There is a difference between feeling depressed and being depressed. Everyone feels depressed now and again. Let’s face it, life can be tough. It’s when those feelings get in the way of daily activities and functioning that there may be something more going on. Depression can look different for each and everyone one of us. Yet, overall depression includes loss of interest in activities you once enjoyed, hopelessness, helplessness, on-going sadness that lasts for days, feelings of wanting to isolate yourself, trouble sleeping, and/or fatigue or decreased energy levels.

If you are experiencing some or most of these symptoms for an extended period of time and it’s getting in the way of you enjoying your life, let talk about how we can address what is going on and create a plan to get you back to where you want to be.


Anxiety is your body’s natural response to stress. It’s a feeling of fear or apprehension about what’s to come. Going to a job interview, buying a new home, a first date or giving a speech may cause most people to feel fearful and nervous. This type of anxiety is unpleasant, but it can also be motivating. Ordinary anxiety is a feeling that comes and goes, but does not interfere with your everyday life. But if your feelings of anxiety are extreme, last for longer than six months, and are interfering with your life, you may have an anxiety disorder. In the case of an anxiety disorder, the feeling of fear may be with you all the time. It is intense and can sometimes become debilitating. Anxiety can cause you to stop doing things you enjoy.

If left untreated, the anxiety will keep getting worse. If you think you are experiencing issues associated with anxiety, let’s talk explore what is happening in your life, explore your symptoms, look at what is happening in your brain and body, and find ways to manage day to day life.

Adjustment Disorder

Sometimes life throws us curveballs and we find ourselves not able to handle or cope with what is happening. Changes can be major stressors and sometimes we feel like we can’t adjust and get stuck. For some, this could be as adjustment disorder. Because everyone is different, this can affect us all in very different ways. Sometimes Adjustment Disorder can create symptom of anxiety and sometimes it can create symptoms of depression and it’s also common that it can create symptoms of both anxiety and depression.

If you are going through some life changes (divorce, a painful break-up, new marriage, retirement, new medical diagnosis, death, etc) and feel overwhelmed and stuck, let’s look at how we can best help you to tap into or create support systems, talk about where you are getting stuck and create a plan to help you get through this difficult time in your life.

Trauma Exposure/Post traumatic Stress Disorder

Trauma can wreak havoc on our bodies and minds. Exposure to trauma and adverse childhood events is known to impact brain development, our immune symptoms, and hormonal symptoms and even how our DNA is expressed and read. It can impact a person’s medical health as much as their mental health. Trauma can lead to feeling out of control in our abilities to make decisions, have health relationships, or even keep a steady job. It can compromise our sleeping and eating habits which further impacts or ability to stay health. Having medical and emotional health issues can make self-care difficult or feel even impossible. Or, we find unhealthy ways to manage feeling this badly with alcohol, drugs, food or other abuse and addition related issues, which can only make matters worse.

If this makes sense to you or you know you have been significantly impacted by an adverse childhood or traumatic event, let’s talk about how your experiences and how your current coping might be getting in the way of your emotional and physical health preventing you from enjoying the life you want or being the person you most want to be.

Chronic Medical Issues/


When you get sick with the flu or a cold, you know you will be feeling better and functioning sooner rather than later. A chronic illness is different. A chronic illness may never go away and can disrupt your lifestyle in many ways. When someone has a chronic illness, pain and/or fatigue may become a frequent part of your day. The effects of a chronic condition may affect your appearance, your mood, and can diminish your self-image. When you don't feel good, you may feel like isolating from friends and social activities. Chronic illness also can impact your ability to work. Decreased ability to work can lead to financial difficulties and can create feelings of shame and/or guilt. This can then impact your relationships. You may feel a loss of control and become anxious about the uncertainty of what lies ahead. Taking action as early as possible can help to understand and deal with the many effects of a chronic illness. Learning to manage stress can also help maintain a positive physical, emotional, and spiritual outlook on life.

I can help you design a treatment plan to meet your specific needs. Strategies can be designed to help you regain a sense of control over life and improve your quality of life… that’s something everyone deserves.


I offer kink and poly friendly psychotherapy and counseling services for BDSM and altsex folks. Sexual diversity is more than just LGBTQ and I believe all people deserve a psychotherapist who understands their identity issues and sexual practices without unnecessarily making that a focus of treatment. There will be no assumptions that the reasons you are seeking counseling are related to your kink or poly orientation. I will not assume abuse when you are in a BDSM relationship nor you are cheating or are tolerating cheating if you bring up other partners.

Some clinicians are still not well-educated when it comes to BDSM, kink, and polyamory. So, I try to provide a safe judgement free space for altsex populations and sexual diversity. I will be mindful and sensitive that any distress you have about your sexual identity/diversity may be a normal part of internalized cultural bias against your sexual values rather than evidence of a disorder. I also will ask questions to get your perspective related to your kink or poly orientation to include consulting with colleagues who are more knowledgeable if you bring in issues that are outside of my knowledge base or boundaries of competence.