Online Therapy sessions
Why telehealth? to make your life easier!
Therapy shouldn’t be one more demand added to your already hectic week. Online therapy or Teletherapy is the preferred way to conduct therapy and counseling for many, especially busy clients who travel, families, couples with different schedules, young adults, tech-savvy millennials, or those who cannot always commit to weekly, in-person sessions.
I provide therapy to busy New Yorkers in a way that is convenient and flexible…
Busy New Yorkers can’t always take time out of their day or week to commute to therapy, and frequently, Manhattan clients discontinue therapy because of commuting hassles and time constraints. They would however benefit from weekly therapy sessions with an experienced psychotherapist, but need greater flexibility and convenience.
To accommodate your hectic New York City lifestyle, I offer online video therapy sessions via Skype, phone or a HIPPA-compliant and encrypted video platform such as Simple Practice. I’m comfortable providing therapy via telemedicine, and work with clients worldwide.
How would you benefit from Online therapy?
The benefits of teletherapy are many, including flexibility and convenience, as telemedicine is not as limited by time and location boundaries.
Many feel less inhibited working with a therapist online, which makes seeking help a bit easier for some.
Online Therapy may be a good fit for high-profile clients or those who feel concerned about issues of trust, privacy, disclosure or being out in public.
Online therapy + consulting for the following emotional and behavioral concerns:
Personal or professional crisis
Problem habits and patterns in relationships
Major life-transitions + changes
Relationship concerns, separations, divorce, parenting, dating
Loss, grief + bereavement
Anxiety, chronic worry, phobias, OCD + extreme stress
Sadness, loneliness + isolation
Career issues + goal attainment
Personal growth + transformation
Feeling “stuck” + poor motivation
HSP’s, Empaths + Introverts
Narcissistic abuse recovery support
Self-care + professional burnout
Chronic pain + autoimmune disorder support
How do video conferencing or skype sessions work?
It’s easy. Go to the contact section of this website and book an initial consultation, or use the buttons on this page.
If you’re looking for more discretion, my email is encrypted and you can contact me using this link, or text 212-529-8292. Once you decide to try therapy via video, you will receive a link from my secure HIPPA-compliant system to use before your session time. All that is required to meet me in my video office is a reliable internet connection.
Is teletherapy as effective as in-person sessions?
Research tells us that virtual or online therapy is just as effective as face-to-face sessions, and if you need therapy and your schedule or lifestyle demands makes commuting a barrier to treatment, then online therapy is the best option for you.
Virtual or video chat sessions can be an excellent way to grow, develop self-awareness and begin the journey of self-exploration. For some, it’s an entry into a therapy experience that can be enriching and make it safer to reach out for help in the future, should the need arise. Additionally, mobile therapy is an excellent option for getting help with a crisis or a particular life challenge that is impacting personal well-being or relationships. According to research, similar outcomes (comparing in-person psychotherapy to remote therapy) have been reported in terms of personal growth and satisfaction.
Online therapy and counseling is not for everyone. For individuals struggling with a major mental illness such as, schizophrenia, bipolar disorder or severe major depressive disorder, and even trauma symptoms with severe dysregulation, then I always recommend seeking treatment face-to-face to ensure client safety. Individuals with severe addictions such as alcohol, behavioral or substance addictions may require a higher level of care.
What are the benefits of video online sessions?
When I first began working with psychotherapy clients remotely, either video or phone, it was purely out of necessity and client convenience. I’ve had clients move to different states, even countries, leave for college or need to be at home during medical or cancer treatment. Skype or phone sessions allows for the continuity of care and continued therapeutic support when it is a challenge to meet in-person.
Online therapy also works for clients who commute and may experience inclement weather. For many clients, the idea of starting over with a new therapist feels hard, and some will discontinue treatment altogether. Online therapy and counseling has been a helpful option for many clients who wish to continue treatment with their existing therapist.
Overall, I have had very positive experiences and feel better about it with many advances in technology. Teletherapy can take place from home, your office and even your car—wherever you feel that you can relax and have privacy. Some clients who are high-profile have a greater need for privacy and discretion, they enjoy the relative anonymity by avoiding waiting rooms or being seen entering a therapy suite.
Online therapy + Consulting services INCLUDE:
Concierge psychology services + online teletherapy
Therapy for issues unique to women, mentoring for women
EMDR therapy + focusing-oriented techniques
Holistic, integrative psychological treatment
Cognitive behavioral therapy or CBT skills
Support for high-functioning clients in addiction recovery
Psychodynamic + psychoanalytic therapy
Trauma-informed therapy for high-functioning clients
Sex therapy (traditional, non-monogomy, LGBTQ, polyamory and kink sensitive provider.
Couples therapy for divorce + separation
Couples therapy for high-functioning clients looking to improve their relationship
Life-stage change therapy, difficult life-circumstances, transitions, loss, grief + bereavement support
Life coaching for VIP’s, executives + entrepreneurs
Online Psychological consultations
PSYCHOLOGICAL CONSULTATIONS, CRISIS COUNSELING, REFERRALS + RESOURCES IN-PERSON OR via ONLINE video sessions
A consultation is a proactive and preventative approach to obtaining guidance and support during a crisis, life transition or a particular situation. I consult with individuals and families about personal and life challenges, a difficult transition or a crisis that may benefit from a focused, solution-based approach using assessment, education, guidance, advice, support and appropriate resources.
One example might be a family member who is struggling with an addiction and/or a mental health issue. Consultations tend to be time-limited, solution-focused and goal-oriented in nature. Therapy consultations allow a client, parent or family member to explore concerns and to make decisions or changes in their lives that move them in a helpful direction. The consultation process is an opportunity to speak extensively about any problems and concerns in your current situation.
