Support Options
I recognize that true healing is a highly personal journey that demands multi-faceted support, which is why I offer flexible options tailored to meet you exactly where you are. My approach integrates deep individual work—exploring the internal parts that drive behaviors—with the practical, evidence-based skills needed for sustainable emotional regulation. Review the Support Options below to find the therapeutic pathway where I can best partner with you to secure lasting recovery.
Individual Therapy
What Is Therapy?
Individual therapy is a dedicated, one-on-one collaboration where I partner with you to understand and ultimately shift patterns that keep you feeling stuck. Think of your mind as a car driving the same route every day: the journey is easy because the road is deeply grooved and familiar. While predictable, this old route often leads to unhappiness. Through our work, guided by evidence-based tools, we begin the deliberate, careful process of mapping and paving a new, healthier route. This process of shifting your ingrained thought patterns and habitual reactions allows you to break free from the limiting cycles you’ve been traveling for too long.
Individual therapy is a unique, professional relationship and a designated, confidential space dedicated entirely to your growth and well-being. It is the most powerful investment you can make in your own freedom. My role is not to give you advice, but to provide the expertise, tools, and non-judgmental mirror required for you to realize your inherent capacity for change.
Therapy Is...
Therapy is an active process focused on targeted change, built upon specific principles:
- A Container for Vulnerability: It is the safest, most non-judgmental space available for you to process the shame, trauma, and difficult emotions that you cannot discuss anywhere else.
- An Expert Partnership: I am a trained clinician providing objective guidance and evidence-based strategies, ensuring the work we do is both validating and highly effective.
- Active Skill Acquisition: It is the structured environment where you learn and practice specific tools—from DBT skills for emotional regulation to CBT reframing techniques—that are designed to change your life outside of the session room.
- Internal System Exploration: It is the methodology we use to compassionately explore your internal world, identifying the purpose and function of the various 'parts' that drive your feelings and behaviors.
- The Path to Insight: It is the dedicated time to connect past experiences with present reactions, moving from a place of confusion and reaction to one of clarity and conscious choice.
Therapy is Not...
Understanding what therapy is not is just as important as knowing what it is. It's helpful to dispel common myths:
- It is not a quick fix. Deep, sustainable change takes time, commitment, and effort applied consistently both in and outside of sessions.
- It is not only "talking." While verbal processing is crucial, therapy is inherently active work that requires focused attention, homework, and a willingness to try new behaviors.
- It is not simply advice. My goal is to empower your wisdom; I guide you to discover the right choices and solutions for your life, rather than telling you what to do.
- It is not just for crises. Therapy is designed for sustained emotional maintenance, growth, and self-actualization, allowing you to move from survival into flourishing.
What Does Therapy Look Like?
The benefit of this work extends far beyond simply changing the route; it offers deep insight and sustainable peace. In our sessions, you can expect a balance of targeted skill-building and compassionate internal exploration. We move beyond managing surface-level stress by integrating practical tools from DBT to enhance emotional regulation and distress tolerance. Simultaneously, we use IFS principles to explore the protective function of your internal 'parts,' fostering a sense of inner harmony and self-leadership. Each session is structured, often including a review of practice assignments (your "homework") to ensure the progress we make in the room successfully translates into your daily life. This dedicated partnership is designed to empower you to maintain your new path independently, securing a complete and lasting quality of life.
Starting therapy involves more than just showing up; it’s a commitment to a structured process designed for maximum benefit. I’ve broken down the practical steps so you know exactly what to expect from the moment you decide to reach out.
Phase 1: Getting Started
The initial steps are designed to ensure we are a strong therapeutic match and to gather the foundational information needed to begin our work effectively:
- The Consultation Call (15-20 minutes): This free, brief call is our opportunity to interview each other. You can ask me any questions about my approach (CBT, DBT, IFS), and I can learn what you’re hoping to achieve. This helps us ensure your needs align with my expertise.
