Other common focuses
ADHD and other issues of inattention, hyperactivity, and impulse control
Adolescent /Teen Issues
Business Mental Health Consultation
Couples and Marital Issues
Emotion Dysregulation (anger, etc.)
Emotional, Physical, & Sexual Abuse
LGBTQ/Identity Related Issues
Loss & Grief
Work & Career Issues
areas of Specialty
During YOUR FIRST APPOINTMENT
A formal and non-formal assessment will be conducted in order to discuss what brings you into therapy, we will review any concerns or questions you may have about the counseling process, and figure out what steps we need to take in order to reach your ultimate goals.
Each session is 50 - 55 minutes in order to provide sufficient time at the end of the hour for scheduling your next appointment. While weekly sessions are encouraged, the frequency of appointments can vary based on the severity of presenting issues.
Your scheduled sessions are for you to use the time and space as needed. By speaking your mind, feeling your feelings, and adapting to life’s hardships, you are allowing yourself the opportunity to experience personal growth.
Once your assessment is completed, we will work together to identify specific goals you’d like to accomplish. There are times I’ll ask you to complete “homework,” but the types of assignments will vary client to client. Also, we will engage in using the following treatment methods depending on your needs:
Top-down and forms alike (CBT - Cognitive Behavioral Therapy) are very helpful when it comes to fixing common thinking errors. Examples include:
Thinking of the worst case scenario (catastrophizing)
Using black and white terms (always/never).
Having a Fixed Mindset versus an Open or Flexible Mindset
However, if you suffer from anxiety, overwhelming stress, or residual trauma symptoms, the Top-Down methods may not be enough. This is when we must consider adding the Bottom-Up method to the treatment approach.
In bottom-up techniques, we work to change the brain through working with the body and the autonomic nervous system. This approach alone can substantially reduce anxiety symptoms!
There are many ways to incorporate this method, but some examples include:
Observing the interplay between thoughts, emotions, and physical sensations
Learning to tolerate and observe physical reactions
Mindfulness techniques like deep breathing, and engaging all five senses
**(Any time we feel stressed, anxious, scared, or angry, we are in fight or flight mode. What this means is our autonomic nervous system is stuck in a sympathetic state (heightened blood pressure, racing heart, sweating, muscle tension, etc). When are bodies experience these symptoms, we are prepared to respond to the threat at hand. Using the Bottom-Up Method allows you to calm your brain’s threat response system (amygdala) in order for your logical thinking process (prefrontal cortex) to come back online.)**