Adoption Therapists in Tucson, AZ
![Photo of For More Information - Arizona Family Counseling (a service of CFC)](https://photos.psychologytoday.com/fe520655-8511-459d-a0f1-1bc171161495/2/320x400.jpeg)
Arizona Family Counseling is committed to providing high-quality counseling and parent coaching services to strengthen individuals, couples, and families. We believe that your past and present experiences and support system greatly help or hinder your well-being and relationships. Our compassionate team is trained and experienced in understanding family systems, trauma, and attachment. We expertly utilize this understanding to help you work through anxiety, depression, relationship issues, grief, parenting needs, and behavioral difficulties.
Arizona Family Counseling is committed to providing high-quality counseling and parent coaching services to strengthen individuals, couples, and families. We believe that your past and present experiences and support system greatly help or hinder your well-being and relationships. Our compassionate team is trained and experienced in understanding family systems, trauma, and attachment. We expertly utilize this understanding to help you work through anxiety, depression, relationship issues, grief, parenting needs, and behavioral difficulties.
![Photo of Keri Sipek, LAMFT, PMH-C, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/52d55159-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Keri Sipek
Marriage & Family Therapist Associate, LAMFT, PMH-C
Verified Verified
1 Endorsed
Tucson, AZ 85704
Now offering daytime & evening appointments. Reaching out for help can be difficult & takes courage. I’m here to offer a safe space & provide support while you explore your issues. From there, you can begin to heal & create positive change in your life & relationships. My experience includes working with couples, & individual adults who have struggled with infidelity, relationship strain, sexual issues, parenting, depression, anxiety, & more. In addition, I work with women & couples struggling with infertility, postpartum anxiety, postpartum depression, traumatic birth recovery, & adjustment to parenthood.
Now offering daytime & evening appointments. Reaching out for help can be difficult & takes courage. I’m here to offer a safe space & provide support while you explore your issues. From there, you can begin to heal & create positive change in your life & relationships. My experience includes working with couples, & individual adults who have struggled with infidelity, relationship strain, sexual issues, parenting, depression, anxiety, & more. In addition, I work with women & couples struggling with infertility, postpartum anxiety, postpartum depression, traumatic birth recovery, & adjustment to parenthood.
![Photo of Angela R. Schellenberg, LMHC, EMDR, K-8 cer, Counselor](https://photos.psychologytoday.com/c606db55-1721-4aff-95be-c9f8cc0cf21a/2/320x400.jpeg)
Angela R. Schellenberg
Counselor, LMHC, EMDR, K-8 cer
Verified Verified
1 Endorsed
Tucson, AZ 85718 (Online Only)
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
![Photo of Victoria Prisco Adhd Certified Clinical Services Provider, LCAT, LPC, MSEd, Licensed Professional Counselor](https://photos.psychologytoday.com/801f8710-5619-42c5-b629-007b202e429c/1/320x400.jpeg)
Victoria Prisco Adhd Certified Clinical Services Provider
Licensed Professional Counselor, LCAT, LPC, MSEd
Verified Verified
3 Endorsed
Tucson, AZ 85719 (Online Only)
Do you ever feel like you're constantly running uphill, putting in the effort but never quite reaching the top? Maybe you find yourself putting off tasks at work, leading to last-minute scrambles, stress and anxiety. At home, the never-ending cycle of unfinished chores seems overwhelming. You want to connect deeply with others, but sometimes it feels like you're prioritizing everyone else's needs, leaving you feeling unfulfilled. Are you tired of feeling overwhelmed by ADHD and feeling like you're not reaching your full potential? As a licensed therapist with a background in special education, I understand the ADHD brain.
Do you ever feel like you're constantly running uphill, putting in the effort but never quite reaching the top? Maybe you find yourself putting off tasks at work, leading to last-minute scrambles, stress and anxiety. At home, the never-ending cycle of unfinished chores seems overwhelming. You want to connect deeply with others, but sometimes it feels like you're prioritizing everyone else's needs, leaving you feeling unfulfilled. Are you tired of feeling overwhelmed by ADHD and feeling like you're not reaching your full potential? As a licensed therapist with a background in special education, I understand the ADHD brain.
![Photo of Jake Jacob Hawbaker, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/425aa4c7-79e0-4b51-975e-83244acbb1e8/1/320x400.jpeg)
Jake Jacob Hawbaker
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Tucson, AZ 85712
I believe we were created for relationships. Relationships can bring healing, wholeness and happiness. However, despite their powerful role in our life, they can be extremely difficult to manage and can cause us a lot of pain and stress. This is where I hope to be able to help you. I love working with individuals, couples and families to help them on the their road to finding peace and joy in their relationships. At Charis Counseling Associates you will find an accepting and understanding atmosphere where you can be open about the real struggles of life.
