What I help with
Specialties are what you may be struggling with. Not a list of diagnoses: a short map of difficulties written in the words people actually use for them, so you can find the paragraph that sounds like your own week and follow it from there. For how the work itself is structured, see Services.
The services pages answer a different question. They tell you what format the work takes, individual, couples, family, or therapy alongside medical treatment. This page is not about format. It is about recognition.
So read down. Each section opens with four plain sentences describing what the difficulty is like from the inside, on an ordinary Tuesday, rather than what a manual says about it. Where one of them makes you uncomfortable in the specific way that means it is accurate, that is the page to open.
You do not need a diagnosis to be here, and you do not need to pick correctly. Several of these overlap in most people. Nothing on this page is a self-assessment, and none of it replaces an evaluation by a clinician who has actually met you.
If this sounds like your week
Something happened, and some part of you has never entirely finished with it.
You are jumpy in ways that embarrass you, or flat in ways that worry the people near you, sometimes both in the same afternoon.
Sleep is unreliable. Certain sounds, rooms, dates or smells cost you the rest of the day.
You avoid particular places or conversations and have quietly built your life around the avoiding.
If you read that and thought yes, but I have already talked about it and nothing changed, that page is written for exactly that objection.
Trauma and PTSD therapyIf this sounds like your week
It was not one event. It was years, and it was ordinary, and it was usually someone you could not leave.
You struggle to say what happened because so much of it was the absence of things rather than the presence of them.
The lasting damage shows up as who you believe you are, not as a memory you can point to.
Trusting people costs you something every single time, even people who have never given you a reason to doubt them.
This is a different page from the one above on purpose. Repeated harm inside relationships leaves a different shape than a single terrible day.
Complex trauma and C-PTSDIf this sounds like your week
Your body is braced for something and will not tell you what.
You are tired in a way sleep does not fix, because the watching never fully stops.
There is a physical version of it: the chest, the stomach, the jaw you unclench twelve times a day.
You rehearse conversations before they happen, and then again afterwards.
Nothing on that page treats your vigilance as a defect. It made sense somewhere. What we work on is whether it still needs to be running now.
Anxiety therapyIf this sounds like your week
Effort has stopped producing results, so effort has started to feel pointless.
Things you used to care about are still there, and you can no longer feel the caring.
You are managing the outside of your life competently and the inside has gone quiet.
There is guilt attached to all of it, which is its own weight on top of the first one.
Depression and anxiety often travel together, and they are not the same problem. If both descriptions fit, read both pages and start with whichever costs you more.
Depression therapyIf this sounds like your week
The reaction gets there before the thought does, and by the time you catch up the room has changed.
Afterwards comes the shame, which is often worse and longer than the original surge.
At work you hold it together with real effort, and the holding leaves nothing for home.
People close to you have started managing you, and you can tell.
Almost nobody writes about this plainly, so people who live with it end up reading pages about anger management instead. That page is written for the actual experience.
Emotional dysregulationIf this sounds like your week
Someone or something that organized your days is gone, and the days have not found a new shape.
You reach for the phone to tell them something, and then remember.
People around you seem to expect you to be further along than you are.
The loss was not a death, so you are not sure you are allowed to grieve it.
That page treats grief as the reorganization of a whole life rather than a set of stages, and it takes losses other than death just as seriously.
Grief and lossIf this sounds like your week
Something ended or began, retirement, a move, a divorce, an empty house, and your footing has not come back.
From outside it looks like ordinary life, or even good news, which makes the struggle hard to explain.
The routines that used to hold your days together no longer fit the days you have.
You feel restless, flat or unmoored, and cannot quite say why.
A way of living built for one set of conditions strains in the next. That page is about the friction between the two, and what helps.
Life transitionsIf this sounds like your week
The workday ends, but your mind keeps arranging tomorrow's demands.
Time off helps for a moment, then the same pressure returns.
Someone else always needs you steady, even when you feel depleted.
Rest has begun to feel like one more task you should do correctly.
This page looks at sustained demand as a system state, not a personal failure, and asks why rest by itself may not change the pattern.
Stress and burnoutIf this sounds like your week
Different relationships seem to place you in the same familiar role.
You know what you would like to say but cannot quite say it when the moment arrives.
Distance feels safer, until it begins to feel lonely.
An argument ends, but its shape shows up again with someone else.
The page explores learned roles without assigning blame and considers when individual, couples or family work may fit.
Relationship patterns that repeatIf this sounds like your week
A habit has become part of how you organize an ordinary day, and you want to understand its place there.
The language of blame does not tell you what keeps the pattern going.
You are unsure what support belongs with psychotherapy and what belongs with medical care.
You want to talk about the pattern without having it stand in for your entire life.
That page looks at substance use as part of a wider system and states the limits of outpatient psychotherapy plainly.
Substance UseRecognition is not the same as explanation.
Finding a name for what you live with is genuinely useful, and it is also where a lot of people stop. Naming it does not tell you how the pattern is being held in place right now, and the holding is usually where the movement is.
That is the part the rest of the site is about. Once you know roughly which of these is you, the question becomes what format the work should take, ongoing individual therapy, work with a partner or a household, or therapy alongside medical treatment you are already receiving.
All work is with people physically located in Florida at the time of session. If none of the descriptions above fits, that is not a disqualification; it is a reasonable thing to sort out in a first conversation. For the roles and stages of life people come from, see who I work with.
Therapy outcomes vary from person to person. No result is promised or guaranteed.