You do not need the perfect explanation
Perhaps it is hard to quiet your thoughts, or it feels like you are carrying something that never quite lifts. You may have spent a long time trying to manage it yourself. We can start with the parts of your experience that feel most important now, without expecting you to explain everything in the first conversation. My approach is warm and nonjudgmental, with attention to you as a person rather than only a symptom label.
Looking at the pattern together
I often use Cognitive Behavioral Therapy. That means we can explore connections between thoughts, emotions, and actions, including thoughts that present themselves as facts. ACT and solution-focused approaches may also help shape our conversations, depending on your goals. We will discuss what you are hoping for and practice tools for difficult moments. Every person follows a different path, and we will set goals and pace together.
Your whole context matters
Anxiety and depression may be the first concerns you name, but they do not have to be the only things we discuss. Trauma, mood changes, anger, substance use, relationships, and cultural context may also belong in the conversation. I work with adults and seniors and provide individual telehealth only. We need to confirm that online outpatient therapy is the right setting for your needs, rather than assuming one service is right for every situation.
What should I ask before starting?
What happens in the first session?
We explore what you are seeking from therapy and talk about possible approaches. You do not need to arrive with everything figured out.
Do you offer therapy in Spanish?
I speak Spanish. Please ask about appointment times and intake materials in Spanish.
How quickly will I feel better?
Every person follows a different path, and we will set goals and pace together.