Comprehensive Assessment: I begin with a comprehensive assessment that includes not only standard DSM diagnosis, but also consider specific brain-based subtypes of depression/anxiety; relational dynamics that inform choice of treatment; and hormones and other physical factors that may contribute to the symptoms. Beginning with a comprehensive understanding of the psychological, relational, and physiological factors ensures that treatment is focused on the right issues.
Early Treatment: Initially, I focus on examine the thoughts, relationships, and experiences that fuel the depressive and anxious symptoms, and identify more realistic evaluations and beliefs, often through psychoeducation. Depending on the person and specific nature of the concern, I may use a combination of solution-focused, narrative, collaborative, cognitive-behavioral, systemic, or existential therapies.
Later Treatment: Once a client's symptoms have improved, I work with them to prevent a return to depression and anxiety and maintain habits that support life-long psychological and relational wellness. This phase may involve similar therapy models in addition to mindfulness and other forms of stress management.