When people ask what kind of patients I work with, I find it genuinely difficult to answer. I have specialized training in some of the harder edges of human experience — what often gets labeled personality disorders, addiction, trauma, and gender-affirming care — but the people I work with bring concerns that don't stay within, and aren't defined by, any single diagnosis.

Among my patients are:

people whose inner lives have made closeness feel dangerous or out of reach

those struggling with substance use

those with pasts marked by trauma

people navigating their gender and sexual identities

those carrying the moral weight of living in a time of ecological crisis

veterans integrating their service into civilian life

contemplatives seeking to integrate spiritual life with psychological depth

professionals at a crossroads — burnout, career transitions, or the sense that who they are becoming no longer fits the work they do

couples who love each other and can no longer find their way back

people facing the quieter but no less serious weight of life transitions, anxiety, depression, or a sense that life has drifted from what they had hoped it would be

Some of the concerns I work with include:

trauma / PTSD

anxiety

depression

self-esteem

personality disorders

creative blocks

separation anxiety

career difficulties

health problems

paranoia / psychosis

panic attacks

grief / loss

divorce / separation

spiritual crisis

anger dysregulation

gender dysphoria

sexuality

overall stress

chronic pain / fibromyalgia

bipolar disorder

quarter-life crisis

ADHD and learning difficulties

life transitions

trust / intimacy issues

family conflict

numbness / dissociation