HOW WE WORK TOGETHER
Care should fit the person.
You do not need to know before we meet whether medication, psychotherapy, a diagnostic evaluation, or some combination will be most helpful. We decide together what approach fits best and where it makes sense to focus.
ADHD & executive functioning
Difficulty with execution, organization, task completion, follow-through, consistency, or questions about whether ADHD is the right explanation.
ADHD evaluation and treatmentAnxiety
Persistent worry, tension, panic, avoidance, perfectionism, irritability, sleep difficulty, or a sense of always being on alert.
Anxiety treatmentDepression & mood
Low mood, loss of interest, irritability, reduced energy, withdrawal, difficulty concentrating, or a sense that daily life has become harder to manage.
Depression treatmentRelationships, identity & recurring patterns
Relationship difficulties, loneliness, conflict, recurring patterns, questions about identity, or a desire for greater connection and fulfillment.
PsychotherapyLife transitions
Changes in school, work, family, relationships, roles, or direction that create stress or raise larger questions about what comes next.
Performance & demanding environments
The pressures, expectations, and tradeoffs that can come with ambitious, competitive, or high-responsibility environments.
Adult psychiatryDiagnostic uncertainty
Situations in which symptoms overlap, the diagnosis is unclear, prior treatment has not helped enough, or a thoughtful second look would be useful.
Medication questions
Questions about whether medication is appropriate, whether a current medication is helping, or how medication fits with psychotherapy and the rest of treatment.
Psychiatric medication managementACROSS STAGES OF LIFE
Different needs require different conversations.
Children and teens need to be understood developmentally and in the context of family, school, friendships, and increasing independence. Adult work may focus more on relationships, work, family pressures, identity, direction, or recurring patterns.
TREATMENT
Medication, psychotherapy, or both.
Some people need a focused psychiatric evaluation and medication management. Others benefit from psychotherapy or an integrated approach. Treatment can change over time as the problem becomes clearer and needs change.
COMMON QUESTIONS
Where should I start?
Do I need to know my diagnosis before making an appointment?
No. Diagnostic uncertainty is a common reason to seek psychiatric consultation. The initial assessment is designed to understand the problem before deciding what treatment makes sense.
Do you provide both psychotherapy and medication management?
Yes. Care may involve psychotherapy, medication management, both, or a focused consultation depending on the person and the question.
Do you see children, teenagers, and adults?
Yes. I work with children, adolescents, and adults, with attention to how development and life stage affect the meaning of symptoms and the type of care that may help.
What if another type of care would be more appropriate?
Sometimes the most useful outcome of an evaluation is clarity about what kind of treatment or specialist is needed. If another type of care is a better fit, we can discuss that.
GETTING STARTED
You can begin with the problem, not the solution.
Tell me briefly what is happening and what kind of help you are looking for. The initial assessment gives us time to decide what kind of care fits.