Care with intention

Space to understand.
Room to change.

Collaborative psychotherapy shaped by your goals and experience.

A focused conversation about your experience and the patterns you want to change.

Individual psychotherapy can address emotional regulation, anxiety, depression, adjustment, trauma, and interpersonal concerns. The approach follows your presentation, readiness, and treatment goals.

In person in Chehalis or by telehealth when appropriate.

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Collaborative, with a clear purpose.

We identify priorities, examine patterns, and develop practical responses to the situations that bring you into care. Sessions can create room to understand difficult experiences, practice coping strategies, and consider choices with greater perspective.

Your pace and participation.

You can ask questions, raise concerns, or request a pause. We regularly review how the work connects with daily functioning and whether the treatment approach needs adjustment.

Therapy within the larger plan.

Psychotherapy may be offered on its own or alongside medication management when appropriate. Separate clinicians may participate with your permission. Visit duration, frequency, and financial arrangements are confirmed before treatment.

A closer look

Work with a direction.

Therapy can make room for experiences that are difficult to organize on your own: persistent worry, low mood, a difficult transition, conflict, grief, or feeling caught in the same response. The starting point is the concern you bring and how it affects your life.

I work with you to make the purpose of treatment clear. A session may involve examining a recent situation, recognizing an emotional or interpersonal pattern, developing a more workable response, or considering how earlier experiences influence present choices. The approach and pace are discussed with you.

Your experience of the therapeutic relationship belongs in the conversation. If a question feels difficult, the pace feels wrong, or the work seems disconnected from your priorities, raise it. Reviewing the process helps keep treatment relevant and can clarify when another approach or clinician would fit better.

  1. Identify

    Clarify the situations and patterns you want to work on.

  2. Explore

    Connect emotions, interpretations, relationships, and responses.

  3. Practice

    Try useful changes and review how they translate into everyday life.

Before you begin.

Practical questions about individual psychotherapy.

How is psychotherapy different from a medication visit?

Psychotherapy sets aside time for therapeutic work with emotions, behaviors, relationships, and patterns. Medication follow-up focuses on treatment response, tolerability, safety, and prescribing decisions. When both are part of care, the scheduled format and financial arrangements are clarified in advance.

Do I need to know exactly what to talk about?

You can begin with an example from your week, a concern that keeps returning, or something you find hard to describe. I help organize the conversation and connect it with the goals you have identified together.

How often would we meet?

Frequency depends on the concern, clinical needs, goals, and appointment availability. Discuss the proposed schedule, expected visit length, and cost before beginning. Treatment is reviewed over time rather than assigned a guaranteed number of sessions.

How will we know whether it is helping?

Useful signs of progress are specific to you: responding differently during conflict, approaching something you have avoided, managing emotion more effectively, or functioning more consistently. Your feedback, agreed goals, and relevant symptom measures help guide review.

NIMH · Understanding psychotherapy

What we can
work on.

The method follows the person, the concern, and the agreed treatment goals.

Supportive psychotherapy

A place to think through a difficult situation with a clinician who knows your history. We can work on understanding your reactions, recognizing strengths, making decisions, and finding practical ways to manage the demands in front of you.

Emotional regulation and coping skills

We look at what happens when emotion builds, how you recognize it, and what you tend to do next. Work may involve identifying triggers, practicing a pause, clarifying a need, or choosing a response that better fits the situation. Skills are connected with the circumstances in your own life.

Interpersonal and relationship work

We can examine recurring interactions, communication, boundaries, and the meaning you give to another person’s response. Individual relationship work has a different format from couples or family therapy, where other participants are part of the treatment agreement.

Trauma-focused work and EMDR

Trauma-related care begins with understanding symptoms, safety, and readiness. EMDR is a structured option considered through assessment and preparation. The treatment plan explains why an approach fits and how your response will be reviewed.

Explore EMDR
Understanding symptoms and treatment

Psychoeducation makes room for the questions behind a diagnosis or recommendation. We can discuss what a symptom pattern may mean, how therapy and medication differ, and what to watch for between visits. You can ask for plain language, examples, or a written summary of the plan.

Let’s find a place to begin.

Tell me what you are looking for help with. We can clarify which kind of appointment fits.

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