Individual Counseling

Therapy is not just about “talking.” In fact, much of the work happens outside of the office as you put your new skills to practice. My approach to therapy is practical and solution-focused, using scientifically proven strategies that are specific to your personal struggles.

 

I provide therapy to adults (18 - 99+ yrs). After a thorough initial evaluation, each follow-up session typically lasts for 45 minutes and is individually catered to your needs and preferences. Contact me for more information.

Here are some examples of issues I treat:

  • Anxiety

  • Depression

  • Bipolar Disorder

  • Panic Disorder

  • Adult ADHD

Chronic Medical Illness

According to the Centers for Disease Control and Prevention, nearly half of all Americans will experience at least one chronic medical condition in their lifetime. This may include cancer, diabetes, hypertension, stroke, heart disease, respiratory diseases, thyroid disease, arthritis, obesity, and oral diseases. These problems often lead to hospitalization, long-term disability, and reduced quality of life. 

 

What may be surprising is that these conditions have a psychological component and can be improved with Cognitive Behavioral Therapy (CBT). Research has shown that CBT improves symptoms related to heart disease, asthma, stroke, chronic pain, insomnia and many others. Treatment approaches involve changing thoughts related to the medical problem as well as modifying unhealthy behaviors. People tend to also report an improvement in mood and outlook on life. If you suffer from any chronic condition, I can help.

Here are some examples of issues I treat:

  • Chronic pain

  • Headaches

  • Insomnia (with CBT-i)

  • Weight Gain/ Overweight/ Body image concerns

  • Pre-partum/Post-partum

  • Anxiety related to heart disease

  • Adjustment after cancer

Couple’s Therapy

Even the healthiest of relationships need work. Using highly effective and scientifically tested techniques designed by Drs. John and Julie Gottman, you will learn the components of an effective relationship and how to implement them in your own life. You’ll also learn how to identify problematic interactions and strategies for keeping conflict discussions calm. This approach works well for all phases of relationships and applies to any gender or sexual orientation.

Couples therapy is always attended by both partners and typically involves weekly or twice-monthly appointments. Therapy sessions will last for 45-55 minutes. 

Virtual Therapy

Now, more than ever, we need options for how to connect. Telehealth (through a secure video platform)  provides a more convenient but equally effective way to do therapy. Sessions can be conducted in the comfort of your own home or any private space. Contact me for more information.

I am licensed to do Telehealth in the following states: 

Arizona, Colorado, Delaware, Georgia, Illinois, Massachusetts, Missouri, Nebraska, New Jersey, Nevada, New Hampshire, Oklahoma, Pennsylvania, Texas, and Utah

Integrated Behavioral Health

The landscape of primary care and family medicine is quickly evolving. As medical providers move into diverse models of reimbursement, including ACO’s and capitated care, there are many advantages to having integrated behavioral health (IBH) services imbedded directly into the practice.

 

For many medical groups, finding and training the right behavioral health clinician can be daunting. I have helped multiple primary care clinics, as well as family medicine and pediatric practices, effectively integrate mental health screening and interventions. I understand that meeting your patients’ behavioral health needs is fundamental to both your patients’ health and to your practice’s bottom line. 

 

Integrated behavioral health services represent a radical departure from conventional "diagnose and refer" models by making mental health service accessible and less stigmatizing. IBH also improves likelihood of follow-up, enhances treatment outcomes, and decreases the burden on medical providers. Contact me for more information about consultation services.

 
 
 
 

NATICK COUNSELING

Therapy and Integrated Behavioral Health Consulting