Participation in counseling can result in a number of benefits to you, including improved interpersonal relationships with family, loved ones, and peers and resolving negative thoughts and behaviors that obstruct growth. Working towards these benefits will require effort on your part. The process of therapy will require your active involvement, honesty, and openness.

I will frequently ask you for your feedback and views on your therapy. During counseling, talking about unpleasant events, feelings, or thoughts can result in your experiencing considerable discomfort or strong feelings of sadness, anger, worry, or fear. I may challenge some of your assumptions or perceptions.

Counseling may result in decisions about changing behaviors, employment, and relationships. Sometimes a decision that is positive for one family member is viewed negatively by another family member. Change can come easily and quickly, but more often it will be slow and, at times, frustrating. Like all health care services, there can be no guarantee that counseling will yield the intended positive results

I am often asked about what specific approach I take in psychotherapy. The answer depends on who is seeking psychotherapy. I think of each approach like a pattern on a quilt, the approach being laid upon a foundation of a strong working relationship—one with trust, confidence, and connection. Without those key fundamental elements, the utility of any approach is diminished.

This said, I am likely to use a cognitive-behavioral approach with someone struggling with depression or anxiety. I am likely to take a family systems approach when working with adolescents in conflict with their family/school/community. I approach attention deficit with a combination of neurofeedback, and organizational coaching.

Within a reasonable period of time after the initial intake, I will discuss with you my understanding of the problem, treatment plan, goals and objectives, and possible outcomes of treatment. If you have any unanswered questions about any of the models or approaches used in counseling, please ask, and I will answer them in full.