I believe we were created for relationships. Relationships can bring healing, wholeness and happiness. However, despite their powerful role in our life, they can be extremely difficult to manage and can cause us a lot of pain and stress. This is where I hope to be able to help you. I love working with individuals, couples and families to help them on the their road to finding peace and joy in their relationships. At Charis Counseling Associates you will find an accepting and understanding atmosphere where you can be open about the real struggles of life.
![Photo of Vickey L Simmons-Hart, MA, MS, Counselor](https://photos.psychologytoday.com/9ba9dd97-3730-44ea-acb9-6ebec6a2639f/1/320x400.jpeg)
As a dedicated mental health counselor, I am unwaveringly committed to serving underrepresented communities, particularly the Black and LGBTQIA+ communities. I take pride in offering an all-inclusive and affirming environment, welcoming individuals from diverse backgrounds, sexual orientations, and relationship dynamics, including sex positivity, kink positivity, and consensual non-monogamy/alternative relationships. I’ve been privileged to accompany individuals of all ages and backgrounds on their healing and personal growth paths.
As a dedicated mental health counselor, I am unwaveringly committed to serving underrepresented communities, particularly the Black and LGBTQIA+ communities. I take pride in offering an all-inclusive and affirming environment, welcoming individuals from diverse backgrounds, sexual orientations, and relationship dynamics, including sex positivity, kink positivity, and consensual non-monogamy/alternative relationships. I’ve been privileged to accompany individuals of all ages and backgrounds on their healing and personal growth paths.
![Photo of Marybeth Steigenga, PhD, BCPC](https://photos.psychologytoday.com/ee49272d-1a58-4558-bb36-2550089c8cc0/2/320x400.jpeg)
Are you stuck in grief? Are you seeking counseling or life coaching from a Biblical, Christian perspective? I am a Christian counselor with a specialized focus on grief and loss, and all things emotional. Are you trying to navigate a life or relationship issue & need clarity or direction? Do you love someone who pushes your boundaries? I am a Christian life coach with a specialized focus on relationships and boundaries, and all things emotional. Sometimes life gets hard, relationships suffer, and hopelessness sets in. Why not come talk with me and we'll figure these things out together so you don't have to do it alone.
Are you stuck in grief? Are you seeking counseling or life coaching from a Biblical, Christian perspective? I am a Christian counselor with a specialized focus on grief and loss, and all things emotional. Are you trying to navigate a life or relationship issue & need clarity or direction? Do you love someone who pushes your boundaries? I am a Christian life coach with a specialized focus on relationships and boundaries, and all things emotional. Sometimes life gets hard, relationships suffer, and hopelessness sets in. Why not come talk with me and we'll figure these things out together so you don't have to do it alone.
![Photo of Tara Drappo- Neurodiversity AuDHD Autism Adhd Ocd, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/05ef8736-c2e4-4d5d-aa70-90d9dad68cea/1/320x400.jpeg)
Tara Drappo- Neurodiversity AuDHD Autism Adhd Ocd
Clinical Social Work/Therapist, LMSW
Verified Verified
Tucson, AZ 85756 (Online Only)
As a neurodivergent therapist, my passion lies in creating a safe and understanding space for neurodivergent clients. I believe that each person's journey is unique and deserves to be honored with empathy and respect. My approach is deeply rooted in the understanding that neurodiversity is not a disorder but a different way of experiencing and navigating the world. I strive to build a therapeutic relationship based on trust and collaboration, where my clients feel heard and validated. I recognize the challenges that neurodivergent individuals may face in a society that often prioritizes conformity and aim to empower my clients.
As a neurodivergent therapist, my passion lies in creating a safe and understanding space for neurodivergent clients. I believe that each person's journey is unique and deserves to be honored with empathy and respect. My approach is deeply rooted in the understanding that neurodiversity is not a disorder but a different way of experiencing and navigating the world. I strive to build a therapeutic relationship based on trust and collaboration, where my clients feel heard and validated. I recognize the challenges that neurodivergent individuals may face in a society that often prioritizes conformity and aim to empower my clients.
![Photo of Jon Rodis, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5499d549-46ab-4fb0-82ab-f4a8e3efc6d9/2/320x400.jpeg)
I provide hope and relief to people experiencing strain in their relationships. You and your partner may have been living through communication breakdowns, big life changes, or “couples drift” for years. If you're engaged or newlyweds, you might be hoping to avoid the pitfalls you've seen hurt your friends and family. If you and/or your partner are neurodivergent, you might need someone to help you speak the same language. If any of these struggles sound familiar, it might be time to rediscover the strengths that drew you to each other in the first place.
