Relationship therapy first. Trauma, mood, and recovery in the same room.
Practical, judgment-free therapy for couples and individuals across the desert Southwest, by video. Four focus areas, then fees and insurance, stated plainly.
Most people who contact me come in for a relationship. Many of them also bring anxiety, an old trauma, or drinking that has crept up, and those get worked on together instead of being sent to four different offices.
Relationships · Trauma and PTSD · Depression, anxiety, and grief · Alcohol, drug use, and recovery · Fees · Insurance
Couples and relationship therapy
For couples, and for individuals working on a relationship, whether or not the other person is in the room.
What it is, and who it is for
Therapy for the relationship itself, with both of you, or for one person working through a relationship, a dating decision, or a breakup. People come in for the same fight over and over, for walking on eggshells at home, for a partner who shuts down, for mixed signals, difficulty trusting, or a pattern that keeps repeating with different people.
How it works
In couples work the relationship is the client. Nobody gets ganged up on. Each of you gets heard, each of you gets challenged, and I will say plainly what I see. Individual relationship work looks at your side of the pattern: what you keep choosing, what you keep tolerating, and what you want instead.
What to expect
You do not need to be in crisis to start. Most people come in wanting to stop repeating the same conversation. Expect direct feedback, specific things to try between sessions, and an early, honest read on what is workable.
No. The relationship is the client. If one of you is doing something that hurts it, you will hear about it, and so will your partner when it is their turn. Neither of you is the patient and neither of you is the problem.
Start on your own. Individual relationship work is common, and it changes the pattern from your side. Some partners join later once they see that it is a conversation rather than an ambush.
Sometimes individual work has to come first anyway. An anonymous commenter put it well: “Couples therapy is like pouring water into vessels. If someone is a pancake right now, they cannot hold water.”
No. Whether to stay or go is your decision. My job is to help you see the pattern clearly, say what you want out loud, and decide with better information than you have now.
Trauma and PTSD
For the experiences that are still running things years later.
What it is, and who it is for
Therapy for trauma and PTSD in adults: a single event, or years of them. Nightmares, being on edge, going numb, avoiding places and people, or a temper that arrives before you do. Many people come in for something else, a relationship or drinking, and find an old trauma underneath it.
How it works
We go at your pace. Talking through what happened is part of the work, but only when you are ready, and never as the whole of it. CBT helps with the thoughts and avoidance that keep trauma alive. Psychodynamic work helps with how it shaped the way you relate to people now.
What to expect
Fewer surprises. Early sessions focus on steadiness and on what sets you off, so the harder conversations happen from solid ground. You stay in control of what gets discussed and when.
Not on day one, and not until you decide to. Some people never go into the full detail and still get better. What we work on is how the experience affects you now, and that can be done either way.
Yes, it can. A childhood spent bracing for the next blow-up, a bad relationship that lasted years, or a job that exposed you to things most people never see can leave the same marks as a single event.
Depression, anxiety, and grief
For when the low mood, the worry, or the loss has stopped being temporary.
What it is, and who it is for
Therapy for depression, anxiety, and grief in adults. Low motivation, overthinking, irritability, trouble sleeping, dread with no obvious source, or a loss you have not been able to set down. Often it shows up first in a relationship: shutting down, snapping, or pulling away.
How it works
CBT is the backbone here: naming the thoughts and habits that keep the mood in place and changing them in small, testable steps. Grief work is slower and less structured. You talk, I listen, and we look at what the loss has changed and what you want to carry forward.
What to expect
Practical assignments between sessions, honest feedback on what is and is not moving, and no pressure to feel better on a schedule. If medication is worth discussing, I will say so and point you to the right person for that conversation.
If it has lasted more than a couple of weeks, is affecting sleep, work, or the people around you, and you cannot pull out of it the way you usually can, it is worth a conversation. You do not need a diagnosis to book a session.
Yes. Grief has no expiry date. A loss from years ago that still catches you off guard, or one you never had room to feel at the time, is common and workable.
Alcohol, drug use, and recovery
Drinking, anxiety, old trauma, and the relationship usually arrive together. They can be worked on in the same room.
What it is, and who it is for
Counseling for alcohol and drug use, from “I think I drink too much” to early recovery to staying sober years in. For people who are not sure they have a problem, people who know they do, and partners trying to figure out what to do about someone else’s use.
How it works
I am a Licensed Clinical Alcohol and Drug Counselor and a NAADAC Master Addiction Counselor, so substance use is treated as part of the same work rather than referred out. Motivational Interviewing is where we usually start: what you want, what the use is costing, and what change would look like on your terms. The goal is yours to set.
What to expect
No lectures and no shaming. Straight talk about patterns, triggers, and slips, plus work on whatever sits underneath the use, which is usually anxiety, trauma, or a relationship. A slip is something we look at, and then we keep going.
No. Come as you are. Where you want to end up is part of the conversation, and it can change as you go.
Yes, and often that is the point. The drinking and the fights feed each other, and splitting them between two therapists with two plans tends to lose the thread.
Who I also work with
Adults of every age, including 65 and older. Individuals and couples. LGBTQ+ and allied communities.
Beyond the four focus areas above, I work with bipolar and other mood disorders, chronic pain, and men’s issues, including the ones that get carried for years before anyone says them out loud.
If what you are dealing with is not on this page, send a message and ask. If I am not the right fit, I will say so and point you toward someone who is.
How sessions work
Online across Nevada, Utah, and Arizona. 55-minute sessions. Fees stated plainly.
Individual Session
55 minutes, by video
- Individual therapy for any focus area
- Insurance accepted; see the plans below
- Superbill available for out-of-network reimbursement
- Reduced fee on a limited basis
Couples Session
55 minutes, by video
- Both partners in the session
- Insurance accepted where the plan covers couples work
- Superbill available for out-of-network reimbursement
- Reduced fee on a limited basis
Sessions run about 55 minutes and are prorated if they run longer. Payment is due at the time of service. Missed appointments without 24 hours’ notice are charged. Brief calls of 15 minutes or less are included; longer calls, letters, reports, and record reviews are prorated at $150 per hour.
Cards, cash, check, and Zelle are accepted.
Insurance
In network with the plans below, and superbills for the rest.
Billing runs through Alma. Insurance questions →
Out-of-Network Benefits
If your plan is not listed, you pay at the time of service and I provide a superbill you can submit to your insurer for reimbursement. What they cover depends on your plan.
Checking Your Coverage
The quickest way to confirm is to call the number on the back of your card and ask about outpatient mental health visits with a Licensed Clinical Social Worker, including telehealth.
Ready when you are.
Sessions are booked through Alma. Same colors, same calm, one click.
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