individual client services

I offer adults, couples, and some young adults evaluations and treatment for behavioral, neurological and medical conditions that are affected by psychological factors, or are exacerbated by stress. I also work with those wanting to change habitual patterns, as well as those wanting to modify their lifestyles.

I am particularly experienced and skilled in working with:

  • Attentional Concerns

    Chronic disorganization and procrastination

    • AD/HD, women with AD/HD
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      I am considered the local specialist for Women with AD/HD, and particularly enjoy working with people with inattentive type of AD/HD, also referred to as ADD. I treat both women and men with inattentive and/or hyperactive/impulsive types of AD/HD gleaned through years of working in Dr. Edward Hallowell’s office and my own subsequent private practice. Dr. Hallowell is the author of Driven to Distraction, Delivered from Distraction and numerous other highly popular books on the subject of AD/HD. I use his strengths-based philosophy of treatment to help people understand their own brains and its relationship to their choices, needs, and the demands of their lives.

      Coming from the perspective of respecting your immense efforts to cope, we look at what has worked and where you remain challenged. We recognize the many feelings that surface from years of struggling—such as frustration, demoralization, profound fatigue, or shame, and work together to devise new strategies designed to fit better with your natural inclinations and strengths.

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      Sometimes there are other challenges that complicate your efforts to function at your best. They might be distinct from the AD/HD, the result of AD/HD, or commonly occur together with AD/HD. People with AD/HD may experience any of the following commonly co-existing conditions: anxiety, depression, other mood fluctuations, weight issues, sensory processing challenges, or learning disabilities to name a few. Changes or complications in life circumstances can also heighten the impact of AD/HD, such as having children, the environment or demands of your job, or physical or hormonal changes.

      In our work we begin with a comprehensive evaluation of your specific strengths, challenges, history and current circumstances. We then learn about AD/HD, your brain, your body and your emotions with respect to your life: such as work, relationships, and your aspirations. A big component of our work is gaining a better understanding of the concept of stimulation, and learning new strategies and skills designed to achieve a more productive, organized, and fulfilling future. Ultimately, living with AD/HD should involve recognizing it as a facet of your self, but should not limit or undermine your self-perception or self-worth.

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      Working on your difficulties with AD/HD may involve:

      • Learning about AD/HD
      • Helping your loved ones learn about how AD/HD and its importance in your life together so they can offer support
      • Cognitive Behavior Therapy (CBT)- enhancing the connection between what you think, how you feel in your body and emotions, and how you act
      • Understanding your brain- including “executive functioning skills”, possible tendency toward “right or left brain” thinking style, AD/HD, and its relationship to your behavior so you can make healthier choices
      • Changing your environments at home and work to help you achieve an optimal setting for productivity
      • Identifying how you conceive of time and learning new time management skills
      • Learning organizing strategies
      • Practicing active mindfulness and meditation techniques
      • Using Hypnosis to enhance understanding and follow through
      • Coaching style guidance to generate realistic goals, hold yourself accountable, and evaluate progress
      • Social skills training to improve relationships at home and at work
      • Reading, writing, reflecting, art making, exercise, meditation, or other creative activities in, or between sessions for the purpose of enhancing our clinical work
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      If you are working with other practitioners, I readily collaborate with them to enhance our work. I do not prescribe medications. At times your treatment may also include working with other practitioners to complement our work, such as:

      • A neuropsychologist for neuropsychological testing
      • A psychiatrist or psychopharmocologist for medication
      • A family or couple’s therapist for relational support
      • An organizer for in-home help
      • An AD/HD coach for more targeted and frequent coaching contact
      • An occupational therapist for sensory processing evaluation or treatment
      • A nutritionist for special dietary needs
      • Or a sleep clinic consultation to evaluate or treat sleep problems
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    • Sensory Integration or Processing Disorders
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      Individuals with sensory integration or sensory processing disorder/dysfunction are less able to effectively process information from their senses and, therefore, have difficulties with even basic tasks. Over-sensitivities or under-sensitivities to sensory input, such as touch, sound, movement, gravity etc., can result in problems with self-regulation, attention, behavior, and self-esteem. They can then seriously complicate and compromise achieving fulfillment in life at home, work, relationships, and leisure.

      Most clients are not aware there is a concept that describes this facet of their struggles or that help is available for it. Some have recently recognized their struggles since having a child diagnosed and possibly treated for sensory processing disorder.

