship that's already helping you.
I don't currently prescribe through this practice, so if you take medications, you'll want to continue working with your current prescriber.
Getting started:
Start with a brief request through the website. I’ll review each request and let you know whether I think I can be helpful. If so, I'll send a link to arrange a first appointment.
Our first conversation will be a chance for both of us to consider whether my approach will be a good fit. If it is, we'll decide together how often to meet.
Our first conversation will be a chance for both of us to consider whether my approach will be a good fit. If it is, we'll decide together how often to meet.
Fees and insurance:
I work on a private-pay basis and don't bill insurance directly at this time. This approach allows me to make room for unhurried, longer-term work.
When you reach out, we’ll discuss fees, and I can answer questions about receipts, superbills, and possible out-of-network reimbursement.
When you reach out, we’ll discuss fees, and I can answer questions about receipts, superbills, and possible out-of-network reimbursement.
Common Questions
What is Acceptance and Commitment Therapy (ACT)?
ACT is an evidence-based form of psychotherapy. Rather than trying to eliminate difficult thoughts and feelings, it focuses on changing how we relate to them, so they have less hold over how we live. It also places emphasis on clarifying our values and acting in accordance with them.
How often will we meet?
We'll decide that together. Weekly sessions are typical initially, but much will depend on what we're working on and what feels sustainable. We can revisit it as the work evolves.
How long does psychotherapy last?
There's no fixed length. Unlike a consultation, this is ongoing work that typically involves a longer-term therapeutic relationship. We'll check in along the way about how things are going.
I already see a therapist. Is this right for me?
If your therapy is helping and you'd like psychiatric input, a consultation is likely the better fit.
Will you manage my medications?
No. I don't currently prescribe through this practice. If you’re prescribed medications, you'll need to continue working with your current prescriber.
Can we meet by telehealth?
Yes. I currently offer psychotherapy by secure video. You need to be physically located in New Hampshire at the time of each appointment.
Do you offer emergency or crisis care?
No. This practice is not an emergency or crisis service. If you're in immediate danger, call 911 or go to the nearest emergency department. For crisis support, call or text 988.