I work from an integrative approach, drawing from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and psychodynamic theory. Some people benefit from concrete, skill-heavy work: identifying patterns, building tools, and practicing them between sessions. Others prefer a slower, more reflective process that makes room to explore where those patterns come from. Most people land somewhere in between, and we'll figure out what works best for you together.

For specific concerns, I also draw from targeted, evidence-based protocols:

• CBT for sexual dysfunction

• Behavioral activation for mood disorders

• Exposure and Response Prevention (ERP) for anxiety disorders

• Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Written Exposure Therapy for trauma-related disorders

• Executive functioning skill-building for ADHD

I work with couples who want to understand each other better, move through conflict differently, or navigate a shared challenge (e.g., health diagnosis, major life transitions, affairs, or a shift in how a relationship is structured). That includes monogamous couples as well as people navigating open relationships, consensual non-monogamy, or other relationship structures.

I help families navigate conflict, anxiety, and difficult transitions that affect the whole household, including the strain that comes with a family member’s health condition. This work can include the whole family, focusing on communication and reconnection, or parents alone, through parent management training.

I have expertise in working with gender diverse and transgender youth and adults as they explore their gender identity, consider their medical options, and figure out what feels most authentic to them. I also conduct gender assessments and write letters of support for gender-affirming medical care, in line with WPATH Standards of Care, if relevant and appropriate.

As an AASECT Certified Sex Therapist, I also work with adults and couples on concerns related to sex and intimacy. This might look like mismatched desire between partners, difficulty with intimacy or connection, changes in your sexual relationship after a major life event, or wanting to rekindle a long-term relationship that's lost some of its spark. These are common concerns, not signs that something is fundamentally wrong with you or your relationship, and they're often more workable than people expect once we can talk about them directly.