Practice Areas

Disclaimer: We tend to be flexibly skeptical of advertised focus areas and prioritize the personality and relationship matches between clients and providers.

Life’s trials and tribulations are far from straightforward and no terminology or diagnostic category is exact. This is especially the case when it comes to your mental health. Many ways of describing problems of living can be reductive, impractical, and short-sighted—and lead clinicians to treat symptoms rather than the patterns, systems, and causes that lead to them.

In order to best respond to life’s adversities, they need to be grounded in the rich context of your life, mind, psychology, personality, history, desires, beliefs, and values—so that bearings to address them can be found within the unique geography of your life.

That said, our overarching speciality is ongoing, holistic, and individualized mental health support and some general areas we currently excel in:

• Identity issues and self exploration

• Gender, sexuality, and LGTBQ+ issues including nonmonagamy and polyamory

• Multicultural issues

• Trauma and developmental/complex trauma

• Shame, self-esteem, and insecurity

• Inner critic, superego, and self-persecutory issues (struggles with high standards, overcontrol, high stress, and high expectations)

• Giftedness and Highly Sensitve folks

• Neurodiverisity, including ADHD, high functioning autistic spectrum, and those needing general executive functioning support

• Coaching, self development, and goal-setting

• Nerd and gaming culture

• Couples communication issues and relationship skill-budiling

• Tech-industry woes

• Student support

• Young adult issues, including teens, general “adulting,” and early career issues

• Emerging mental health professionals

See more below or view our team page and profiles to survey some of our individual focus areas.

We are not able to provide:

• emergency or crisis services

• stand-alone document preparation or assessment services, with the exception of gender affirmation surgery consultations and letters.

• services in contexts where there are significant safety risks, instability, or acute and highly urgent mental health concerns that require a higher level of care, such as inpatient or intensive outpatient services and case management.

Although we are typically not a fit as a primary support for folks:

• who are actively experiencing or routinely experience crises and emergencies

• who need significant safety and stabilization work

• who are experiencing acute symptoms, instability, and dysfunction

• who require case management services or frequent support outside of therapy sessions

• in which there is a significant risk of harm to self or others

We can sometimes provide exceptional supplementary support as members of a care team for folks experiencing these issues.