I provide hope and relief to people experiencing strain in their relationships. You and your partner may have been living through communication breakdowns, big life changes, or “couples drift” for years. If you're engaged or newlyweds, you might be hoping to avoid the pitfalls you've seen hurt your friends and family. If you and/or your partner are neurodivergent, you might need someone to help you speak the same language. If any of these struggles sound familiar, it might be time to rediscover the strengths that drew you to each other in the first place.
![Photo of Eddie Perez, MEC-SC, LAC, Counselor](https://photos.psychologytoday.com/7ef30315-ca87-421a-8f8f-63f4f2c59ccd/1/320x400.jpeg)
Hi. I work with families, couples and teens who have anxiety, depression, stress and conflict. If you want help to improve your sleep, reduce your stress and learn ways to manage conflict I can help. I work from a Trauma informed perspective to treat your concerns. I have several years of experience working with families, and have experience working in substance abuse. I welcome men, women and teens who are looking to begin therapy to learn ways to identify stressors, learn new ways to cope with and change negative beliefs.
Hi. I work with families, couples and teens who have anxiety, depression, stress and conflict. If you want help to improve your sleep, reduce your stress and learn ways to manage conflict I can help. I work from a Trauma informed perspective to treat your concerns. I have several years of experience working with families, and have experience working in substance abuse. I welcome men, women and teens who are looking to begin therapy to learn ways to identify stressors, learn new ways to cope with and change negative beliefs.
![Photo of Natasha Buhrman Kleier, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8bb018d8-5869-4b7b-9d70-6a37b0181088/1/320x400.jpeg)
Natasha Buhrman Kleier
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tucson, AZ 85704 (Online Only)
I am a licensed clinical social worker in Arizona with over 18 years of experience working as a mental health therapist. I have worked with children, adolescents, and adults with a wide range of concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, ADHD, grief/bereavement, and life challenges. I believe that the therapist and individual take the journey together in order to achieve a successful outcome. I will tailor our dialog and treatment plan to meet your unique and specific needs. Book with me now by clicking on my website
I am a licensed clinical social worker in Arizona with over 18 years of experience working as a mental health therapist. I have worked with children, adolescents, and adults with a wide range of concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, ADHD, grief/bereavement, and life challenges. I believe that the therapist and individual take the journey together in order to achieve a successful outcome. I will tailor our dialog and treatment plan to meet your unique and specific needs. Book with me now by clicking on my website
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![Photo of Brandon T. Hawkins, LCSW, BHP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/86f6903b-9bff-49c1-9276-a3c73f2d5b56/2/320x400.jpeg)
Brandon T. Hawkins
Clinical Social Work/Therapist, LCSW, BHP
Verified Verified
Tucson, AZ 85710 (Online Only)
Life presents numerous challenges; at Desert Horizons Therapy, I specialize in comprehensive support, focusing on trauma. My EMDR training guides individuals through difficulties like depression, anxiety, anger, grief, stress, autism, family and couple issues, self-growth, self-esteem, substance abuse, sleep problems, postpartum anxiety, depression, personality disorders, and psychosis. My inclusive approach extends to families, couples, adults, and children. We also have an associate-level female clinician on staff if you prefer a female provider!
Life presents numerous challenges; at Desert Horizons Therapy, I specialize in comprehensive support, focusing on trauma. My EMDR training guides individuals through difficulties like depression, anxiety, anger, grief, stress, autism, family and couple issues, self-growth, self-esteem, substance abuse, sleep problems, postpartum anxiety, depression, personality disorders, and psychosis. My inclusive approach extends to families, couples, adults, and children. We also have an associate-level female clinician on staff if you prefer a female provider!
![Photo of Melissa Drinkman - Pathways To Connection, LLC, DBH, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a9bfeba9-8cc8-4487-8e2e-47119d2db3a1/1/320x400.jpeg)
Pathways To Connection, LLC
Clinical Social Work/Therapist, DBH, LCSW
Verified Verified
10 Endorsed
Tucson, AZ 85712
As a tele-health practitioner, I believe compassion is a powerful force in meeting life’s challenges. Regardless of our position and circumstances, we all have experiences that are challenging, stressful and unfulfilling; often requiring extra support. Whether you are working through mental health issues, having a tough time working through trauma, experiencing relationship dysfunction, or any other stressful situations, I’m here to help you work through it. My core therapeutic values and approach provide guidance for myself and clients as we work together toward peaceful resolutions to some of life’s most challenging obstacles.