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      My work begins with carefully listening to clients for the possible presence of sensory processing issues. If necessary, I screen further for more details, or I recommend a more comprehensive evaluation such as a full Occupational Therapy evaluation or treatment protocol. In my practice we focus on the educational, emotional, interpersonal, and life satisfaction aspect of sensory processing issues. In order to achieve a more enjoyable life experience we treat sensory processing issues by:

      • identifying the spheres of sensory processing involved
      • educating you and possibly your loved ones about sensory processing
      • pinpointing the extent of the impact on your functioning
      • validating the emotional impact this has had on you and possibly those around you
      • addressing differences in sensory processing styles between you and those with whom you are close
      • making environmental changes
      • engaging in exercises designed to improve your sensory processing
      • learning skills and strategies to anticipate or ameliorate the impact of your sensory processing style
      • recalibrating your own and others’ expectations

      Once their sensory processing difficulties are addressed, most clients experience a rapid reduction in self-blame, an increase in self-efficacy and a refreshed perspective of their future in many spheres of their lives.

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  • Reproductive health
    Conception, Pregnancy, Birth, Postpartum: Enhancing health, coping with labor, breastfeeding, adjustment to parenthood, and depression
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    Though many women receive prenatal medical care, they most often do not receive ample emotional support during this monumental journey of reproduction. This is true despite irrefutable mounting evidence that a woman’s emotional state clearly impacts her experience of pregnancy, the baby, the health of the pregnancy, and her transition to parenthood. Research has shown that prenatal counseling can help with:

    • fears and expectations about conception, pregnancy, labor delivery, and parenting by instillation of a sense of inner trust, strength, and competence
    • unresolved issues about miscarriage and loss
    • clarifying and resolving issues related to family of origin
    • shifts in identity, especially for working or older moms
    • bonding with the new baby and self-care
    • reducing the chance of postpartum depression

    I offer a holistic, multi-sensory approach to reproductive health that helps women meet the emotional, spiritual and physical challenges and joys of conception, pregnancy, birthing, and adjustment to parenthood. Many women find counseling beneficial to voice their concerns or fears about the pregnancy, birth, or adjustment to parenting. They often need to unravel the disempowering messages they’ve internalized so they can regain trust in themselves and their bodies to do the work needed during this momentous time.

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    Assumptions of my approach

    • Pregnancy and birthing are states of health
    • Pregnancy, birthing and motherhood are active endeavors
    • Childbirth is intense, and much can be done to ease its unfolding
    • Women are inherently strong, creative, wise, and powerful

    Counseling can help you clarify your hopes, needs, and your preferred style of coping with challenges. In addition, counseling can instill a trust in yourself that you can cope with the unexpected. New skills can be learned and practiced to achieve a healthy pregnancy, ease labor and delivery, facilitate lactation, and promote healing.

    Our work together can be described as empowering, creative, supportive, and skill building. Some of the techniques used include:

    • Hypnosis/self-hypnosis
    • Cognitive Behavioral Therapy (CBT)
    • Pain management assessment, education, and experimentation
    • Relaxation and mindfulness training
    • Breathing techniques
    • Art techniques (imagery, visualization, and art making)
    • Birthing From Within®
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    Hypnosis is a state of deep relaxation when your mind and body are particularly creative and receptive. Though the exact mechanism is not fully understood, it is clear that using hypnosis in reproduction is useful. Reproductive hypnosis can reduce:

    • Need for medication
    • Early pregnancy vomiting
    • Insomnia, headaches and water retention
    • Mild anxiety
    • Labor and delivery pain
    • Duration of labor
    • Slow dilation

    Conception to birth and beyond is your heroine's journey. Growth is inevitable. Embarking upon this journey takes you to unknown territory from which there is no turning back. Once you tap your inner strength and the richness of your resources, you then possess the wisdom to trust yourself to call upon them from this point forward.

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  • Anxiety and depression
    Panic, phobias, social fears, performance anxiety, obsessions, compulsions, hoarding, isolation, inertia, perfectionism, indecision, and negative perspectives
  • Eating problems
    Overeating, weight gains or losses, weight management, binge eating, purging, and obesity
  • Life transitions
    Identity and separation issues, loss and grief, divorce, career development, transition to parenthood, retirement, issues of adjustment, and life re-evaluation
  • Self-esteem and issues of worth
    Lack of motivation, poor confidence, poor sense of self, and lack of assertiveness
  • Medical conditions
    Cancer, infertility, cardiac disorders, asthma, allergies, headaches, pain, high blood pressure, diabetes, TMJ and bruxism, smoking cessation, autoimmune disorders, fibromyalgia, skin disorders, sleep disorders, and preparing for and recovery from surgery
  • Stress related conditions
    Insomnia, disorganization, immune system suppression, influence on medical conditions, and dysfunctional habits (i.e. nail biting)
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