- Mental HealthThe primary model from which I practice is a contemporary form of psychoanalysis that has been evolving world wide in recent decades. The theory and practice of psychoanalysis originated with Drs. Joseph Breuer and Sigmund Freud in Vienna during the 1880′s, and has had profound influence in mental health treatment and culture for about 110 years. Because I have had training and experience with multiple models of psychotherapy, particular family systems theory, I think about my patients’ questions and struggles from the perspective of both their dynamic, less conscious inner world and their more behavioral, relational outer world. My belief is that any good treatment is based on a set of common factors of change, ways of understanding and intervening that have effectively worked for therapist-patient teams across the modern history of psychotherapy. It is important in my work with patients to figure out what has not been helpful in the past and to dedicate ourselves to developing an optimal treatment plan in the present that will facilitate important changes for the future.
- PsychiatryBecause of my training and experience, many of my patients who have not received full benefit from previous therapies are able to make significant progress at achieving elusive life goals. In order to manage and modify pervasive symptoms of anxiety and depression, to overcome debilitating and shameful addictions, and to understand and grieve painful and disturbing traumas, psychotherapy must be sufficiently intensive and extensive. While most patients come weekly, some people benefit from multiple sessions per week to meet important goals. A rule of thumb with my practice is that the work is usually longer than shorter and harder than easier. The commitment and expense of the process is tolerable because my patients often see important progress over time. While I am not a physician, I do pay careful attention to established and emerging medical conditions, and I encourage routine medical care and specialty referrals, including psychiatry, as indicated. Psychotherapy works effectively with many complimentary treatments, and I value a wide range of strategies to facilitate healing and growth, including group and family therapy, behavior and habit management, exercise and nutrition, art and play therapy, and the full spectrum of AA-based groups. For some patients, spiritual questions and struggles are a central component on their psychological journey toward healing and growth.
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