I draw from a number of different schools in my theoretical orientation, but draw primarily from the cognitive-behavioral, attachment and family systems schools of thought. A large amount of the work that I do with clients focuses on beliefs and values adopted through interactions within families. We focus on how those beliefs, once adopted, affect emotions and behavior patterns that you are concerned about changing. It has been my experience that through better understanding of these patterns and underlying beliefs that people become more able to make positive choices for themselves and those they care about, resulting in increased self-confidence for all those involved.
I like to start by having you fill-out a number of screening forms to insure that we fully understand the nature of any underlying issues that may need attention. I often work with your primary care physician if medications may be helpful and make an effort to ensure that you are aware of the most healthy non-medication options to consider.
Generally we discuss the specifics of your treatment following my initial assessment, or within the first 1-2 meetings. I try to describe the nature and purpose of various aspects of treatment, and any available alternative treatments that exist. We work together to decide how to emphasize and prioritize aspects of treatment. I like to consider this work to be a team effort between us.
I usually use a combination of individual meetings in addition to family or couple's sessions when needed. The number of sessions needed varies greatly, but on average I hold 15-30 sessions with most clients. Some clients come in for an evaluation and referral rather than treatment. Evaluations usually involve two to four sessions for completion, including education and discussion of my recommendations.
Optimally, treatment will end at the point at which you feel you have met your goals adequately, or at the point at which you feel that treatment is no longer of as much help to you as it was initially. Treatment can be modified in length, frequency and content based on your needs. The more you can be open with me about your needs and concerns, the better I will be able to tailor our work together to your benefit.
I have a warm interactive style that many people prefer. I use a structured system for helping you change any negative beliefs about yourself and others that affect your mood in a negative way, or that may make it difficult for you to cope with stressors and relationships in an effective manner. I am able to help you explore why you have had the difficulties that concern you, and am also able to give you concrete skills and practical strategies for finding positive solutions in a time efficient way.