What makes this different from psychotherapy is that the experience is limited, usually only two or three sessions, sometimes more, and is not meant to replace ongoing therapy. A consultation can help a client gain advice, insight, perspective, guidance and resources for their particular circumstance. At the end of the consultation process, I offer clients my assessment and a recommendation for treatment or referrals. I provide consultation services to individuals, those seeking second opinions, parents, concerned family members, mental health professionals on case concerns, and other professionals.
Consultations can be conducted by telephone, online via Skype or a secure, HIPPA compliant internet source and are especially helpful for those who do not have access to a therapist because they live in remote areas and don’t have access to skilled, experienced therapists.
What Follows Are Some Common Reasons People Seek Professional Psychological Advice For Individual Concerns Or Problems Related To Being In A Relationship.
Confusion about a mental health diagnosis or need for a second opinion
Professional or personal crisis regarding oneself, a friend or family member
Addictions or concerns about oneself or another
Abuse or concerns about abuse
Sudden anxiety symptoms or chronic worry
Concerns about stress-related symptoms
Lack of motivation
Career and professional confusion
Employment-related stresses and conflicts
Help for care-giving and caretaker burnout
Concerns about co-dependency and family enmeshment
Conflicts with co-workers, spouses, partners, family members and others
Feeling stuck, creative blocks and performance blocks
Concerns related to being an introvert empath or HSP (highly sensitive person)
Sexual and emotional infidelity and relationship crisis such as separation or impending divorce
Questions about narcissistic abuse
Potential PTSD or trauma symptoms
Concerns about sexuality or identity
Existential or spiritual concerns
Parenting advice or support
Personality disorder questions as it relates to self, partner, friend, family member, employer or co-worker
EMDR + Online Focusing-Oriented Therapy
Yes, it’s possible to do EMDR therapy online in some circumstances with stable and healthier clients. In many situations and for high-functioning clients, EMDR therapy can be done online using any number of online communication tools such skype, facetime, or a HIPPA-compliant platform. EMDR therapy works by using bilateral stimulation of the brain, either through eye movements or tapping, while focusing on negative beliefs, experiences and memories.
EMDR therapy conducted online is done using guided tapping and follows the exact same process and protocols as an in-person EMDR therapy. During an initial consultation, I am able to assess the nature of the trauma(s), the impact on functioning and the ego strengths of potential clients for whom online EMDR may be an option. Learn more about EMDR therapy HERE.
When You need more intensive Help because of a crisis or life-challenge
In recent years, primary care medicine has made popular the “concierge” model of medical care. Physicians have turned to a practice that is patient-centered and private pay, and many patients consider it to be a successful and effective means to deliver quality medical services on an as needed basis. They report that it gives them a sense of safety and security knowing that they will have access to their doctor when they need it.
As a licensed psychotherapist and clinician, I’m delighted to offer what many of my clients have asked for, ”concierge therapy.” So what is this concept of concierge therapy? It is considered a “retainer” service system or membership-based model that gives clients “total care” and access to their therapist, sometimes in person, and certainly virtually, remotely and online.
Concierge therapy and telemedicine is incredibly helpful for clients in crisis who require a more robust form of treatment that is time-limited—providing focused, professional expertise and psychological support. Please EMAIL me to learn more about private concierge therapy and remember to put “Concierge Services” in the subject line.
I understand that people find themselves in extraordinary circumstances, or a crisis and need additional support to help them navigate such challenges. With boundaries, I provide service between the hours of 8AM-10PM, weekends, and between session email/text support. This modern practice model provides clients with an added measure of security knowing that their mental health professional is available to them. Clients find concierge services helpful especially when going through something such as a health crisis, family problems such as addiction problems or a change in marital status, or even a professional career crisis or personal transition. Therapists who work with individuals who may experience a crisis or high levels of stress because of unfortunate events or life circumstances, or just very busy professionals find this model to be individualized and flexible enough to meet their personal needs.
The concierge model of therapy and counseling offers flexible and individualized treatment that allows for private pay which is convenient for clients and bypasses the restrictions of diagnosis and insurance regulations. The biggest benefit of concierge models of psychotherapy is that it is client-centered and allows the provider to focus on client needs in a focused and individualized manner. I accept only a very limited number of individuals and couples, this allows me to work deeply until problems are improved or resolved and I am able to provide a higher-level of client care.
I am able to offer my usual clinical services including:
Psychodynamic / psychoanalytic psychotherapy
Specific couples counseling techniques
WHAT FOLLOWS ARE WHAT CLIENTS CAN EXPECT FROM THE SERVICES OF CONCIERGE THERAPY:
Clients are able to access me via voicemail, text, email between sessions, including evenings and weekends
Clients who need privacy or anonymity are able to avoid waiting rooms or therapy suites which is appealing to high-profile and VIP clients
My response time tends to be within a few hours
I block out time for same day or next day appointments as well as weekend, evening or after work scheduling.
Clients have the ability to self-schedule using an online scheduler/calendar
Appointments via telephone or video conference.
