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By the time potential clients reach out to me in order to initiate therapy, they have already attempted many different approaches to deal with the problems which beset them. When issues continue despite continued efforts to change, therapeutic approaches which make use of a variety of interventions become necessary. When Alice found herself at the…

Typically, the first thing most of us think about when we hear that someone has deliberately cut themselves is that they are suicidal. In this article, I would like to frankly explore the underlying intent of cutting, what it is attempting to accomplish, and why it seems like such an effective coping strategy in the…

I have been privileged to see changes throughout the therapy process in my clients time and time again. Honestly, it's the most rewarding part of being a therapist. In this article, I would like to describe how the therapeutic process of change typically occurs over time for clients, and explore what you might expect as…

How often do we find ourselves using defensive mechanisms in order to maintain our own safety. When this approach is applied within family relationships, it becomes counter-intuitive to the expectation which we all hold regarding the family environment being a safe place for us to express who we are as individuals. Being able to shift…

Sensate Focused Sex Therapy is an established approach which assists a couple to repair their ability to connect in regards to physical intimacy. While there are many ways in which physical intimacy can become disrupted, being willing to work through a therapeutic process can produce a new way to have safe sexual interactions. Often, Sensate…

I love working with premarital couples. They are usually very engaging, interested in information about marriage, and are hopeful about their relationship. At the same time, this is the easiest time to intervene in order to adjust, correct, or align individuals in relationships prior to marital problems occurring. One perspective about premarital counseling I would…

All too often, couples will make the decision to separate out of frustration, pain, and an inability to determine a better solution for their current relational problems.  They know they don't want to remain in conflict, but maybe ending the relationship isn't a decision they are ready to make yet. Although separation may reduce the…