The people who almost don't call.

Many of the adults I work with are professionals doing objectively well in their careers. From the outside, their lives look stable and accomplished.

Internally, they often describe feeling constantly behind, mentally exhausted, or genuinely confused about why things that appear easy for others take so much effort. Throughout their lives, consciously or not, they have built effective enough systems to stay functional. As demands or stressors increase - marriage, kids, financial needs, a pandemic, the general state of the world - those systems begin to crack.

A surprising number of capable adults discover ADHD later in life. As our field has made considerable strides in the last decade to understand the nuances of executive function (and dysfunction) in brains, we are better able to help people put their finger on what might be going on.

Many of my clients were described growing up as "smart but scattered." They developed strong coping strategies and often succeeded academically and professionally. This is called masking - and it takes a lot of mental effort.

Eventually, the constant effort required to stay organized or focused becomes harder to ignore. Sometimes your own child's diagnosis is the trigger. Sometimes it is burnout. Sometimes it is just a quiet accumulation of evidence that something is different about how their brain works.

A lot of parents find their way into my practice because despite reading all the parenting books, talking to friends and family who had kids before them, and being as overprepared as possible - nobody can prepare you for whatever unique challenges your particular family will face. And then just when you think you have a grip on everything, it all changes again.

I am a dad. I have been in the weeds too, at varying levels of crisis and competence. More importantly, as a psychologist I know the value of having a space to open up about these things without worrying about how it lands.

Many of my clients do not describe themselves as anxious because not all anxiety presents as panic or avoidance. For many capable adults, anxiety shows up as relentless productivity, perfectionism, difficulty resting, or a persistent sense that they should be doing more.

From the outside, this can look like ambition. It often results in behavior that is reinforced and rewarded academically or professionally. From the inside, it feels like an engine that never fully turns off. The hallmarks of anxiety are there - they just tend to be channeled into output rather than paralysis. Until it is not.

Some clients are executives, founders, or people managing teams or organizations. The pressure of that role can make it difficult to step back and understand the patterns shaping their decisions, relationships, and sense of self.

As a clinical psychologist, I take on a role that blends classic therapy assessment and intervention with modern perspectives on best practices for executive coaching, career advancement, and developing as a leader. This work often looks like having a thinking partner who is able to consider the "bigger picture" rather than getting siloed into only examining your work self vs. home self.

Many (not all) of the couples I work with are not in crisis. They are two successful and well-intentioned individuals who keep having the same argument, or who have become roommates somewhere along the way.

Successful long-term relationships require an active choice to stay engaged. Life often gets harder and more complicated as time goes on. Getting married, moving, new jobs, fertility journeys, kids, many shapes of loss, and just existing in a world that seems to only get more complicated - all create opportunities and challenges.

I work from a Gottman-informed perspective to help couples identify their strengths as individuals, a partnership, and as a family while providing space to have the tough conversations without getting stuck. We develop a shared common language that allows you to take the work out of our sessions and back into your daily lives.