- Booking Your Intake: If you have already reviewed my page covering my specializations and my approach, and feel confident that I am the therapist you have been looking for. You can reach out via email, phone, or the "Book an Appointment" button below. You will then receive access to a secure client portal to complete essential intake paperwork, including consent forms and detailed background questionnaires.
- The Intake Session (60 minutes): This is our first formal session and is longer than a standard appointment. I dedicate this time to taking a comprehensive history—covering your current challenges, family background, previous therapeutic experience, and life goals—to create a collaborative and personalized treatment roadmap.
Phase 2: The Structure of Our Work
Once we establish a treatment plan, the ongoing structure is key to promoting deep, sustainable change:
- Session Frequency: Weekly vs. Biweekly: I strongly recommend weekly, 50-minute sessions initially. For integrated work (CBT, DBT, IFS), weekly frequency is essential for building consistency, deepening rapport, and ensuring skills are learned effectively before a relapse in old patterns occurs. Biweekly sessions are typically reserved for the later stages of maintenance and termination.
- The Importance of Practice (Homework): Therapy is not a passive activity. You will be encouraged to take the insights, skills, and awareness we cultivate in session and actively practice them in your daily life. This between-session homework is the bridge that ensures therapeutic knowledge translates into real-world change.
Phase 3: What Does a Standard Session Feel Like?
A typical 50-minute session is structured to be productive and centered on action:
- Check-in & Review (5-10 minutes): We start by reviewing the week, discussing any significant events, and evaluating the success or challenge of the homework assigned during the last session.
- Core Work (35-40 minutes): We dedicate the majority of the time to the core therapeutic task for the day—whether that is learning a new DBT skill, processing a difficult emotion, challenging a specific cognitive distortion, or exploring the burdens carried by an internal 'part.'
- Wrap-up & Takeaway (5 minutes): We always end with a clear plan for the week, identifying one concrete action or insight you will take with you until our next appointment.
Goals & Outcomes: What to Expect in Therapy
I believe that successful therapy does not stop at symptom management; the true goal is complete emotional freedom and self-reclamation. The outcome of our work together is not passive healing—it is an active journey toward building a life of intention, authenticity, and peace.
My integrated approach is designed to produce outcomes in three core areas: cognitive understanding, emotional regulation, and internal harmony. You can expect to achieve measurable growth in:
Cognitive & Behavioral Focus:
- Challenging Core Beliefs: Identifying and reframing the rigid thought patterns that fuel self-criticism and limit your choices, allowing you to react with flexibility rather than habit.
- Conscious Choice: Replacing automatic, harmful behaviors with intentional, constructive actions that align with your long-term values.
- Breaking the Cycle: Gaining insight into the 'why' behind your patterns, giving you the power to interrupt them before they gain momentum.
Emotional Resilience Focus:
- Emotional Regulation: Mastering practical, evidence-based skills to navigate intense emotions (like anxiety, sadness, or anger) without resorting to old coping mechanisms.
- Distress Tolerance: Increasing your ability to handle difficult, unavoidable life situations and emotional pain without compounding the suffering.
- Effective Communication: Improving your interpersonal effectiveness skills to advocate for your needs and maintain strong, healthy boundaries in relationships.
Internal Exploration & Self-Reclamation Focus:
- Mapping Your System: Learning to identify, name, and understand the protective roles of your internal family, including the manager parts (proactive control, e.g., perfectionism) and firefighter parts (reactive defense, e.g., shutting down).
- Unblending and Unburdening: Developing the capacity to unblend from your parts (separating the 'who' you are from the 'what' you feel) and compassionately help them unburden the extreme beliefs and emotions they carry from the past.
- Restoring Self-Leadership: Achieving genuine internal harmony and peace by building trusting relationships between your parts and your core Self (characterized by the 8 Cs: Calmness, Compassion, Curiosity, Connection, Confidence, Courage, Creativity, and Clarity).
