Different reasons bring people to therapy.
The work begins where you are.
Some people come to therapy with a clear problem they want to address. Others arrive with a pattern they can’t seem to change, a relationship that’s struggling, a difficult transition, or simply the sense that something in their life needs to be different.
You don’t need to know exactly what kind of therapy you need before you begin. We can start with what’s happening, understand it together, and decide what kind of work makes sense from there.
There are different ways to do the work.
Individual Psychotherapy
A place to understand what’s happening—and begin changing your relationship to it.
People come to individual therapy for many reasons: anxiety, depression, trauma, grief, anger, relationship difficulties, addiction and recovery, major life transitions, or patterns that keep repeating despite their best efforts to change them.
Our work may begin with what is happening in your life right now. We may focus on developing practical ways to navigate difficult emotions, relationships, or circumstances. And, when it’s useful, we may look more deeply at the experiences, patterns, and parts of yourself that have shaped how you respond to the world.
Therapy doesn’t need to stay at one level. Sometimes the work is about getting through a difficult week. Sometimes it’s about understanding something you’ve carried for years. Often, it’s both.
We work with what needs attention now, without losing sight of what lies beneath it.
Available in person in Sioux Falls and via telehealth throughout South Dakota.
Couples Psychotherapy
Relationships have patterns, too.
Couples often come to therapy because they keep finding themselves in the same conflict—sometimes arguing about different things but somehow ending up in the same place.
Over time, partners can become caught in patterns of pursuing and withdrawing, criticizing and defending, avoiding difficult conversations, losing trust, or simply feeling increasingly distant from one another.
The work isn't about deciding who is right. It's about slowing the pattern down enough to understand what is happening between you—and what each person may be protecting, needing, fearing, or trying unsuccessfully to communicate.
The problem is often not simply what you’re fighting about. It’s the pattern the two of you enter when you fight.
Group Psychotherapy
Change happens differently when you don’t have to do it alone.
Group therapy offers something individual therapy cannot: the opportunity to learn about yourself while in relationship with other people.
Depending on the group, the work may focus on developing practical skills, navigating relationships, regulating difficult emotions, recovery, or exploring recurring patterns in how you relate to yourself and others.
Some groups are structured and skills-based. Others create more room for reflection, interpersonal learning, and deeper exploration. In either case, the group becomes a place to practice new ways of responding—not only talk about them.
We often discover ourselves differently in the presence of other people.
Group offerings vary throughout the year. Contact me to learn about current and upcoming groups.
Other Ways to Work Together
Psychotherapy is at the center of my practice, but there are other circumstances in which focused assessment, evaluation, or consultation may be useful.
These services are tailored to the particular question or need, with an emphasis on careful assessment, clear clinical understanding, and useful recommendations.
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Focused assessment to better understand cognitive, emotional, behavioral, or diagnostic concerns and help clarify appropriate next steps.
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Integrated assessment of substance use, mental health, recovery, and related concerns, with recommendations based on the whole clinical picture.
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Psychological evaluations for certain immigration matters, approached with care, cultural sensitivity, and attention to the individual’s history and circumstances.
Evaluations available in English and Spanish.