Extended time for sessions that may go beyond an hour, to half-day or full day
Concerns addressed with a concierge model of therapy:
Need for anonymity, flexibility, increased frequency
Support for a major life transition, adjustments, personal crisis support
Boundary setting, self-care support
Extreme stress or crisis situations
Traumatic event support
Anxiety, excessive worry, agoraphobia
Grief, bereavement, loss
Social anxiety, phobias, chronic worry, stress management
Relationship, marital problems, breakup, divorce, custody issues
Mild depression, poor motivation
Behavior and substance addiction, recovery support
About Kimberly Seelbrede, LCSW
Licensed Psychotherapist, Kimberly Seelbrede maintains a successful private practice working with Manhattan clients online and in-person, providing therapy, coaching and psychological consultations. In her role as a trauma-focused therapist, women’s emotional health + relationship expert and mind-body consultant, her strategies blend practical psychology, cutting-edge treatments and evidence-based therapies while honoring eastern mindfulness practices. Her practice is guided by her intuitive skills to create positive, sustainable change and transformation. With extensive, post-graduate training and an eclectic approach to therapy and healing, Kimberly provides psychoanalytic psychotherapy, EMDR therapy, specialized eating disorders, compulsions and addictions approaches, brainspotting, mindfulness, DBT, CBT, solution-focused therapy, focusing-oriented therapy, hypnosis, yoga therapy with the Urban Zen Foundation UZIT, and specialized couples therapy training utilizing Gottman and Emotionally Focused Therapy. Kimberly’s clinical expertise includes: anxiety, depression, relationships and couples therapy, sex therapy, women's hormone health and autoimmune disorder coaching, family therapy, addictions, recovery support, compulsions, trauma resolution, stress management and relaxation support, performance blocks, loss and grief, shame, crisis situations and life transitions. Kimberly conducts psychotherapy, coaching and psychological consultations in her office, or worldwide via phone, FaceTime, Skype or a HIPPA-compliant platform. Kimberly's interests include: lifestyle change and transitions, women’s emotional health and mentoring, motivation and change, mindfulness, meditation support, successful communication, professional burnout, self-care and managing chronic pain and illness.
Kimberly Seelbrede, LCSW supervises graduate students of mental health and allied health professionals in the areas of case consultation and the successful integration of alternative therapies into their private practices. She enjoys helping professionals build their private practices. Her background in the performing arts has enabled her to develop a special niche and work successfully with VIP’s, talented, creative, high-profile and celebrity clients. Kimberly Seelbrede has worked with some of the world’s most well-known personalities from athletes, international pop stars, TV personalities, entrepreneurs, thought-leaders, C-suite executives and Fortune 500 CEOs. She provides therapy exclusively online to busy New Yorkers, and coaching to professionals in other cities in the US and worldwide.
Therapy + Healing Philosophy
As an integrative psychotherapist working in-person or online via teletherapy, I'm delighted to offer a unique approach to emotional health and healing. My goal is to blend contemporary psychological practices, intuitive guidance and the wisdom of the ancient healing arts. The heart and soul of my approach is to help clients develop insight, self-awareness, self-acceptance, authenticity, self integration, respect for one's body, embodiment, healthy boundaries and self-care practices.
PSYCHOTHERAPY, COACHING + CONSULTATION CONCERNS
Depression and mood disorders
Anxiety, OCD and compulsive disorders
Eating disorders, emotional eating and body image issues
Feeing “not enough,” “undeserving” or “unworthy”
Women’s issues, coaching and mentoring
Sexual and relationship issues for individuals and couples, sex therapy
Celebrity, high-profile, gifted and talented individuals
Grief, loss and bereavement
Adolescents problems (behavioral, emotional, familial, academic challenges)
Addictions / drug addiction / process addictions / substance abuse / behavioral disorders / alcoholism
Adult survivors of abuse and alcoholism
Childhood, developmental trauma resolution of traumatic events, complex PTSD
Self-sabotage and self-defeating behaviors, self-harm issues
Self-esteem issues, negative self-concept
Performance blocks using EMDR therapy
Surviving and managing relationships with borderline or narcissistic individuals / partners
Environmental stressors and crisis therapy
Phase of life issues, life transitions
Work, creativity and career issues
Life purpose, existential and spiritual growth
Online therapy via telephone, Skype or a HIPPA compliant service
Individual Adult Psychotherapy
Marriage / couples / relationship problems
Psychological consultations and behavioral health concerns
Coaching, executives, optimal + peak performance
Weekend intensive workshops for couples
Coordination of services with school, medical practitioners, legal counsel, etc
Addiction evaluations and assessments, process addictions, substance abuse and alcohol misuse
Consultation and evaluation for addictions and eating disorders, potential in-patient residential treatment
Parent and new parent education and coaching
Clinical supervision for obtaining licensure or creating an integrative psychotherapy practice
Private practice building business and consulting
Presentations and workshops
Mindfulness, meditation and stress management coaching and instruction
Recovery support for individuals including their families
Self-care support and wellness coaching
Referrals to medical and allied professionals in New York City and beyond
An Eclectic Therapy Approach
Psychodynamic / psychoanalytic psychotherapy / interpersonal psychotherapy
Couples counseling / Gottman / emotionally focused therapy
Mindfulness / meditation support
Brainspotting for attachment and trauma resolution
Short-term and goal-oriented therapy
Cognitive therapy for depression
Online Therapy For New York City, Manhattan, New York State + Metropolitan Area
I offer online therapy, coaching and psychological consultations to high-functioning clients using video therapy on the internet. Online therapy allows you the comfort, convenience and flexibility of receiving high-quality therapy with an experienced therapist from your home, office or hotel through encrypted, secure video conferencing. Many find online therapy to be just as effective as psychotherapy sessions conducted in-person. Online therapy delivers services to clients who may be unable to seek face-to-face mental health services due to health or physical limitations, location, travel, work schedule, parenting and other circumstances. The hassle of losing time because of commuting, travel and scheduling problems can be reduced with video or phone sessions. Online therapy is not appropriate for everyone especially for those struggling with psychotic symptoms, severe depression, bipolar disorder, certain addictions or a medical or mental health diagnosis that requires hospitalization.