The Long-Term Outcome:
Ultimately, the most profound outcome is the reclamation of your time, energy, and mental space. By the end of our dedicated work, the energy previously consumed by emotional struggle and rigid patterns will be available to invest in a life driven by your truest values—whether that is career growth, fulfilling relationships, creative pursuits, or quiet contentment. You will not just survive; you will have the skills and internal clarity to thrive and maintain your freedom independently.
Fees and Policies
I believe that transparency is essential to our therapeutic relationship. Therapy is a significant financial and emotional investment in your well-being, and I am committed to ensuring you receive maximum value for your time and resources. Below you will find the practical logistics that govern our work together.
Session Investment & Payment
My rates reflect my specialized training, expertise, and commitment to providing focused, high-quality care.
Standard 50-Minute Individual Session: $150
* I do offer sliding scale spots in my caseload
Payment Methods:
I accept all major credit cards, as well as Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. To ensure our time is focused purely on therapy, a payment method is kept securely on file and processed automatically after each session.
Insurance & Billing
I strive to make the process of using your benefits as clear as possible:
- I am currently an Out-of-Network provider. This means I do not bill insurance companies directly.
- Reimbursement: If you have Out-of-Network benefits (PPO or similar plans), you may be eligible for partial reimbursement. I provide you with a Superbill (a detailed receipt of services) monthly, which you can submit directly to your insurance company for potential reimbursement. I encourage you to call your insurance provider prior to our first session to understand your specific benefits.
Essential Practice Policies
These policies ensure consistency, maintain professional boundaries, and protect the dedicated time we set aside for your healing
- Cancellation Policy: I require 24 hours' notice for all session cancellations. Because the time is reserved specifically for you, sessions canceled with less than 24 hours' notice will be charged the full session fee.
- Attendance and Consistency: Consistent, weekly attendance is key to promoting change and skill mastery. Regular attendance is required to maintain your spot on my schedule.
- Contact Between Sessions & Emergencies: I am not an emergency service. If you are experiencing a mental health emergency or crisis, please do not wait for me to respond. Call 988 (Suicide & Crisis Lifeline) or 911 immediately, or go to the nearest emergency room. I can be reached via email for scheduling or brief, non-clinical questions.
Meal Support Therapy
What Is Meal Support?
Meal Support Therapy is a highly specialized therapeutic intervention that provides real-time, in-the-moment coaching during a planned eating experience. Unlike standard talk therapy, this modality allows us to bridge the significant gap between knowing what to do and actually doing it in the face of anxiety.
Think of it as practicing a high-anxiety skill like parallel parking with a driving instructor: you've studied the theory (Individual Therapy), but here, you practice the skill in the car with an expert who can intervene immediately, correct errors, and help you manage the panic as it happens.
My role is to sit with you as an objective guide, utilizing integrated skills to help you disrupt rigid eating disorder behaviors and tolerate the immediate emotional distress that arises.
The Core Elements of Meal Support:
Meal support is a targeted exposure intervention built on these principles:
- Real-Time Skill Application: It allows for the direct, immediate use of learned CBT thought challenges and DBT emotional regulation skills right when anxiety is highest.
- Exposure Practice: It is structured exposure work done in a safe, guided setting, allowing the nervous system to habituate to the fear associated with food and eating.
- Disrupting Secrecy: It actively breaks the isolation and secrecy often surrounding restrictive or disordered eating patterns.
- Behavioral Interruption: It provides the opportunity to interrupt ritualistic behaviors and urges as they happen, preventing their completion and establishing new patterns.
- Anxiety Management: The focus is on decreasing anxiety through repetition and successful, non-catastrophic experiences with fear foods.
- System Validation: It provides space to compassionately validate and tend to the internal 'parts' that are triggered and overwhelmed by the meal experience.
What Does Meal Support Look Like?
The structure of meal support is intentional and designed for maximum therapeutic impact within the 50-minute session. The environment, duration, and focus are precisely tailored to your recovery needs:
The Structured 50-Minute Session
- Pre-Meal Planning (10 Minutes): Collaboratively deciding on the food/meal, setting behavioral goals, and activating necessary DBT skills (e.g., mindfulness or distress tolerance) before the meal begins.
