These are the areas we work with most. If you don't see yours, reach out anyway.
Getting older involves losses that don't always get named - in roles, capacity, relationships, and eventually time. The work here takes that seriously rather than reframing it into something easier to hold.
For individuals navigating the early stages of memory or cognitive changes - and for family members holding it with them. Adjustment to a new diagnosis, uncertainty about what comes next, and the particular grief of watching something shift before it's fully gone.
Anxiety takes many forms - chronic worry, panic, specific fears, social anxiety. The work is about understanding what's underneath it and building a different relationship with it.
A serious diagnosis changes more than your body. It changes how you think about time, relationships, identity, and what matters. Therapy here attends to the full weight of that - the adjustment, the identity shift, what it costs you.
Being someone's caregiver is its own kind of disappearing act. The person you're caring for gets the attention. What you're carrying - the grief, the resentment, the exhaustion, the love that makes it hard to stop - often goes unexamined.
A cancer diagnosis touches everything - treatment decisions, physical changes, relationships, mortality, and what comes next. Whether newly diagnosed, in active treatment, or post-treatment, the psychological dimensions of cancer are distinct and deserve focused attention.
Patterns that show up across relationships - in dating, friendships, family, and work. Difficulty with closeness, conflict, or connection that follows from one situation to the next. Often the presenting problem is the most recent example of something much older.
Most people know something is off with their relationship to their phone or social media. Awareness doesn't change the pull. Digital addiction - compulsive use of phones, social media, or gaming that crowds out work, relationships, and the ability to just be somewhere - is something we treat directly.
Depression is rarely just sadness. It's also flatness, withdrawal, relentless self-criticism, and the certainty that things will always feel this way. Treatment is tailored to the presentation and what's actually driving it.
When attention, organization, and follow-through consistently get in the way of what you're trying to do - in work, relationships, or daily life. Often co-occurring with anxiety or depression.
Characterized by intrusive thoughts and the compulsions or rituals that offer temporary relief - but maintain the cycle. OCD can organize itself around contamination, harm, doubt, morality, or things that just feel wrong until they're right. Effective treatment exists.
The relationship with food and body is almost never just about food or body. It's connected to control, worth, shame, and patterns for managing difficult feelings. Treatment is individualized and attentive to what's underneath.
The decision to have children, difficulty conceiving, the transition into parenthood, and the ongoing work of raising them can each surface unexpected complexity - in yourself and in your relationship.
Grief doesn't follow a schedule. And loss is broader than death - it includes relationships, identities, roles, and futures that didn't happen. This is central work at this practice.
Questions about who you are, what you want, and what you believe - particularly during periods of transition, disillusionment, or change. Sometimes the person you built yourself into doesn't fit anymore.
Affirming care for lesbian, gay, bisexual, queer, and questioning individuals navigating identity, relationships, family, and the particular stressors that come with marginalization. No assumptions, no agenda.
Support for transgender and nonbinary individuals at any stage - navigating gender identity, transition, dysphoria, family relationships, and the social and emotional dimensions of living as one's authentic self.
Divorce, job loss, retirement, relocation, the end of a relationship - the moments when a previous structure falls away and what comes next isn't clear yet. Transitions expose what was working and what wasn't.
Men often come to therapy later, with more accumulated pressure. The work here attends to the particular ways men have been taught to carry difficulty - and what it costs over time.
When the internal standard is impossible to meet and the cost of falling short feels catastrophic. Usually connected to earlier experiences where worth was conditional on performance.
Having a structured, honest conversation before you're married is almost always worthwhile. Most couples find things worth knowing.
For couples where one or both partners are uncertain whether to stay or leave. A structured, time-limited process focused on one question: which direction to go. The goal is a clearer, more considered decision before committing to a path.
For couples navigating conflict, disconnection, betrayal, or a quiet distance that neither person chose. Couples come in at all stages - early friction, longstanding patterns, and everything between.
Sexual concerns - including desire discrepancy, sexual dysfunction, and difficulties with intimacy - are common and frequently undertreated. These concerns often intersect with relationship dynamics, physical health, medication effects, and psychological history, and deserve the same clinical attention as any other presenting problem.
The persistent sense of not being enough - capable enough, likeable enough, worthy enough. That belief usually has a history. Understanding it is part of changing it.
For those preoccupied with illness, symptoms, and what the body might be signaling - as well as those whose physical symptoms and emotional experience are genuinely intertwined. Medically unexplained symptoms, health vigilance, and the psychological weight of living in a body that isn't cooperating.
Pain that persists changes how you relate to your body, your plans, and yourself. The psychological dimensions of chronic pain - how mood, attention, and meaning shape the pain experience - are well-documented and directly treatable.
Chronic insomnia responds well to treatment. CBT-I (Cognitive Behavioral Therapy for Insomnia) addresses the thoughts, habits, and arousal patterns that maintain poor sleep - typically in 6-8 sessions, without medication.
Both acute trauma and the slower, more diffuse impact of early or repeated adverse experiences. Evidence-based treatments are available when a structured approach is the right fit.
A terminal diagnosis forces questions most people have never had to answer - about meaning, time, legacy, and what matters. Meaning-Centered Psychotherapy, developed specifically for people facing serious illness, is available at this practice.
Therapy attuned to the gendered dimensions of emotional experience - navigating roles, expectations, relationships, and the particular stressors that come with being a woman in the world.
Support across the full perinatal arc - fertility challenges, pregnancy, pregnancy loss, and the postpartum period. Mood and anxiety symptoms during and after pregnancy are common and treatable.
When the job has taken more than it's given back. Sometimes the work is about leaving. Sometimes it's about staying differently. Either way, it usually points somewhere worth looking.
For those whose relationship with alcohol or substances has become something they're managing around, rather than choosing freely. The work attends to what the use is doing - what it's regulating, avoiding, or creating - and what else might be possible.