Whether you are seeking medication management, therapy, or both, treatment begins with an extended evaluation, either a single 75-minute session or two hour-long sessions. I use this time to understand not just your symptoms, but your history, relationships, and the circumstances that brought you in now. A thorough initial assessment makes it possible to develop a treatment plan that fits your specific needs rather than applying a generic approach.

My approach to therapy is psychodynamic. I attend to patterns, but also to what drives them: how the past shapes the present, what people do to protect themselves from painful feelings, and what unfolds between us in the room. That said, I’m pragmatic. When techniques from CBT or DBT would be useful, I draw on them.

I believe medications work best when prescribed thoughtfully and monitored carefully, and I work with patients to identify what we are targeting and why and to adjust the plan as we learn more. Although medication is not the right choice for everyone, in some cases, finding the right option can make a huge difference.

Living room with a green sofa, a leather armchair, a black office chair, a small wooden table, an area rug, a window with blinds and curtains, picture frames on the wall, an air conditioner in the window, a floor lamp, and a small fan on the floor.