Questions?
We have answers.

This is such a valuable question! If you are here, then something within you is wondering and perhaps hoping for healing, growth, and change. That intuitive sense within you, that seeking with curiosity and hope, is the best indication that therapy IS right for you. I hope you'll give it a try and call! Let's talk it through together and see where that conversation takes us.

The free 30-minute phone consultation is designed exactly for this kind of uncertainty. We'll talk about what's going on, and I'll give you an honest sense of whether I think we'd be a good fit.

The free 30-minute consultation is a relaxed phone call — not an assessment. We'll talk about what brings you to therapy right now, what you're hoping to get from the process, and any practical questions you have about scheduling, fees, or how I work. I'll share a bit about my approach and you can ask me any questions you might have.

There is no commitment at all. You're welcome to take time to think it over after the call. Most people find the consultation itself provides some relief.

Before your first appointment, you'll complete intake paperwork through the secure client portal — including consent forms and a brief intake questionnaire. This helps me arrive at our first session already knowing something about you.

The first session (called an intake assessment and lasts an hour) is a chance for us to get to know each other. I'll ask about your history, what's bringing you in now, and what you're hoping to get from therapy. You don't need to have it all figured out — just show up as you are. It's completely normal to feel a little nervous.

The best way to find out is to reach out directly. Call (603) 452-7355. I respond within one business day and will let you know about current availability.

I work with individual adults and teens (ages 12 and up), as well as couples. I do not work with younger children or adolescents under 12.

I work best with clients who are navigating life transitions, relationship challenges, divorce and separation, healing from narcissistic or emotionally abusive relationships, depression and anxiety, ADHD, and family of origin issues. If you're not sure whether your situation is a fit, just ask — I'll be honest with you.

I use an eclectic and integrated approach to therapy where I pull from several different approaches. I use a significant amount of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). I help people find coping strategies to manage difficult emotions and challenging experiences, highlighting beliefs that may not serve us well and finding alternative beliefs that feel true and help us shift to a state of compassion while also serving as valuable guidance for communication and boundary setting.

I believe that we all make decisions, big and small, on the basis of the values we hold. This becomes a source of wisdom for finding ways to navigate our lives that are reflective of who we are at our deepest levels and most authentic selves.

My approach to psychotherapy integrates people's stories, the ones they tell themselves and the ones they live, which are important, and we can shift stories of struggle, hardship, and challenge to stories of strength, healing, and resilience.

Our first meeting is where we start building trust. We start with a check-in that is required for every telehealth session, as it helps me ensure your safety and confidentiality on both ends of the computer screen. For this, I will ask about details like your address, an emergency contact, and phone number for that day's session, ask if you are in a private space, and if you are expecting interruptions, etc.

Then we will talk about the limits of confidentiality (please scroll down to see the FAQ about this). This usually takes about 5 minutes. We will spend the rest of the session talking about what brought you into counseling, getting more information and context than we were able to delve into during our initial phone call. I will inquire about your family relationships, including your family or caregivers of origin (the home(s) you grew up in when you were a child). We touch on other areas, including substance use, learning disabilities, medical history, medications, and your work life.

There's no one-size-fits-all answer, and I'll be honest with you throughout. Some clients come with a specific, bounded challenge and feel ready to wrap up after a few months. Others are doing deeper work on longstanding patterns and find value in continuing for a year or more.

I think of therapy in "chapters" — you might do one chapter of work, feel solid, take a break, and return when life sends you the next challenge. Many of my clients have worked with me on and off for years, which I take as a real compliment.

Most clients start with weekly sessions, especially in the beginning — consistent contact helps build momentum and trust. As you make progress, many clients shift to every two weeks or as-needed. We'll figure out what works best for you during the consultation and revisit it as your needs evolve.

Please tell me. Seriously. I would much rather you bring that up in session than quietly drift away or feel like you failed. The therapeutic relationship itself is a major part of how change happens — and that includes being able to say "this isn't working for me right now."

Sometimes the issue is the pace, sometimes the focus, and sometimes it's fit — and that's okay. If I'm not the right therapist for you, I will help you find someone who is.

Therapists are bound by law: we have a legal duty to warn and to protect when someone is at risk of harm. For the most part, everything you say is confidential, but there are some exceptions. The exceptions are the following: if someone states that they will hurt themselves or someone else, if they report a concern about possible child abuse or neglect, or a possible concern about the abuse or neglect of an elder or disabled adult, including financial abuse or neglect.

My practice is not set up to provide crisis or emergency support between scheduled sessions. If you are experiencing a mental health emergency, please call or text 988 (the Suicide & Crisis Lifeline), call 911, go to your nearest emergency room, or contact Monadnock Family Services at 603-357-4400 for local urgent support.

You can also call the Suicide Prevention Lifeline at 1-800-273-TALK (8255). We will always discuss a safety plan together if your situation calls for one, and I will help connect you with appropriate emergency resources.

You have the right to make the decisions that impact your life. We can brainstorm and evaluate possible solutions together or collaborate on how best to approach a challenging issue. We explore rather than direct.

We measure progress by noticing improvements in your symptoms and your ability to cope with and manage the issues that brought you to therapy. We may also monitor progress by the use of rating scales and other screening tools.

I love this question! Many of my clients contact me when they want to return to therapy. Life sends challenges our way, and it is easier if you have a therapist who already knows your story. As long as you want to work on issues that fall under my specialty and scope of practice, you are welcome to reach out in the future. If you need to work on issues that are not my specialty, I am happy to make suggestions of who might be a good fit for you.

Most sessions are 53–58 minutes and are held weekly to start. As you start to feel better, we can decrease to biweekly and then monthly.

The duration of therapy depends on individual goals and the complexity of the issues you are facing. Clients often come to therapy for one issue and, when they feel comfortable, decide to shift to other goals. At that point, we can re-assess. We will talk it through and then decide together what is appropriate and what feels right for you.