- Direct Meal Support and Coaching (30 minutes): Direct, continuous coaching to interrupt rituals, challenge rigid thoughts, and model a normalized eating pace. The focus is on active consumption and emotional tolerance.
- Post-Meal Processing (10 minutes): Processing the immediate emotional fallout, evaluating the success of skill usage, and compassionately tending to any activated internal 'parts' triggered by the meal.
Starting Meal Support Therapy:
- Clinical Assessment and Readiness Check: We first ensure that MST is clinically appropriate for your current phase of recovery. If you are already my individual client, we will discuss this in session. If you are a new client seeking only MST, I require a brief assessment consultation to ensure you are receiving concurrent care and that your overall team (if applicable) supports this intervention.
- Defining the Therapeutic Goal: We collaboratively identify the specific anxiety or behavior that the meal support session will target. This might be confronting a particular fear food, interrupting a complex eating ritual, or increasing tolerance for a specific portion size.
- Logistics Confirmation: We confirm the crucial details: the location (my office, virtual, or a specific exposure site like a restaurant), the time and duration (the 50-minute structured format), and any applicable travel fees associated with out-of-office sessions.
- Policy Review and Agreement: You will formally review and agree to the specific MST policies, including the 24-hour cancellation rule and the understanding that the MST session fee is separate from standard individual therapy.
- Scheduling the First Session: We book a specific date and time for your first official Meal Support Session.
- Pre-Session Preparation: You are responsible for preparing and providing the meal or snack that we agreed upon in step 2. You will also ensure the physical space is ready (whether virtual or in-person) for our structured 50-minute practice.
Environment and General Logistics:
- Setting: Sessions are typically held in my office or virtually via a secure platform.
- Commitment: Meal Support Therapy is a targeted intervention and is not a substitute for regular, weekly individual therapy. Clients must be established in regular therapy to utilize this specialized service.
Goals & Outcomes: What to Expect in Meal Support
Transforming Your Relationship with Food:
The success of meal support is measured not just by the food consumed but by the reduction in anxiety and the increase in skills used during a high-stakes moment.
My goal is to help you achieve measurable shifts in:
Behavioral Interruption & Normalization Focus:
- Challenging Food Rules: Directly confronting and consuming foods or portion sizes previously deemed "unsafe" or "forbidden," systematically dismantling rigid food rules.
- Interrupting Rituals: Actively practicing new patterns by reducing or eliminating obsessive rituals (e.g., cutting, counting, timing) to normalize the eating experience.
- Attuned Eating: Reconnecting with your body's hunger and fullness cues rather than relying on external rules or the eating disorder's demands.
Emotional Endurance Focus:
- Distress Tolerance in Real-Time: Utilizing DBT skills to manage the intense spike in anxiety and urges that occur while eating, rather than avoiding the trigger.
- Reducing Emotional Reactivity: Learning to accept discomfort and sit with post-meal distress without engaging in compulsive behaviors or self-punishment.
Internal Compassion Focus:
- Validating Activated Parts: Identifying and providing compassion to the internal 'parts' (e.g., the scared part, the critical part) that are overwhelmed by the act of eating, rather than being ruled by them.
- Decreasing Food Shame: Reducing the shame and self-criticism associated with eating by experiencing successful, safe, and normalized meals.
Fees and Policies
I believe that transparency is essential to our therapeutic relationship. Therapy is a significant financial and emotional investment in your well-being, and I am committed to ensuring you receive maximum value for your time and resources. Below you will find the practical logistics that govern our work together.
Session Investment & Payment
My rates reflect my specialized training, expertise, and commitment to providing focused, high-quality care.
Standard 50-Minute Individual Session: $150
* I do offer sliding scale spots in my caseload
Payment Methods:
I accept all major credit cards, as well as Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. To ensure our time is focused purely on therapy, a payment method is kept securely on file and processed automatically after each session.
Insurance & Billing
I strive to make the process of using your benefits as clear as possible:
- I am currently an Out-of-Network provider. This means I do not bill insurance companies directly.