As a tele-health practitioner, I believe compassion is a powerful force in meeting life’s challenges. Regardless of our position and circumstances, we all have experiences that are challenging, stressful and unfulfilling; often requiring extra support. Whether you are working through mental health issues, having a tough time working through trauma, experiencing relationship dysfunction, or any other stressful situations, I’m here to help you work through it. My core therapeutic values and approach provide guidance for myself and clients as we work together toward peaceful resolutions to some of life’s most challenging obstacles.
![Photo of Katina M Walker, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4d75b108-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Katina M Walker
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Tucson, AZ 85701 (Online Only)
I work with individuals experiencing anxiety and those navigating their fertility journey, including infertility, prenatal and postpartum experiences, as well as healing from trauma and PTSD. These journeys can often be emotionally messy and complex, with their own unique moments of joy and grief. Our work together will focus on understanding where you currently are in your journey, where you are headed, and the bumps that happen along the way.
I work with individuals experiencing anxiety and those navigating their fertility journey, including infertility, prenatal and postpartum experiences, as well as healing from trauma and PTSD. These journeys can often be emotionally messy and complex, with their own unique moments of joy and grief. Our work together will focus on understanding where you currently are in your journey, where you are headed, and the bumps that happen along the way.
![Photo of Dwayne Kruse -Attainable Family Solutions Llc, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/7753f605-9084-4db7-81b2-fb4f52b22f12/2/320x400.jpeg)
Dwayne Kruse -Attainable Family Solutions Llc
Marriage & Family Therapist, LMFT
Verified Verified
Tucson, AZ 85710
Now Hiring for interns! - Licensed Marriage and Family Therapy and Master Certified Life Coaching available for Individual, Couple, Child, and Family Counseling. I offer real solutions for Communication, Anger, Depression, ADHD, Anxiety, PTSD. When we stress our reactivity leads to regressive and unhealthy coping behaviors. The mental health field often uses diagnoses to label behavior. You are not your diagnosis. We provide counseling around attachment, communication and various coping skills. Our therapeutic process includes removing or reducing stress and establishing a healthy, constructive coping strategy.
Now Hiring for interns! - Licensed Marriage and Family Therapy and Master Certified Life Coaching available for Individual, Couple, Child, and Family Counseling. I offer real solutions for Communication, Anger, Depression, ADHD, Anxiety, PTSD. When we stress our reactivity leads to regressive and unhealthy coping behaviors. The mental health field often uses diagnoses to label behavior. You are not your diagnosis. We provide counseling around attachment, communication and various coping skills. Our therapeutic process includes removing or reducing stress and establishing a healthy, constructive coping strategy.
![Photo of Jennifer Rollins, MC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e5f92f98-bf74-429e-b4cb-a64a8aaa7d17/2/320x400.jpeg)
Jennifer Rollins
Licensed Professional Counselor, MC, LPC
Verified Verified
3 Endorsed
Tucson, AZ 85716
Not accepting new clients
Additional training includes play therapy, sand tray therapy, sexual assault, adoption, Birth-to-5, parent-child relationship and EMDR.
When children and young adults struggle their loved ones struggle too. That is why I work with children, adolescents, young adults and their families to help promote strong relationships and foster healthy individuals. When working with small children I specialize in using play therapy and providing a safe, confidential and calming environment. When working with young adults there is always a need to help dalth with past traumas while working to promote the skills to transition to a health adulthood. I offer a variety of services, including therapy, consultation, and assessment in a relaxed and comfortable setting.
Additional training includes play therapy, sand tray therapy, sexual assault, adoption, Birth-to-5, parent-child relationship and EMDR.
When children and young adults struggle their loved ones struggle too. That is why I work with children, adolescents, young adults and their families to help promote strong relationships and foster healthy individuals. When working with small children I specialize in using play therapy and providing a safe, confidential and calming environment. When working with young adults there is always a need to help dalth with past traumas while working to promote the skills to transition to a health adulthood. I offer a variety of services, including therapy, consultation, and assessment in a relaxed and comfortable setting.
![Photo of Karen M Rieter-Barrett, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/463294cc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Karen M Rieter-Barrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85712
Not accepting new clients
My specialties include : life transitions, self esteem, parenting issues, disabilities, learning disabilities, depression, mood disorders, anxiety, adhd, high functioning autism, adoption Issues, support for adoptive parents, foster parents and grandparents raising children, coping skills and social skills.
