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Services

Services, and how to tell which one is yours.


Services are how we work together. This work supports individuals, couples and families navigating trauma, anxiety, depression, and relational patterns, including experiences that may not have shifted through traditional approaches. If you are looking for what you are struggling with instead, start with Specialties.

Nautilus shell drawn in fine line over a dark ground, printed as a plate

Most practices publish a list and leave you to guess. What follows is arranged the other way round: each section starts with the situation, not the service name, so you can read down until one of them describes your week rather than your diagnosis.

You do not have to arrive with the right answer. If you pick the wrong one we will notice in the first conversation and say so. Nothing here is a package, and nothing commits you to a sequence.

All of it is delivered under a Florida clinical license, to people who are physically located in Florida at the time of session. Where a service involves medication, the medical side belongs to a treating medical provider and I work alongside them.

Which of these sounds like you?

You want ongoing therapy, and you want it to reach further than talking about the same difficulty again.


Individual psychotherapy

This is the core of the practice: regular sessions, one person, no medicine involved. The work is trauma-informed and systems-based, which in practice means we look at the whole arrangement you live inside rather than treating you as a faulty part inside it.

Choose this if you are not sure where to start. Everything else in the practice can be added to it later, and nothing else replaces it.

Which of these sounds like you?

The same argument keeps arriving in different clothes, and neither of you can find the place where it starts.


Couples therapy

Couples work here treats the pattern between two people as the thing being worked on, rather than deciding which partner is the problem. We slow the loop down far enough to see what each of you is protecting when it begins.

Choose this if the difficulty lives in the relationship rather than only inside one of you. Both partners attend, and both are worked with.

Which of these sounds like you?

A household has organized itself around one person's distress, and everybody is tired.


Family therapy

Family sessions look at how roles, expectations and old loyalties keep a pattern running, including the ones nobody agreed to out loud. Who attends is decided together and can change as the work goes on.

Choose this if the person who carries the symptom is not the whole story.

Which of these sounds like you?

A medical provider is already treating you with ketamine, or you are considering it, and you want the therapy alongside it to be deliberate rather than improvised.


Ketamine-assisted psychotherapy

I work as the psychotherapist in that arrangement: preparation before, therapeutic support during sessions where that is appropriate, and integration afterwards. Screening, dosing and every other medical decision stay with your treating provider.

Choose this if the medical side is handled and the psychological side is not.

Which of these sounds like you?

Something is planned, or being considered, and you would rather think it through with a therapist than alone at two in the morning.


Psychedelic preparation

Preparation is talk therapy before an experience: what you are hoping for, what your history suggests you may meet, who is around you afterwards, and what would count as a reason to wait. It involves no substance of any kind, and no arranging of access to one.

Choose this if you want the psychological groundwork done properly before anything happens.

Which of these sounds like you?

You have already had an experience, recently, or years ago, and it has not settled into the rest of your life.


Psychedelic integration therapy

Integration is talk therapy about something that has already happened. It does not require you to call the experience good, spiritual or healing, and it can begin with sleep, grounding and stability rather than with meaning.

Choose this if the difficulty is not the experience itself but everything that has happened in you since.

Still not sure.

That is an ordinary place to be, and it is not a reason to wait. A first conversation exists precisely so that you do not have to arrive with the category already chosen. You describe what has been happening; I say plainly what I think would help, and whether that is something I do.

If another practitioner is the better fit, I will say so. Referring you well is part of the work, not a failure of it.

Therapy outcomes vary from person to person. No result is promised or guaranteed.

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