Sessions are 50 minutes, and within the first few, we will develop a plan together for what would be most helpful for you to work on, and how frequently we’ll meet. Typically, the first and foremost goal is acute symptom relief if this is present. Also common in the first goal(s) is working towards developing direct and assertive communication of needs and feelings, as well as evaluating where dysfunctional patterns might be most present. As we continue, I will assess with you whether goals are being met and/or if our direction needs to shift. Using the combination of cognitive-behavioral, psychodynamic, and family systems theories, we will decide together on the best treatment strategies, how often to meet, and when to end therapy. Ideally, in addition to symptom relief, the general goal for outcomes of treatment include changing and/or eliminating problematic behavioral, emotional, and relational patterns. Through the course of therapeutic work, it is normal for clients to experience variable rates of change as well as ups and downs in emotional states along the way. Sometimes this can include a sense of plateau or impasse in the work of change, and should this occur, we will revisit and/or revise the initial goals, and work together to get back to movement.
If we both decide that EMDR would be a good supplement to the treatment plan, we will take time to prepare for this (according to the rules and protocols of the EMDR Institute). As EMDR is recommended and tends to work better in 90 minute sessions, we can plan for this if your schedule and availability allows.
It is very important that the process remain collaborative and that you share with me clearly what you are wanting to work on, and/or if aspects of my style or approach is not working for you. I will have impressions or clinical opinions, and share feedback about where we might focus, but ultimately, it is much more effective when clients take responsibility for their own therapeutic path.
You are the only EXPERT on your own life, but I CAN help you figure out how to find that strength and clarity. And in particular, I have expertise and experience in assessing, treating, and working with the following issues:
- mood, depression, and grief work
- anxiety, panic attacks and phobias
- relationship problems & family work (however ‘family’ is defined)
- medical and health concerns
- PTSD and trauma work
- identity development and integration (especially identity that is marginalized within culture and/or invisible: sexuality, gender identity, class, ability, etc.)
- repetition of patterns that are harmful or dysfuctional
- conflict resolution and communication struggles
- spiritual, creative, and intuitive obstructions