I am passionate about supporting individuals and families to feel empowered, fulfilled and happy. I have always told my kids that everyone has their own journey. I am from a large family that includes many various personalities, abilities and disabilities. We all have strengths and challenges. All of us need help at certain points along the way. There were a few key people who made a difference for me in my life and inspired me to do this work. I feel that my personal experience along with my professional training have allowed me to have unique insights in my practice.
My specialties include : life transitions, self esteem, parenting issues, disabilities, learning disabilities, depression, mood disorders, anxiety, adhd, high functioning autism, adoption Issues, support for adoptive parents, foster parents and grandparents raising children, coping skills and social skills.
I am passionate about supporting individuals and families to feel empowered, fulfilled and happy. I have always told my kids that everyone has their own journey. I am from a large family that includes many various personalities, abilities and disabilities. We all have strengths and challenges. All of us need help at certain points along the way. There were a few key people who made a difference for me in my life and inspired me to do this work. I feel that my personal experience along with my professional training have allowed me to have unique insights in my practice.
![Photo of Katie Meyerowitz, MA, LPC, RPT, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/7d09f814-d7e7-49e8-8106-0595b3ef9ebf/3/320x400.jpeg)
Katie Meyerowitz
Licensed Professional Counselor, MA, LPC, RPT, NCC
Verified Verified
5 Endorsed
Tucson, AZ 85719
Not accepting new clients
Let me start off by saying, I am so glad you are here. I am delighted by the possibility of providing services to your child and family. Seeking support is a major step that takes courage and insight. I strive to create a space where clients feel seen, heard, and understood. Whether your child is struggling with big behaviors and emotions or having a difficult time navigating major life changes, I am here to help. I work primarily with children, adolescents, and families to address concerns such as trauma, anxiety, depression, attachment, self-esteem, neurodiversity, and emotional regulation.
Let me start off by saying, I am so glad you are here. I am delighted by the possibility of providing services to your child and family. Seeking support is a major step that takes courage and insight. I strive to create a space where clients feel seen, heard, and understood. Whether your child is struggling with big behaviors and emotions or having a difficult time navigating major life changes, I am here to help. I work primarily with children, adolescents, and families to address concerns such as trauma, anxiety, depression, attachment, self-esteem, neurodiversity, and emotional regulation.
![Photo of Lisa Gollenberg, LPC, RPT™, Licensed Professional Counselor](https://photos.psychologytoday.com/6912212b-8dfd-403f-83ec-0cb40935c5d0/2/320x400.jpeg)
Lisa Gollenberg
Licensed Professional Counselor, LPC, RPT™
Verified Verified
3 Endorsed
Tucson, AZ 85719
Not accepting new clients
Hi there! My passion is helping children grow and flourish, whether that means helping them cope with big emotions, feel more connected in their families and social communities, heal from trauma, build confidence and self-esteem, or learn some practical skills for daily life. I believe in the power of relationship and helping a child feel seen, understood, and affirmed in the face of whatever life difficulties they are working through. My approach is playful, strengths-based, compassionate, creative, flexible, and affirming of diversity of all kinds.
Hi there! My passion is helping children grow and flourish, whether that means helping them cope with big emotions, feel more connected in their families and social communities, heal from trauma, build confidence and self-esteem, or learn some practical skills for daily life. I believe in the power of relationship and helping a child feel seen, understood, and affirmed in the face of whatever life difficulties they are working through. My approach is playful, strengths-based, compassionate, creative, flexible, and affirming of diversity of all kinds.
![Photo of Katie Brazaitis, PhD, Psychologist](https://photos.psychologytoday.com/c68edde3-e589-4adf-9835-d44a260817d0/2/320x400.jpeg)
Katie Brazaitis
Psychologist, PhD
Verified Verified
1 Endorsed
Tucson, AZ 85716
Not accepting new clients
Welcome! My approach to therapy is rooted in the concept of validation and change. I believe in the role of compassionate understanding of our histories and ourselves to make sense of why we do what we do. When this understanding is coupled with a commitment to growing and healing (a commitment I will help you sustain when the going gets tough!), we are able to make desired changes, and in turn, transform from just getting by to thriving. I work with adults in areas of trauma/PTSD, depression, anxiety, relationship difficulties, personality disorders, suicidal ideations, and other concerns.
Welcome! My approach to therapy is rooted in the concept of validation and change. I believe in the role of compassionate understanding of our histories and ourselves to make sense of why we do what we do. When this understanding is coupled with a commitment to growing and healing (a commitment I will help you sustain when the going gets tough!), we are able to make desired changes, and in turn, transform from just getting by to thriving. I work with adults in areas of trauma/PTSD, depression, anxiety, relationship difficulties, personality disorders, suicidal ideations, and other concerns.