The path to becoming a parent or growing your family is often imagined as joyful and clear. When the experience is more complicated — marked by loss, uncertainty, or unexpected challenges — it can feel difficult to put into words, and even harder to know how to move forward.

You may find yourself carrying experiences that are hard to share, while also trying to show up for your child in the ways you hope to.

Parenting can bring moments of connection and meaning, but also moments of overwhelm, doubt, and exhaustion — especially when your child is struggling or when your own experiences feel close to the surface.

In this work, I focus on both your experience and your child’s development, with attention to how relationships support emotional regulation and create a sense of safety over time.

During pregnancy and early infancy, I focus on the developing parent-infant relationship, drawing from Perinatal Child-Parent Psychotherapy (P-CPP). For parents navigating trauma — including birth trauma, medical complications, or loss — I incorporate Cognitive Processing Therapy (CPT) to support making sense of these experiences.

With young children, treatment involves working with the caregiver and child together using Child-Parent Psychotherapy (CPP) and Parent-Child Interaction Therapy (PCIT). With older children and adolescents, I work directly with the child while also supporting parents and family relationships.

My work also integrates several other evidence-based approaches, depending on what each family needs. These may include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Adoption-Specific Therapy (ADAPT), and skills from Dialectical Behavior Therapy (DBT) and Interpersonal Psychotherapy (IPT).

Couples often reach out after finding themselves caught in the same patterns again and again. You may have tried different ways of explaining, fixing, or avoiding the problem, yet the same arguments or misunderstandings keep returning. Over time, this can become exhausting, leaving both of you feeling stuck and unsure how to move forward together.

In my work with couples, I use Integrative Behavioral Couple Therapy (IBCT), an evidence-based approach that focuses on understanding the deeper dynamics that shape how partners respond to one another — how personality differences, stressors, sensitivities, and ways of communicating come together in everyday moments around core issues.

In therapy, we slow these moments down and look at them together. We work to understand what each person was hoping for, what they were protecting, and how the interaction unfolded. As these layers become clearer, partners often begin to see each other with greater empathy and perspective.

From there, we begin experimenting with different ways of responding. Small shifts can open new possibilities in the relationship. Over time, many couples move out of cycles of blame or withdrawal and toward greater understanding and collaboration.

IBCT is one of the most carefully studied forms of couples therapy. Research, including the largest and longest randomized clinical trial in couples therapy to date, shows that IBCT improves relationship satisfaction, emotional closeness, communication, and individual well-being, with effects lasting for several years.

When depression has been present for a long time, it can begin to shape how you experience yourself and your relationships. You may notice yourself pulling back from others, expecting criticism, or feeling discouraged when life doesn’t improve despite your real efforts. Over time, this can create a sense of disconnection or isolation.

Burnout can feel similar, particularly in high-pressure or high-performing environments — a sense of depletion, loss of meaning, or difficulty sustaining the pace that once felt manageable.

In this work, we look closely at specific situations in your life — moments that felt confusing, frustrating, or emotionally charged — to better understand how these patterns unfold and how they can shift. Treatment draws from Cognitive Behavioral Analysis System of Psychotherapy (CBASP) for persistent depression, as well as Acceptance and Commitment Therapy (ACT) for burnout, with a focus on developing more flexible ways of responding while reconnecting with what matters to you. I also incorporate skills from Dialectical Behavior Therapy (DBT), which are supported by research in improving emotion regulation and reducing stress in high-demand environments, to help navigate burnout and periods of overwhelm in a more steady and intentional way.

CBASP is a well-researched treatment for persistent depression and is recognized by the American Psychological Association as having strong evidence for its effectiveness. Research suggests it can be as effective as medication, with the strongest outcomes when therapy and medication are combined. ACT and DBT-informed skills are also supported by research for stress, burnout, and related difficulties.