Services
I provide individual online video counseling for teens and adults located anywhere in Washington state or Montana. Counseling begins with a one-time 90-minute initial session followed by ongoing 50-minute sessions.
Clients are also provided access to:
- secure video conferencing
- secure client portal
- secure messaging
- secure electronic payment
- online appointment request calendar
- optional appointment reminders
- paperless forms & documents
My academic year office hours are Sunday through Wednesday, 10am-7pm Pacific Time / 11am-8pm Mountain Time.
My summer office hours are bimonthly, alternating Sundays through Wednesdays, 10am-7pm Pacific Time / 11am-8pm Mountain Time.
Areas of Focus
The teens and adults I work with are often seeking support around:
- difficult emotions
- communication
- relationships
- identity
- self-esteem
- confidence
- insight
- stress management
- school or work issues
- problem-solving
- life goals
- healthier habits
These can be related to many factors, including:
- anxiety
- mood
- neurodevelopment & executive function
- trauma
- grief & loss
- past or present relationships
- identity exploration & support
- life & role transitions
- process or substance abuse
- being human on planet earth
Communication Styles
The teens and adults I work with often also find themselves farther out along the edges of the emotional regulation and social expression spectrums. In addition to whatever else is going on, being this way in the world can come with its own upsides and obstacles.
Some can appear highly regulated: feelings and thoughts are hidden inside and carefully protected, tightly managed and kept from others.
- This can involve: anxiety and depression, social misunderstanding and isolation, negative self-image, missed connections and opportunities, positive intentions and efforts overlooked, overthinking and perfectionism, risk and task avoidance
- Strengths often include: observation, introspection, creativity, insight, empathy, resilience, self-motivation
Others can appear loosely regulated: their feelings and thoughts are fully visible to others, expressed without a filter and sometimes unawareness for how expression may impact themselves and others.
- This can involve: anxiety and depression, social conflict and isolation, negative self-image, foot-in-mouth moments, positive intentions misunderstood or overlooked, risk-taking, lack of organization or follow-through
- Strengths often include: authenticity, tenacity, innovation, caring, loyalty, adventurous spirit, leadership
Many of us possess a combination of these traits and tendencies. Finding a balance where we are most often putting our abilities to their best uses can take some time and experimentation but creates incredible results.
Therapeutic Modalities
I approach counseling with a deep curiosity and broad collection of skills and experience that let me borrow flexibly from whatever I believe will work best for you in response to your needs, goals, and learning styles. You are encouraged to share very honestly about whatever you find helpful—and not so helpful—throughout counseling. I focus on the things that matter to you and use approaches that support outcomes, including:
- cognitive behavioral therapy (CBT)
- motivational interviewing (MI)
- dialectical behavioral (DBT) skills
- mindfulness practice
- positive psychology
- narrative therapy
- insight-oriented therapy
- systems theory
- experiential therapy
- solution-focused therapy (SFBT)
- reality therapy
- brainspotting
If you have questions about counseling, they might be answered on my FAQ page. You can find more about my background and training on my About page. Payment and insurance details are on my Fees page.
I welcome YOU.
You have the right to safe, respectful service without discrimination related to age, race, ethnicity, national origin, sex, [a]gender or gender expression, [a]sexual orientation, relationship status, body size or appearance, disability, educational or socioeconomic status, [non]religion, and anything else that makes you uniquely you.
difficult emotions: fear & anxiety, sadness & grief, frustration & anger, guilt & shame, exhaustion & hopelessness, numbness & detachment
communication: clearly understanding others & helping others understand us effectively
relationships: interacting & connecting with others in healthy & mutually satisfying ways
identity: how we define ourselves, how others see us, & how we want to be viewed
self-esteem: recognizing we are inherently worthy of respect & love and pursuing choices & relationships that support this
confidence: trusting in our capabilities & resilience and taking actions that show this
insight: developing a deeper understanding of something
stress management: using skills & strategies to moderate the strong emotions that come with challenges
school or work issues: learning difficulties, performance anxiety, interpersonal challenges, effort or motivation problems
problem solving: developing insights & strategies to overcome obstacles or resolve conflicts
life goals: identifying what we value in life & taking actions to support these values
healthier habits: replacing unhealthy behavior patterns with ones that are more effective & have fewer negative impacts
anxiety: conditions involving strong worry, fear, or panic, e.g. generalized anxiety disorder (GAD)
mood: conditions involving prolonged extremes or instabilities of mood, e.g. depression
neurodevelopmental/EF: conditions related to how the brain processes information, e.g. attention deficit hyperactivity disorder (ADHD), nonverbal learning disorder (NLD), social pragmatic communication disorder (SPCD), autism (ASD)
trauma: our coping response to negative life-altering experiences or events such as abuse, neglect, assault, accidents, disasters, or losses, e.g. Post Traumatic Stress Disorder (PTSD)
grief & loss: processing the strong emotions & thoughts that can come with the ending of relationships, deaths, & other large or unexpected life changes
relationships: e.g. exploring and addressing our roles, goals, needs, boundaries, communication, attachments
identity exploration: considering important aspects of self (e.g. gender or sexual identity, body image, spiritual beliefs) or recognizing how social norms, inequality, prejudice, or discrimination can negatively alter self-concept
transitions: e.g.breakups/divorce, coming out, launching into adulthood, the proverbial mid-life crisis, parenting, aging, life-altering illness & injury
process or substance abuse: compulsive use of a behavior (e.g. gambling, videogames) or substance (e.g. alcohol, drugs) reinforced by the brain's reward system with negative impacts
the human condition: we've all got it
CBT: understanding connections between our feelings, thoughts, beliefs, & behaviors in order to create helpful and healthy changes
MI: clarifying our personal values, goals, & priorities in order to take positive action
DBT skills: reducing & coping with difficult emotions and becoming more skilled in our communication & relationships
mindfulness: increasing our capacity to be aware & accepting of the full range of life's dynamic experiences
positive psychology: using what we know about the science of happiness to increase our experiences of well-being
narrative therapy: separating our identity from our problems and locating the strengths & relationships that help us to overcome obstacles
psychodynamic/insight oriented therapy: building our awareness of how our past life experiences can influence our beliefs & defenses in ways that impact our present-day relationships & behavior
systems theory: building resources & resilience through recognition of how our individual experiences & identities interact within our communities, societies, & environment
experiential therapy: using present-moment experiences & self-reflection to identify & practice skills & strengths
SFBT: identifying our abilities & the concrete steps to put our goals into action
reality therapy: validating our personal needs and choosing healthy & effective ways to meet them
brainspotting: using eye position and mindful observation of body and emotional sensations to process and transform our relationship to challenging and traumatic experiences