- Reimbursement: If you have Out-of-Network benefits (PPO or similar plans), you may be eligible for partial reimbursement. I provide you with a Superbill (a detailed receipt of services) monthly, which you can submit directly to your insurance company for potential reimbursement. I encourage you to call your insurance provider prior to our first session to understand your specific benefits.
Essential Practice Policies
These policies ensure consistency, maintain professional boundaries, and protect the dedicated time we set aside for your healing
- Cancellation Policy: I require 24 hours' notice for all session cancellations. Because the time is reserved specifically for you, sessions canceled with less than 24 hours' notice will be charged the full session fee.
- Food Costs: The cost of the meal itself is the client's responsibility and is separate from the therapeutic session fee.
- Scope: Meal Support Therapy is a targeted intervention and is not a substitute for regular, weekly individual therapy. Clients must be established in individual therapy (with me or a different qualified professional) to receive meal support.
- Attendance and Consistency: Consistent, weekly attendance is key to promoting change and skill mastery. Regular attendance is required to maintain your spot on my schedule.
- Contact Between Sessions & Emergencies: I am not an emergency service. If you are experiencing a mental health emergency or crisis, please do not wait for me to respond. Call 988 (Suicide & Crisis Lifeline) or 911 immediately, or go to the nearest emergency room. I can be reached via email for scheduling or brief, non-clinical questions.
Group Therapy
What Is Group Therapy?
Group therapy is a highly specialized clinical intervention that utilizes the power of community to foster healing and growth. While individual therapy is vital for deep personal exploration, group work provides a safe, supportive laboratory where you can move out of isolation and practice new behaviors in a relational context. Think of it as a specialized skills workshop: I serve as the facilitator, providing structured content and guidance, while the collective wisdom and validation of your peers accelerate the learning process. Here, you discover that your most profound struggles are often universal, leading to a deep reduction in shame and the development of crucial interpersonal skills.
The Core Elements of Group Therapy
Group work is a targeted intervention built on these principles:
- Universality and Validation: It reduces the crippling isolation associated with private struggles by revealing that your experiences, thoughts, and feelings are shared by others.
- Real-Time Interpersonal Practice: It provides a safe environment to practice and receive feedback on difficult interactions, improving DBT Interpersonal Effectiveness skills.
- Collective Insight: Group members offer diverse, compassionate perspectives that can help challenge your own rigid CBT cognitive distortions more quickly than working alone.
- Reducing Shame and Isolation: The act of witnessing and being witnessed by others helps to unburden the internal 'parts' that thrive in secrecy and self-blame.
- Consistent Skill-Building: The group typically follows a curriculum, ensuring a structured and consistent acquisition of new coping mechanisms and tools.
What Does Group Therapy Look Like?
Group therapy follows a clear, structured process from initial interest through to weekly attendance. This structure and vetting process are essential for maintaining a safe, productive environment for all members.
Phase 1: Joining the Group
To ensure every member is a good clinical fit for the current group dynamic, I follow a careful screening and intake protocol:
- Expression of Interest: You typically reach out via my website contact form or email, specifically expressing interest in the Group Therapy offering.
- Scheduling the Group Screening: I will schedule a brief (15-30 minute) Group Screening Call with you. This call is mandatory and is not the same as a general individual consultation.
- The Screening Call: During this time, I assess your current level of stability, specific therapeutic goals, and readiness for group work. This ensures the group is a safe and appropriate environment for your current needs, and gives you a chance to ask questions about the group culture.
- Formal Enrollment & Payment: If we agree that the group is a good fit, you will receive enrollment forms and a Group Confidentiality Contract via the client portal. Your spot is reserved upon return of the signed forms and initial payment (often for the full cycle).
- Preparation for the First Session: I will send you logistical information, including the virtual meeting link or office location, and any initial materials or reading to review before the group begins.
Phase 2: The Structure of Our Work
Once enrolled, the group follows a fixed schedule to promote consistency and mastery of skills:
- Frequency and Duration: Groups usually meet once per week for a fixed duration, typically 60 or 90 minutes. This consistency is essential for skill mastery and group cohesion.
