PRACTICE

My practice is limited to adolescents and adults. I see both men and women. I work with many presenting concerns including depression, anxiety, stress management, eating disorders, weight loss, personality disorders, phase of life issues, and developmental disorders.

I primarily use Cognitive Behavioral approaches. Basically, this means I help my clients develop acceptance of their uniqueness as human beings, while also helping them identify areas of their lives and of their emotional functioning they wish were different. I assist clients in developing an approach for self change that typically involves planned steps towards learning new psychological skills. This plan often uses structured exercises, self monitoring, and self talk to develop and reinforce these new skills.

When treating eating disorders in younger adolescents a family based treatment model, also known as the Maudsley model, is often used. With older adolescents and adults a more traditional individual approach is used. Care of these clients often involves coordination with physicians, nutritionists, and other professionals, as well as with family members.

I work with obese clients, both on general mental health issues, but also doing evaluations and therapy in preparation for bariatric surgery and therapy following the surgery to optimize adjustment and successful weight loss.

I also work with a number of developmentally delayed clients, many of whom are young adults attempting to live in group homes or supervised apartments. With these clients my approach is to help them take pride in their accomplishments while also realistically understanding their limitations. I often coordinate care with housing supervisors, job coaches, social workers and parents when working with this population.

I work with individuals with thought disorders, including schizophrenia and delusional disorder. With this population, close coordination with psychiatry is essential to insure the best possible medication response. I work directly with these clients to help them understand and accept how medication can help, how to manage side effects, and how to manage the residual symptoms that remain even when well medicated. I help these clients, and their families, accept these mental illnesses as illnesses that have to be managed, but do not have to be disabling.