Approach

My approach to therapy is relational, psychodynamic and humanistic. I view the counseling process as a collaborative and empathic relationship of communication, investigation, exploration, reflection and insight.

I work with individuals, couples, and families, and have experience working with clients of all ages. I specialize in working with adolescent identity issues, anxiety, depression, attachment problems, interpersonal communication, intimacy issues, relational trauma, & chronic physical illness, especially Type 1 diabetes.

My primary theoretical orientation is psychoanalytic and is informed by attachment, mentalization, and intersubjective theory and research. My specific approach to treatment is determined by the specific needs of each individual client, and I incorporate ideas and techniques from a range of theoretical models.

As our work together develops we will share and explore your feelings, thoughts and behaviors in a safe, caring, and sometimes challenging process of self-discovery.


Basic Psychodynamic Principles

Much of mental life is unconscious.

Early childhood experiences in concert with genetic factors provide the foundation for later psychological development.

Memories, thoughts, feelings and behaviors associated with past relationships are repeatedly played out in present relationships.

Through exploration of the therapeutic relationship important dynamics from past relationships, both conscious and unconscious can be accessed and understood. This understanding helps free the individual from repeating problematic relational patterns.

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Diabetes and Mental Health

The onset of diabetes can contribute to a number of psychological symptoms complicating the already challenging balance of physical issues. High blood sugars often mimic symptoms of depression, while low blood sugars can produce intense feelings of anxiety and panic.

The adjustment to leading a healthy life with diabetes can often threaten self-esteem, body image, autonomy and freedom, and the threat of devastating complications resulting from a lack of management can be very frightening.

When this condition arises in adolescence the stakes are often raised in direct conflict with important developmental tasks of this age. These psycho-physiological conflicts are often played out within the family and can lead to intense and entrenched turmoil.

I have experience in research and practice working with the unique and complicated issues that arise from living with this challenging condition both as a therapist, and as a patient living with Type 1 diabetes. I offer specialized therapeutic services in this area including individual consultation, family therapy, and psycho-education.

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Attachment, Mentalization & Intersubjectivity

Attachment, Mentalization and Intersubjective Theory all address human development in the context of how our earliest interpersonal relationships form the core of our identities and strongly influence subsequent relationships.

Recent neurobiological research supports this premise and has shown how problems in these early relationships can lead to problems later in life. Through the psychotherapeutic relationship these problems can be worked through.

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