Services

Psychotherapy

I provide individual psychotherapy for adult men and women who may be experiencing any one or more of the following problems:

  • Depression
  • Anxiety
  • Trauma/PTSD
  • Alcohol and/or drug abuse
  • Bipolar Disorder
  • Insomnia/sleep difficulties
  • Stress
  • Worry
  • Difficulties adjusting to life changes
  • Anger
  • Relationship issues

I utilize techniques from evidence-based psychotherapies in my practice. Evidence-based psychotherapies are approaches and techniques that are based on scientific evidence. My primary approaches include cognitive-behavioral therapy, acceptance and commitment therapy, and motivational interviewing.

Division 12 (Society for Clinical Psychology) of the American Psychological Association has published a list of evidence-based psychotherapies and rates the strength of their evidence base from “strong” to “insufficient evidence.” You can find that information¬†here.

Psychological Assessment and Evaluation

In addition to psychotherapy services, I also provide psychological and substance abuse evaluations. These services are typically completed over the course of two visits, one for the assessment and one to provide feedback. Some common reasons a person may seek a psychological evaluation are:

  • To clarify a psychiatric diagnosis
  • To assess substance use/abuse and make treatment recommendations
  • To obtain information about cognitive functioning
  • To assess intelligence, or IQ

Sometimes a psychological or substance evaluation is requested by another person or entity, such as a judge, lawyer, probation officer, or employer. If this is the case for you, it is important I know this before scheduling the evaluation so I can be sure I have the appropriate background and training to meet your needs, and can select the appropriate assessment techniques.

What to Expect

I understand that reaching out for help is difficult, and even more so if you are new to psychotherapy. My goal for this section is to outline the way I approach the psychotherapy process. This will help you understand what you can expect from the first phone call to the final session. Of course, each person and situation is unique, and so it is important to understand that this process varies from person-to-person.

It is really important to me to speak to potential clients prior to the first session for a few reasons. First, it give you the opportunity to ask any questions you may have about my training, background, style, approach to psychotherapy, availability, and fees. Second, it gives me an opportunity to start to get to know you and what is going on in your life that has you thinking about psychotherapy. Usually we can accomplish all of this in about 15 minutes. If at the end of the phone consultation we determine that I am not a good fit for your needs, I will work with you to find someone who is. If we determine that I may be able to help you, we will set up the first visit.

Your first visit will be a 60-minute appointment. The focus of this session will exploring the reasons you are seeking psychotherapy, current symptoms, and relevant history. This tends to be a lot of information to cover in one visit, and so sometimes it requires another 1-2 visits to discuss all of this information. Sessions are typically weekly, but may be more or less often depending upon your specific needs.

After the evaluation period, I’ll talk with you about the way in which I am understanding your problems, and we will work together to develop your treatment plan. This usually includes setting short- and long-term goals, identifying the strategies and techniques we will be using to help you reach your goals, and estimating the length of treatment. Simple, acute problems may be able to be addressed over the course of 3-4 months, while more complex, chronic problems may require a much longer course of treatment.

When we get to the point in treatment that you feel you have met your treatment goals, we will start to discuss termination. Termination sounds like a scary word, but all it really means is that you are doing well and no longer need psychotherapy! This discussion happens well before we actually end psychotherapy to give adequate time to process and prepare. I typically like to titrate psychotherapy so it is not ended abruptly. Usually this consists of reducing to biweekly, and subsequently monthly, sessions. It also includes scheduling “booster” sessions to make sure things continue to go well, review skills learned in psychotherapy, or resume psychotherapy if needed.