Relationship Counseling, Couples Therapy + Sex Therapy in-person or via online Video Counseling
In my therapy practice with couples in New York City I’ve successfully helped couples heal and mend the wounds of emotional and physical infidelity. I enjoy working with partners who desire a healthier and more satisfying relationship and those who crave more passion, exploration, novelty, mystery, surprise and desire. I work with high-functioning couples who would like to enhance their relationship and reestablish intimacy and connection. I also work with individuals at various stages of relationships including: newly-formed relationships, couples seeking pre-marital counseling, new parents seeking support, those considering separation or divorce and the newly single and ready to date. I draw from attachment-based theory, helping couples understand their own attachment style as well as that of their partner. Clients can learn to communicate their needs and "hear" the needs of their partner, as well as develop a shared vision or goals, learn acceptance and compassion for self and the other, heal trust issues and infidelity and develop new relationship and communication skills. Clients are also guided to identify and de-escalate when they experience triggers, address sex and intimacy concerns and understand how the past and family of origin issues may be impacting the relationship in the present. I am a sex positive therapist which means that I am aware of and accepting of a range of consensual sexual expression and lifestyle practices. This may include various forms of kinks, fetishes, and polyamory without judgment.
Online Video/Phone Consultations, Referrals, Second Opinions, Psychological Consultations
I provide psychological consultation sessions that are time-limited and problem or goal-focused. Some individuals and families consult with a mental health professional for educational purposes, a clinical assessment or diagnosis, a second opinion, help with a specific personal or life challenge, support for a difficult transition or crisis and to obtain resources to other collateral support such as psychiatrists or treatment facilities and rehabs for addictions and eating disorders. Clinical consultations allow a client, parent or family member to explore concerns, problem-solve with a professional and make decisions or changes in their lives that move them forward when they feel unsupported or "stuck." I am delighted to share my trusted resources to complementary, alternative and conventional medical referrals in New York City and beyond. Consultations are not psychotherapy and can be done long distance using an online service such as Skype, Zoom, FaceTime, Simple Practice or via telephone sessions. I provide professional supervision consultation for new therapists seeking licensing and those with existing practices who are interested in blending integrative therapies into their private practice or building a private practice.
Coaching and therapy For women’s Issues
In therapy sessions, women commonly express feeling overwhelmed and depleted, or a common theme of feeling “less than” or “not enough.” Women have harsh inner dialogues, and an internalized voice that is often pervasive and unforgiving. Women are invalidated throughout development with many messages stemming from society and culture with a focus on outward appearance. Social media has created an even more toxic environment for women. Women frequently feel shamed for having needs and suppress even the most basic of needs. Rarely do women have time to pursue creative passions and endeavors that replenish them. Women are deserving of healthy and fulfilling relationships, including the primary relationship with yourself. You also deserve to embody your sexuality and enjoy passionate pursuits. Women-specific counseling and mentoring offers a safe space for you to talk about your real needs and all the places that cause you pain and suffering. Helping you connect to your “true self” does not have to feel threatening to other parts of your life. It can enhance other aspects such as parenting and your relationships. It can also give you the support and courage to release all the areas that no longer serve you. Intimacy and vulnerability can be accessed in ways that can be transformative for your life and can generalize to your friendships and romance. I provide online video counseling or online therapy via a HIPPA-compliant platform for women who would like to explore enhancing work/life balance as well as reclaiming “self” and sexuality. We can also meet in-person if that works better for you.
Women’s Mentoring Online Sessions
Relationship dissatisfaction, recovering from infidelity and betrayal, blocks to intimacy and trust, healing from break-ups or divorce, divorce transition, dating again
Feeling “not enough” or “unworthy of love”
Fear of abandonment in relationships, losing “self” in relationships and boundary problems
Repeating patterns such as finding “unavailable” partners, co-dependency
Body image issues and concerns, dissociation
Difficulties communicating needs and desires
Overcoming loss, unresolved grief
Owning shadow aspects of yourself
Repressed anger and rage
Role and identity, career concerns
PCOS, fibromyalgia, chronic fatigue, autoimmune disorders, thyroid disorders, nutrition deficits that impact mood, hormonal struggles, weight concerns
Post-menopause, perimenopause, post-pregnancy, hormone imbalance
Sexual problems, inability to orgasm, pain during sex, sex drive concerns, sexual compulsivity, sexual fear and aversion, shame related to sexuality, recovering from negative experiences, reclaiming sexuality after abuse, recovering from childhood sexual abuse, assault, violence, harassment, religious and cultural concerns, gender non-conforming, queer, transgender, LGBTQ+, kink, fetish, BDSM, sexual orientation, bisexuality, alternate lifestyle, poly lifestyle, open relationships
Coaching and Therapy for Men’s Issues
Men face their share of stress and pressure in today’s society. The early messages for men and boys is to “shut down” and not express emotions, and when they do, their authentic feelings are often met with reactions that induce shame. This leads to the suppression of normal and healthy feelings and emotions, and a reliance on coping skills that can be detrimental to masculine development, such as externalizing (acting out) and eventually, serious health problems. Men frequently lack the healthy integration of important parts of the “self,” they minimize feelings and emotions, fearing that they may appear weak. Many men have pressure to provide for their family and be “successful” producers in society, this contributes to fear, paralysis, stress and overwhelm. They choose work that may be financially rewarding but less so on a personal level of satisfaction. Not all women understand the unique pressures that men face as a result of society and cultural conditioning, leading to disconnection and alienation of “self.” As men age, they also experience sexual concerns that impact intimacy and their relationships with their partners. Working with a therapist can help men who have been conditioned to “shut down” and begin to feel less shame and guilt about embodying their “true” selves and honoring needs that deserve to be expressed and met with acceptance and support.
