The Process:

  • You connect with us around a particular case you would like to discuss. The client should be in individual therapy, age 16-19, not currently unstable or in crisis, with difficulties around anxiety, mood, OCD, trauma, adjustment, or grief. We then arrange referral from the client’s primary care provider and send you our intake form to clarify how best to support you.

  • I meet with the client first, for 1-8 sessions, depending on how complex the issues are and how deeply you would like to explore things. This also includes some questionnaires for the client to get a full picture. For those completing 4-8 sessions, there will be a trial of a brief therapy intervention after assessment (e.g., imagery rescripting). There are three options:

    • Specific focused question/topic you would like to discuss: 1 session with client

    • Detailed case conceptualization discussion including review of schemas, attachment patterns, etc: 3-4 sessions with client

    • Exploring when things feel stuck or assisting with efficiency when there is limited insurance: 5-8 sessions with client

  • I then offer free (i.e., government covered) case consultation in 30 minute increments (maximum of 12 case consults for the same client over a year - in most cases, 1-3 should be enough).

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A few more details…

  • Potential issues we can discuss: my main expertise is in exploring missing pieces in case conceptualization that may be limiting progress in therapy, applying evidence for effective therapy to nuanced clinical situations, and orienting towards helping people find presence, wisdom, belonging, and beauty even when there is also suffering (rather than an exclusive focus on symptom reduction, which is of course also an important goal). 

  • Important notes: clinical care remains in your hands. The focus of my meeting with the client is on understanding them and your relationship well enough to offer you support to make psychotherapeutic treatment more effective. In a similar vein, my assessment of the client is not primarily oriented towards diagnosis or medication, although these things will be considered, and suggestions may be made to the patient’s primary care provider in these areas if this would be helpful.