Only you can do it, but you can’t do it alone.

Therapy for professionals, men, and couples ready to tackle anxiety, addiction, burnout, and relational conflicts.

Anxiety

Burnout

Men’s Issues

Relationships

Perfectionism

Leadership

Divorce

Trauma

Addiction

Hi, I’m David.

Nice to meet you.

I’m glad you’re here.

For many people who are used to being in control of things, even the mere thought of asking for help signifies an admission of defeat. So what do they do when they feel hurt, resentful, empty, fearful, or powerless?

Usually not therapy! At least at first. Instead, they work more, exercise harder, try legal or illicit drugs, pick up a new hobby, go on a diet, buy something expensive, etc. Anything to prove they have it all under control, whatever it is.

Sometimes they get tired of hiding it, or hiding from it. Sometimes it will simply not be controlled, or sometimes others will not play along with sweeping it under the rug. It is an intolerable feeling, with a history, and a context, and something important to say.

Frequently Asked Questions

  • I work very hard to maintain a balance between evidence-supported treatments and responsiveness to your unique experiences. We won’t reinvent the wheel, but we won’t work straight out of a workbook either.

    Once we meet and I have an opportunity to hear your story, we will choose a path forward based on your strengths, abilities, needs, and preferences. Regardless of the specifics, you can look forward to developing greater insight into your situation and gaining new emotional experiences.

    Since I specialize in treating a particular set of issues with many recurring themes, I do have a set of “workhorse” theories and techniques, some more general and some branching into narrowly targeted interventions.

    • Attachment theory is a strong base for personal and relational work. Attachment comes through in many other modalities like Emotionally Focused Therapy (EFT) and interpersonal process-based therapy.

    • Cognitive Behavioral Therapy (CBT) is broadly applicable with many different specialized offshoots. I often refer to Cognitive Processing Therapy (CPT) for integrating traumatic experiences. I use Acceptance and Commitment Therapy (ACT; pronounced “act”) for tolerating and getting through challenging situations.

    • I consider dialectical thinking, which is a process of synergizing two or more dissonant ideas, to be a core skill for living life. I use many skills from the Dialectical Behavior Therapy (DBT) repertoire, though I find use of the Radically Open DBT (RO-DBT) variant to be even better for the kinds of problems I am more likely to help with.

    This short list is intended to give you a feel for my general approach. Reach out and I would be happy to discuss these or any others that can offer.

  • You and I might be a great fit if your concerns center primarily around maintaining control of things in your life. Let me explain:

    There may be ways your desire for control has been acknowledged and rewarded. For example, workers in the fields of medicine, transportation, and emergency services directly impact the health and safety of the public. Athletes maintain strict control over their bodies and their minds. Business owners, executives, and finance experts control valuable resources and the livelihoods of their employees. If you fall into these categories, the world actually expects and relies on you to be in control. And that in itself is not necessarily bad thing!

    However, that same mix of drive, pressure, and control can also come out in harmful ways. You might stifle your emotions, fear vulnerability, and lack an effective range of emotional expression. You might struggle to maintain control in areas like your work, your health, or your family. You might experience overwhelming guilt, shame, and embarrassment when facing mistakes, critiques, and losses. You may even be acting out an addiction in a paradoxical attempt to control the way you feel through an inherently uncontrollable process.

    If the mere thought of calling for a free 15-minute consultation has you feeling fearful, exposed, or inadequate, that’s how you know you need to call.

  • I am not contracted with any insurance companies and cannot file claims for your insurance. I can give you a superbill if your insurance reimburses you for out-of-network services, and I can also take payments from your health savings account (HSA).

    Whether or not to take insurance (and even which insurance companies to work with) can be a tough call for many therapists. On the plus side, taking insurance increases availability of services and provides lots of referrals. That part is great! Unfortunately, these agreements are typically pretty unbalanced, and contracting with insurance has significant downsides like low reimbursement rates, tons of bureaucratic slog, and reduced client privacy. And that’s when insurance companies are behaving ethically.

    I can confidently assure you that maintaining my professional agency by staying private pay allows me to offer you better therapy services and more flexibility.

  • You can self-schedule using the link at the top of this page, or you can reach out by email, phone, or text message with my information at the bottom of the page. All of these come to me directly, and I will respond personally and at my soonest ability.

    Once we have established an initial session, I will send set of forms to be completed before we begin. As a rule of thumb, I keep my paperwork as short as possible.

    If we have agreed to meet via telehealth, I will send a link to a HIPAA-compliant Google Meet meeting before we begin.

Talk

to me,

Goose.