Psychotherapy For Adolescents + Adults
In order to determine if psychotherapy is right for you, a consultation in-person or online can help us explore how best to work together, either short-term or long-term. After your initial assessment, I will give you my opinion, and together, we can discuss your needs and create a treatment plan to move forward. We will also consider the duration of treatment and the approach or combination that will serve your goals. I have expertise in anxiety and mood disorders, women’s issues, addictions, compulsions, eating disorders, relationship problems, sexuality, identity concerns, self-defeating patterns and self-sabotage, lack of purpose, goal setting, spirituality, family of origin issues, trauma/PTSD, attachment deficits, self-esteem, transitions, loss, wellness coaching and an integrative therapy approach that addresses chronic pain and medical challenges.
Personal Transformation Coaching, Peak Performance + Professional High-profile Client Coaching NYC + Worldwide
Coaching is not therapy. Coaching clients are goal-oriented individuals who seek results in their lives. Hiring a transformation coach who is skilled to help uncover obstacles, as well as guide and support you in your journey is a powerful resource. Having help and guidance as you practice new behaviors can be incredibly supportive. Some individuals seek an expert "strategist" to guide efforts towards growth and change. Successful coaching unearths the stubborn and often unconscious dynamics that keep people anchored in their present reality, without addressing the underlying drive and dynamics, coaching fails. Partnering with a skilled life coach can be encouraging and empowering, and can help clients navigate change and the challenging aspects of their lives. Whether it’s taking control of one's health, losing weight, career issues, focusing on goal-attainment, repairing a relationship, getting "unstuck" or transitioning to a new chapter in life, coaching can provide the needed inspiration and support one desires. Working with a licensed trained psychotherapist can yield exceptional results. I regularly offer EMDR for blocks and peak-performance enhancement, mindfulness, meditation techniques, solution-focused strategies or cognitive and behavior techniques to my clients, combined with coaching strategies to help "stuck" clients move forward. I often use a model of depth-focused coaching to help clients dig a little deeper into the unconscious to facilitate the removal of blocks and patterns.
therapy for Depression
Clinical depression is a complicated condition that can be treated with supportive and interpersonal psychotherapy, medication and a collaborative approach to identify the biological and psychosocial factors that may have contributed to a patient's depressive symptoms. Some types of depression are: major depression, dysthymia, postpartum depression, premenstrual, seasonal affective disorder, atypical, situational and bipolar. Depression can be mild and show up with seasonal changes and it can be debilitating and interfere with activities of daily living, life skills, relationships, employment, hope and may also include the desire to end one’s life. Depression treatment is generally supportive in nature, and may require help with daily structure and coping skills and often requires working with other mental health professionals who are able to prescribe antidepressant treatment. Interpersonal psychotherapy, CBT and EMDR therapy can be effective treatments for depressed patients as can antidepressant use, light therapy, vitamin D, amino acids, supplements and other complementary therapies to discuss with your doctor.
therapy for Anxiety
Anxiety symptoms bring many into therapy for the first time. They include: generalized anxiety disorder, panic disorder, agoraphobia, social anxiety, separation anxiety, phobias, obsessive compulsive disorder and post traumatic stress disorder (PTSD). Not all clients experience anxiety in the same way. For some, anxiety is a distress that presents in a specific situation such as performance, public speaking or test-taking. For others, anxiety may be experienced as chronic, and ranging from mild to debilitating, including uncomfortable physical symptoms. Anxiety sufferers are best helped by understanding emotional conflicts, environmental and genetic factors with treatment that may include talk therapy, CBT, stress reduction techniques, Somatic Experiencing (SE) and EMDR Therapy to target early trauma, memories and present-day distress.
Therapy For LOSS + BEREAVEMENT, Transitions
Losing something or someone is difficult and complicated for many reasons. Loss can include a loved-one, pet, health, job, lifestyle, home, identity, status, and more. Loss, especially when significant to the individual, requires mourning and grieving that loss, experiencing the associated feelings, and eventually, moving forward. Psychotherapy can give the individual a safe place to grieve and feel the sadness. The healing process is different for everyone as is the length of time required to heal.
Therapy for crisis management
Crisis counseling and management is intended to be brief, It is not the same as ongoing psychotherapy. Providing support for individuals, couples or families using crisis intervention therapy is focused on minimizing the stress of the event, if possible, providing emotional support and enhancing immediate coping skills. Crisis counseling involves careful assessment of the situation, planning, strategizing, treatment and focusing on the client’s immediate situation, such as needs and safety. Clients who seek counseling for a personal or professional crisis may need a more robust form of support, including extra sessions and extended time until the situation is resolved or they are feeling more resilient and better able to cope without the help of a mental health professional, psychotherapist or psychologist.
Therapy for Addictions + Compulsions
I view addictive behaviors as symptoms of other underlying, unresolved issues and have developed a special interest in recovery support as well as having received specialized training in this area. Addictions such as substance abuse and process addictions are complex problems and can be successfully treated when other co-occurring difficulties are addressed, such as depression, panic disorder, ADD, Aspergers and personality disorders such as Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD). Many may have more than two conditions that contribute to maladaptive coping responses. Some common addictions include: alcohol, drugs, gambling, food, shopping, video games, the internet, sex, pornography and work. Successful treatment for addictive behaviors is an integrative approach that may include some combination of psychotherapy and behavior treatments. EMDR therapy using addiction protocols, psychodynamic psychotherapy and dialectical behavior therapy or DBT skills are also very effective forms of treatment.
