People seek therapy within an almost endless range of contexts and circumstances. Across these differences, therapy often becomes a place to examine moments of feeling stuck in patterns of thinking, feeling, and behavior that once made sense but no longer serve the present moment.

My clinical work is informed by Acceptance and Commitment Therapy within the framework of contextual behavioral science. This orientation is grounded in behavior-analytic principles and Relational Frame Theory, which view language and cognition as learned, relational processes that shape how people respond to their internal and external worlds. Rather than working to eliminate thoughts or emotions, the focus is on examining how individuals relate to these experiences, and how those relationships influence behavior, choice, and movement toward what matters. The work is integrative and process-based. Intervention is guided by function rather than form. Techniques are selected based on their relevance to the individual and to the processes maintaining distress, rather than on allegiance to a single modality.

Change is understood as a contextual and dynamic process. Symptom reduction may occur, but it is not the sole or primary target. The aim is to support clients in developing greater awareness, flexibility, and agency in how they engage with their inner experiences and external circumstances. Therapy, in this sense, is not about being fixed. It concerns strengthening the capacity to move toward what matters, even in the presence of difficulty.

From this frame, the emphasis naturally shifts away from labels and normative categories, and toward understanding behavior in context, focusing less on diagnosis as an explanation and more on the functional processes shaping how a person relates, responds, and moves through their world.