- Group Size: Groups are generally small, often capped at 6 to 10 members, to ensure everyone has ample time for contribution and individualized attention.
- Focus: My groups are primarily psychoeducational and skills-based, meaning we focus on learning and applying specific tools (DBT skills, cognitive reframing) rather than deep, unstructured processing of trauma.
Essential Group Logistics:
- Confidentiality Agreement: This is the most crucial policy. Every member signs a legally binding agreement promising to keep all identifying information and discussions within the room. Confidentiality is the foundation of group safety.
- Consistency: Due to the relational nature of group work, consistent attendance is mandatory. Missed sessions disrupt the continuity for the entire group.
Goals & Outcomes: What to Expect in Group Therapy
The goals of group therapy are focused on relational growth and applying your individual insights in a shared setting.
Relational Mastery Focus:
- Interpersonal Effectiveness: Practicing boundary setting, assertive communication, and conflict resolution in a low-stakes, therapeutic environment.
- Receiving and Giving Validation: Learning to effectively validate the experience of others, which simultaneously strengthens your ability to self-validate.
- Reducing Shame and Isolation: Realizing the universality of your struggle, which naturally dismantles the sense of alienation and loneliness.
Cognitive & Behavioral Flexibility Focus:
- Challenging Groupthink: Gaining diverse feedback to recognize and challenge shared cognitive distortions that may be affecting multiple group members.
- Generalizing Skills: Successfully translating individual skills learned in one-on-one sessions to a more dynamic, real-world social environment.
Internal Compassion Focus:
- Witnessing Parts: Developing the capacity to witness your own internal 'parts' (e.g., the anxious part, the perfectionist part) and those of others, fostering a sense of shared humanity and deep empathy.
- Community Support: Allowing your system to receive genuine, non-judgmental support from peers, which is vital for healing isolated and wounded parts.
Fees and Policies
I believe that transparency is essential to our therapeutic relationship. Group therapy is a highly cost-effective way to access high-quality specialized support due to the shared clinical time. I am committed to ensuring you receive maximum value for your time and resources. Below you will find the practical logistics that govern our work together.
Session Investment & Payment
My rates reflect my specialized training, expertise, and commitment to providing focused, high-quality care.
Standard 60-Minute Individual Session: $60
*Payment is often due in full at the start of a monthly cycle to reserve your spot for the entire commitment period
Payment Methods:
I accept all major credit cards, as well as Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. To ensure our time is focused purely on therapy, a payment method is kept securely on file and processed automatically after each session.
Insurance & Billing
I strive to make the process of using your benefits as clear as possible:
- I am currently an Out-of-Network provider. This means I do not bill insurance companies directly.
- Reimbursement: If you have Out-of-Network benefits (PPO or similar plans), you may be eligible for partial reimbursement. I provide you with a Superbill (a detailed receipt of services) monthly, which you can submit directly to your insurance company for potential reimbursement. I encourage you to call your insurance provider prior to our first session to understand your specific benefits.
Essential Policies:
These policies ensure consistency, maintain professional boundaries, and protect the dedicated time we set aside for your healing
- Attendance Policy: Group therapy requires absolute consistency. Due to the limited space and the disruptive nature of absences on the group dynamic, I do not refund or waive fees for missed sessions. Your payment holds your reserved spot for the duration of the cycle.
- Screening Required: To ensure group safety and cohesion, all potential group members must complete a brief screening or consultation call with me prior to enrollment.
- Confidentiality is Non-Negotiable: Violation of the signed confidentiality agreement will result in immediate termination from the group without a refund.
- Contact Between Sessions & Emergencies: I am not an emergency service. If you are experiencing a mental health emergency or crisis, please do not wait for me to respond. Call 988 (Suicide & Crisis Lifeline) or 911 immediately, or go to the nearest emergency room. I can be reached via email for scheduling or brief, non-clinical questions.