Therapy for Trauma Treatment and PTSD
Early trauma and chronic, developmental and complex traumas that have impacted a patient's development and attachment relationships are the most difficult to heal. Psychotherapy can help validate the patient's experience, work through any feelings of shame and confusion that may have been internalized, process the traumatic experience or event and help them understand how their current life is impacted by traumatic experiences. Psychotherapy can help individuals identify triggers in daily experiences that creates symptoms and contributes to familiar self-defeating patterns and dynamics. While talk therapy can be a good place to begin for some trauma patients, EMDR, Sensorimotor Psychotherapy and Somatic Experiencing are excellent treatment options to provide symptomatic relief and truly heal from trauma.
Loss + Bereavement Therapy
Losing something or someone is difficult and complicated for many reasons. Loss can include a loved-one, pet, health, job, lifestyle, home, identity, status, and more. Loss, especially when significant to the individual, requires mourning and grieving that loss, experiencing the associated feelings, and eventually, moving forward. Psychotherapy can give the individual a safe place to grieve and feel the sadness. The healing process is different for everyone as is the length of time required to heal.
Urban Zen Integrative Therapy Sessions UZIT
My interest in mind-body techniques and complementary medicine has allowed me to journey to some amazing places including workshops and training opportunities with experts in the field of integrative and functional medicine. Using my training with the Urban Zen Foundation and my yoga therapy training (RYT 200 + 500 hours), I help clients address anxiety insomnia, stress, trauma and chronic illness using a combination of guided imagery, breathing techniques, body scans, meditation and mindfulness. I've studied both aromatherapy and Reiki. Using the brilliance of neuroplasticity, western psychological theory, and the power of cutting-edge nutrition, yoga therapy, chakra work and other somatic psychotherapies, I truly enjoy helping clients who are open to these techniques heal on many levels. Together we can decide what might work best for your particular needs. Some examples of integrative therapy include: mindfulness training, lifestyle recommendations (nutrition, meditation, exercise, yoga and sleep), boundary work, shadow work, creative play, journaling, somatic therapy and more.
Psychodynamic psychotherapy is an evidence-based and active therapy that has a long history and tradition used in both short and long-term treatment. Psychodynamic sessions include the process of increasing self-awareness, encouraging self-expression, understanding conflicts, developing insight into the behaviors of self and other, unearthing unconscious content that can interfere with functioning and understanding patterns and dynamics that may have origins in the past but are played out in the "here and now." This form of therapy uses the relationship between patient and therapist to heal. The interpersonal relationship tends to be the focus of sessions as an active example of other relationships in the patient's life, so that patterns and distress can be "worked through" and not repeated outside of treatment.
EMDR Therapy, Brainspotting + Somatic Experiencing Techniques
As an EMDRIA-approved, level I + II trained EMDR therapist, I have enjoyed great success with clients using EMDR therapy for a variety of chronic, longstanding difficulties as well as recent traumatic incidents. I enjoy using EMDR therapy because it works, and can be a stand-alone treatment or integrated into ongoing talk therapy sessions to speed the healing process. I provide trauma resolution for PTSD symptoms, and healing for attachment deficits, developmental traumas, medical trauma and chronic physical and emotional abuse. Additionally, EMDR is an effective therapy for anxiety, obsessions, phobias, compulsions, panic attacks, depression, self-esteem, eating disorders, addictions and more. For individuals with anxiety, emotion regulation problems and in addiction recovery, elements of EMDR therapy can help clients develop and strengthen self-soothing inner resources. A combination of EMDR and coaching is an effective treatment combination for sports and peak performance enhancement and creative and performance blocks and can be seamlessly integrated into coaching sessions with executives and high-profile, performance-oriented clients. Brainspotting, another technique developed by David Grand, PhD, combined with EMDR psychotherapy is a technique I use to address attachment issues, unresolved trauma, pre-verbal trauma and performance problems. EMDR is an evidence-based treatment that targets many symptoms and conditions including trauma, negative memories, phobias, fears, anxiety, addictions, compulsions and performance difficulties. Originally used to treat Veterans, EMDR therapy is now one of the most efficient and effective trauma/symptom treatment methods that allows clients to fully heal from their psychological wounds. EMDR can successfully be integrated into psychotherapy sessions. Many clients find EMDR to be more effective than other forms of therapy including CBT and traditional “talk therapy.” EMDR is especially helpful with performance and creative blocks.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy focuses on examining and changing maladaptive thoughts and behaviors. CBT tends to be a short-term approach that is highly-effective for many with empirically-tested techniques supporting an increase in skills and a change in behaviors. CBT is an effective solution for a variety of concerns including anxiety, depression and addictions/substance abuse.
Dialectical Behavior Therapy (DBT)
DBT was originally developed for the treatment of Borderline Personality Disorder. With time, DBT skills and techniques have been found to be helpful for individuals who struggle in many areas of life including substance abuse and addictions. DBT treatment combines ideas of awareness, acceptance and change from mindfulness with a range of psychological theories. Because DBT skills are practical and can be generalized into many areas of life, DBT can be successfully integrated into treatment plans and used in a variety of treatment settings. DBT uses mindfulness and other skills to help increase emotion regulation, distress tolerance and interpersonal effectiveness with the goal of helping patient's cope, de-escalate, and self-regulate.
