Who I work with
The specialties pages describe what you might be struggling with. This page is about where you are coming from: the roles, histories and stages of life that shape how a difficulty shows up and what it takes to work with it.
The same difficulty looks different depending on the life it lives in. Anxiety in a paramedic who has spent fifteen years on rotating shifts is not organized the same way as anxiety in a retired teacher who has just moved to Florida. Trauma in someone trained to rely on nobody but their unit carries different weight than trauma in someone whose job is to hold everyone else together. The label may be the same. The pattern around it is not.
So this page is written as recognition rather than as a list of categories. Read down and notice whether one of the descriptions sounds like your own life. If it does, follow it. If none of them fits, that is not a disqualification. I work with adults from young adults to seniors, with couples and with families, and these pages cover only some of the lives people arrive from.
You were trained to handle it yourself.
You learned to put the mission first and your own discomfort last. Now watchfulness may continue into civilian life, even when you wish it would ease. If you wonder whether anyone could understand what you have experienced, the page on therapy for veterans makes room for that question without asking you to explain everything at once.
It was never one call.
You work fire, EMS, law enforcement or dispatch, and there is no single event you could point to. Just years of it, and sleep that is not what it was, and a silence that comes home with you. The page on therapy for first responders is about accumulation, shift work, and the families who absorb it.
You are the steady one.
You are a nurse, a physician, a therapist, or some other kind of caregiver, and you hold it together for everyone. You may know the theory of what is happening to you better than most. It has not helped. The page on therapy for healthcare professionals and clinicians is for people who find it hard to be on the other side of the room.
A great deal is changing at once.
Retirement, a move, a diagnosis, a death, a spouse who now needs care. Or perhaps something from long ago that was never discussed and has started, quietly, to return. The page on therapy for older adults is about later-life change and about histories that finally have room to surface.
Roles, difficulties and formats.
These pages sit alongside two others. The specialties map describes difficulties from the inside: trauma, complex trauma, anxiety, depression, emotional dysregulation, grief and life transitions. The services pages describe the format the work takes: individual, couples or family therapy, and therapy alongside medical treatment you may already be receiving.
All three views describe the same practice. I work in person in Vero Beach and by video with people physically located anywhere in Florida at the time of session. Wherever you enter, the first step is the same, a short free conversation to see whether this is a reasonable fit.
You do not need to decide in advance which page you belong on, or whether your difficulty is serious enough to count. I don't know where to start is one of the most ordinary things people bring to a first call, and it is a perfectly good place to begin. The way I work, set out on the how I work page, starts with attunement: learning how your system actually operates before anything is applied to it. That holds whichever role or stage of life you are coming from.
- Therapy for veterans
Self-reliance, vigilance that was once accurate, and the move into civilian life.
- Therapy for first responders
Cumulative exposure, shift work and sleep, and what follows people home.
- Therapy for healthcare professionals and clinicians
For caregivers who are the steady one for everyone else.
- Therapy for older adults
Later-life change and histories that were never talked about.
Therapy outcomes vary from person to person. No result is promised or guaranteed.