Our first meeting will consist of an initial evaluation. This is a 90 minute session in which I collect a detailed psychological and medical history and evaluate you for mood, anxiety, and relational difficulties. I will also inquire about any other information that would be relevant to your treatment. We will collaboratively determine your target goals in therapy and formulate a treatment plan that would be most suitable for you. I will answer any questions you may have about therapy and address any concerns. The evaluation is a trial session to assess if you and I are a good fit. If we agree that there is a goodness of fit with regard to our rapport and our ability to meet your target goals, we agree to move forward in treatment. If it is determined we are not a good fit, I will refer you to a doctor or facility who can better meet your therapy needs or suggest applicable resources.
Individual therapy sessions are 45 minutes and you and I will mutually determine the frequency of appointments. The number of sessions you will need is largely dependent on the number of goals you set and the pace at which you are able to implement the techniques offered.
Throughout this process, we will give each other regular feedback about treatment. I encourage you to let me know what you feel is most helpful to you and what you think needs improvement. I want you to be comfortable in expressing if a treatment method is not working as well as you’d like. I will modify the approach, tools and goals as needed to keep you moving forward.
Once you have achieved your goals, we reduce the frequency of sessions. These sessions involve tools that allow you to graduate treatment with the confidence that you can sustain your improvements over time. I also encourage booster sessions which are random check-in points throughout the year that allow us to reassess your progress and make sure you continue on your healthy path.
Sessions for couples are 60 minutes per session. I utilize Integrative Behavior Couple Therapy (IBCT) and Emotion Focused Therapy (EFT) in my approach with couples. Both approaches are evidence-based treatments for couples. EFT fosters new cycles of interaction between partners and creation of secure emotional connection. IBCT assists couples in balancing acceptance and change in their relationships.
Couples therapy will generally consist of two major phases, an evaluation/feedback phase and an active treatment phase. The first three sessions consist of an evaluation period where I learn about the concerns of the couple. In addition, the couple will be provided a set of self-report questionnaires examining various aspects of the couple’s relationship. Following the assessment phase, I will provide feedback to the couple which will include an overview of the couple’s difficulties and strengths and how therapy will try to assist the couple. A major part of the feedback session is my formulation of the couple’s problems, a conceptualization of the major themes in the couple’s struggles, the understandable reasons why the couple has these struggles, and how their efforts to resolve the struggles often fail. This is a very collaborative process and couples are encouraged to give their reactions, add information, and correct my impressions as needed.
After the feedback session, the couple can make an informed decision about whether my approach seems right for them. Assuming the couple decides positively, the active phase of treatment begins in which I will assist the couple in making concrete changes to accommodate the needs of one another in the context of greater emotional acceptance of one another.
Sessions for families are 60 minutes per session. I utilize a Structural/Strategic orientation in my work with families. Through this approach I take an active and supportive stance during session and assist families in restructuring their interactions with one another to clarify family roles and rules, decrease conflict, and increase feelings of safety, closeness, and connection.