Developed in the 1970s by psychologist Dr. Eugene Gendlin at the University of Chicago, Focusing-Oriented Therapy is non-directive as the therapist guides the client to connect to the "felt sense" which then allows the client to explore troubling emotions and feelings, helping them turn inward and find the answers needed to heal. Focusing can help clients access their own inner wisdom and strength by inviting the non-judgmental attention to body sensations, inner "knowing," thoughts, feelings and imagery which may come in the form of words or pre-verbal and non-verbal experiences. Experiences and traumas reside in the body and long for attention even when they have not been consciously thought or verbalized. Focusing-Oriented Therapy can support one's own natural healing while increasing insight and awareness, helping clients gain a broader perspective of current and historical circumstances that have created pain, suffering and blockages. This powerful technique can reduce anxiety and depression, resolve individual and collective traumas, heal feelings of loss and neglect, increase performance skills, improve emotional regulation, increase relaxation, support immune function, support clients with medical and pain issues, support decision-making and more. It is this locating of the felt sense and its shift that causes true psychological change, empowerment, the restoration of self and enhanced well-being. Focusing-oriented therapy can be conducted using online therapy and video sessions.
Mindfulness is the practice of moment-to-moment awareness of feelings, thoughts and bodily sensations as well as an awareness of the environment and one's surroundings. Mindfulness, as a philosophy, has more recently become a widely-used and helpful practice in the fields of psychology and psychotherapy. Additionally, mindfulness is an empirically-validated practice with data that supports its efficacy and application in a range of clinical and non-clinical settings. A mindfulness practice includes the observation of feelings, emotions and sensations, a non-judgmental presence and the awareness and acceptance of the present moment.
Recovery Support, Aftercare + Consultations for family members
Individuals just released from addiction or eating disorder inpatient treatment can benefit from supportive care following rehab stays. This may take the form of individual psychotherapy, EMDR trauma treatment, and when helpful, family therapy. Getting a loved-one into treatment and finding the right program requires help, support and resources. Additionally, family members experience strong emotions related to the experience of having a family member who is addicted and at-risk. Consulting with a mental health professional can help individuals and family members make better decisions Recovery support can help clients and family members with the following concerns:
Build on the useful tools learned during rehab as maintenance care
Maintaining motivation and staying focused on personal goals
Support for creating healthy and safe boundaries for self and others, identifying needs, communicating effectively, learning to ask for help, and self-empowerment
Repairing relationships and gaining support for maintaining the energy, passion and desire for healthy relationships
Help with engaging in activities and relationships that replace the desire to use drugs or engage in harmful behaviors
Creating a self-care practice that nourishes mind and body, maintaining support and positivity
Learn to identify cravings and triggers
Celebrate important gains, achievements and learn to make healthier choices
Support with structure, activities, exercise, nutrition, socializing and sleep hygiene
Help with learning to be present, tolerate discomfort and live in the present moment
What happens in therapy and counseling sessions?
Even though you may have good friends and family members to talk with, a psychotherapist or psychologist with professional training is able to see things from a different lens and even challenge and support you in ways that the people in your life cannot. Therapy helps people gain relief from unpleasant feelings and thoughts, create more fulfilling and meaningful relationships, and gain more pleasure and control in their lives. Effective psychotherapy and counseling helps clients get to the root of their difficulties and learn ways to become more self-aware, cope with difficult emotions, improve mood, gain control, feel connected to others, develop the skills to handle future problems, and live more fulfilling and satisfying lives. Therapists can provide support, practical problem-solving skills, and enhanced coping strategies for many life challenges and issues. Many people also find that counselors or psychotherapists can help with career concerns, managing personal growth, professional relationships, family concerns, marriage issues, parenting challenges, developing healthier habits, connecting to the body, understanding thoughts, feelings and emotions, balancing the stress of daily life and goal-setting.
High-achieving, successful individuals often experience emptiness, unhappiness, disappointment, loneliness, stress, anxiety and interpersonal problems. These concerns can lead to less than desirable coping solutions such as addictions, alcohol and drug abuse, eating problems and sleep deficits.. Therapists can provide a fresh perspective on a difficult problem or help their clients discover helpful solutions. Many lasting benefits can be obtained from personal, couples or group therapy. You can learn more about therapy from the American Psychological Association or APA.
How do i know what to look for in a therapist?
When you choose a therapist, you should feel “heard” and “seen” as well as understood and certainly not judged for the concerns that led you to seek counseling. A “good fit” is often described to explain how you should feel about the psychotherapist, counselor or psychologist you choose to work with. You should feel comfortable sharing your thoughts and feelings with your potential therapist as the process requires an investment of time and emotional energy. Your therapist should have good interpersonal skills as well as empathy and compassion. You should choose a therapist who has training in the areas that you are seeking help with. Some therapists have received specialized training in areas such as trauma, addictions or eating disorders. If your problems are serious enough to impact the quality of your life and your ability to function, you may need to find a specialist or someone who specializes in your particular problem. Many therapists have received general psychotherapy training and consider themselves generalists and are able to treat a range of difficulties. Some psychotherapists have received specialized training in addition to graduate school which helps them specialize and be experts in that area of healing
Psychotherapists, Psychologists, Psychoanalysts and Psychiatrists—Whats the Difference?
