Clinical care

Beginning effective treatment

I begin care with a complementary exploratory phone call to see if and how I can be of support. We then meet in-person or via telesession for an effective consultation, which is typically 3 sessions. A consultation includes measurement-based assessments and provides you with a feel for what intensive therapy is like with me. At the conclusion, I will offer recommendations for treatment to clarify and improve core psychological symptoms, resolve physical health contributors, and identify personal strengths to build upon during effective care.

Please see an overview of psychotherapy to consider the foundation of my practice.

I am an in-network physician with some policies for the following insurers:

• Anthem/Regence Blue Cross Blue Shield

• MODA (formerly ODS)

• PacificSource

my approach to Psychiatry

Effective psychiatry is a collaboration. I strive to listen deeply to your strengths and areas of suffering. I employ symptom-limited and time-limited use of medications and nutraceuticals, and I aim to clearly explain and deepen your understanding of both the power and limitations of psychopharmacology. My work integrates evidence-based psychotherapy, cognitive behavioral therapies (especially for sleep behaviors), and substance use recovery when appropriate. Our work will explore whether and how health behaviors may support psychotherapy effectiveness and identify your core strengths and supports for when medication is concluded.

my prioritization of PSYCHOANALYSIS

The majority of my practice is devoted to psychoanalytic psychotherapy and psychoanalysis. Psychoanalytic therapies are evidence-supported with profound capacities to develop deep and lasting personal satisfaction. The creation and use of an analytic relationship facilitate awareness of essential explicit and implicit ways you feel, think, and relate. Our work supports tolerating and more fully accepting your own narratives and how you relate during times of ease and distress. The later stages of psychoanalytic treatment facilitate proactive advances in relating, meaning-making, and fulfilling purpose in your life on your own terms.

WHEN I refer

Valuing your time, it can be useful to know which services are not part of my work. In my practice, I do not provide the following:

• treatment limited to specific conditions (ADHD or OCD, for example);

• problem-focused treatment (such as Internal Family Systems (IFS), TF-CBT, EMDR, or DBT);

• psychiatric assessments or treatment plans supporting medical procedures (bariatric or other mental health clearances);

• mental health disability, child or personal court assessments, work accommodations, or other legal determinations; or

• stimulant or other psychiatric medication prescriptions outside of established weekly psychotherapy treatment.

During our work, your treatment will be more effective by integrating trusted primary care and additional clinical support. I will help you establish essential clinical relationships. I am experienced in integrating substance use recovery supports (AA, sober coaching, and/or medication-assisted treatment) into psychotherapy. I readily support patients in emerging or well-established partnerships with Gottman Method or EFT (Emotionally Focused Therapy) trained couples therapists—the two treatment approaches with the best evidence for improvements in committed relationships. If you are using AI for health coaching or therapy, we will create an integrated or transition plan together based on your preferences. Especially when discontinuing medication, I support patients in developing mindfulness, health behavior, and social prescribing practices.

If you seek services outside my focus, I support you finding a trusted expert whose work fits your needs. If you are ready to explore our work together, please be in touch.