A psychotherapist is a mental health professional who may have an MD, Master’s or Doctoral degree and may use “talk therapy” as well as “somatic-based therapies” to help people experience and understand their emotional life. Psychotherapists may be psychiatrists, psychologists, licensed clinical social workers, counselors and marriage and family therapists. They have varying years of foundation training, and some, not all go on to receive advanced, post-graduate training in specialized areas. Psychiatrists are MD’s and are able to prescribe medication but may not provide psychotherapy, some do. A psychologist has a doctoral degree as a foundation in psychology and may or may not have received additional expertise and training in a specialized healing modality. Some Psychologists work in research, others provide therapy. Psychoanalysts have been through an extensive training experience which includes their own psychoanalysis or psychological exploration. They help people develop awareness of unconscious aspects of the mind. Some training institutes are allowing individuals with any graduate degree (law, history, as examples) study psychoanalysis and become psychoanalysts. You may not know whether your therapist has had their own in-depth therapy, it’s a question that you can ask. In my opinion, good psychotherapists have had their own good therapy.
how long will i need to be in therapy?
Your personal needs and goals are always a priority, and will shape the time you spend in sessions. Many individuals desire focused, structured and time-limited sessions with a clear plan, targeting specific problems or goals that can be met within a relatively short period of time. Other difficulties require a more intensive focus and may take longer to resolve. This is especially true when people have been struggling for a long time and patterns and habits are rigid and entrenched. Some will do best with once weekly sessions, while others benefit from meeting twice weekly, or more when in crisis. Consistent sessions allow clients to examine patterns and dynamics that may interfere with healthy functioning.
What kind of therapy should i be looking for?
Increasing insight into problems and self-awareness is one goal of therapy, but unfortunately, that alone does not always lead to the desired change. For this reason, and with certain clients, it may be necessary to implement behavioral changes and track progress between sessions. Some clients need targeted, specific types of therapies that resolve symptoms related to trauma. The duration of treatment is highly variable and depends on many factors, including: the nature of the problem, client motivation and having realistic goals for change. Depending on client needs, one may benefit from a number of different therapeutic strategies and techniques. In your initial consultation, you should work with your therapist to figure out the best approach for you. Therapists may use or combine the following approaches: psychoanalysis, psychodynamic psychotherapy, psychoanalysis, relational therapy, interpersonal, humanistic, gestalt, attachment-focused therapy, trauma resolution techniques as well as evidence-based therapies such as EMDR therapy, Somatic Experiencing (SE), Dialectical Behavior Therapy or DBT, Cognitive Behavioral Therapy or CBT to name a few.
What is Integrative Psychotherapy and how are people helped by this approach?
EMDR therapy can increase the capacity to experience calm and comfort in the body, release trauma, uncover hidden blocking beliefs that may be sabotaging success and happiness or contributing to anxiety and depression, reduce the impact of negative experiences
Address dissociation, body image, eating disorders, compulsions, addictions, substance use or abuse and obsessions using cutting-edge therapies such as EMDR, focusing, somatic experiencing techniques and brainspotting, mindfulness meditation, biofeedback techniques, guided imagery, breathing techniques, restorative yoga therapy
Learn more adaptive coping skills and self-soothing techniques and develop nurturing self-care rituals
Process and heal painful feelings of loneliness, disappointment, sadness, loss, grief, guilt, shame, anger, envy and fear
Develop enhanced attention and awareness through relaxation techniques, mindfulness and radical acceptance
Resolve trauma and abuse symptoms, develop healthier boundaries and heal early attachment wounds
Unearth parts of yourself that are dissociated and explore areas of spirituality and your true nature
Connect with shadow aspects of the self for healthier integration as you learn to set healthy boundaries
Heal physical symptoms of disease and pain by connecting to sensations and trauma held in the body, habitual thoughts and unexpressed emotions
Learn breathing techniques to support the relaxation response
Are my therapy Sessions confidential?
It is important to know that everything you say during psychotherapy sessions will be kept confidential. The only exceptions are when there is a danger that you may harm yourself or someone else, or in active cases of abuse. Mental health professionals are obligated by law to disclose that information to the appropriate authorities. These situations are rare. Most people find it a great relief to have a safe place where they are able to share what's on their mind with a non-judgmental, supportive and trained professional.
what Life changes can you expect with effective therapy or coaching?
Reframe current life circumstances and gain a different perspective
Learn to manage difficult work and personal transitions and changes such as marriage, new baby, mid-life problems and aging
Gain the support needed to get through difficult times such as loss and change
Learn to feel and live a more authentic life, accept feelings of being “different”
Develop healthy self-esteem and resolve persistent negative “self-states”
Develop healthier coping skills, habits and boundaries
Have healthier personal and work relationships
Develop awareness of any repetitive patterns that interfere with success and happiness by understanding how past dynamics interfere with the present
Learn to better manage difficult people both personally and professionally
Develop a path of purpose and life fulfillment
Heal from past trauma and abuse and process traumatic memories and dissociation
Increase insight and self-awareness and identify innate strengths
Improve communication, learn conflict resolution, develop better listening and self-assertion skills
Address depression, sadness, feelings of despair and isolation
Learn helpful coping skills for stress, anxiety, phobias and panic attacks
Relieve stress and insomnia and learn relaxation responses
Manage destructive patterns that include drinking, eating, drugs, addictions and self-harm
Understand negative and habitual patterns of thinking and behaving
Resolve writing, creative and other performance blocks
Mourn losses such as separation, divorce, miscarriage, infertility or the death of a loved-one
Develop effective parenting skills
Address problems related to chronic pain, fibromyalgia, autoimmune disorders, medical procedures and diagnoses
Heal from sexual abuse, emotional/psychological abuse, domestic violence and natural disasters
Resolve sexual and identity concerns
Manage feelings of overwhelm, feel more embodied and develop an awareness connection between mind and body