Adam Tompkins

Depression is not just low mood. It is often anger turned inward, grief unspoken, or a life lived out of alignment. Together we look beneath the numbness at the losses, suppressed needs, and self-betrayals that keep it in place. We address trauma, challenge distorted narratives, and build structure that restores agency. The work is honest and steady. Not shaming. Not rushed. The goal is reconnection to meaning, vitality, and your own voice.

Anxiety is a nervous system on guard for reasons that once made sense. We calm the body while also exploring the roots: trauma, control strategies, perfectionism, and unexamined fears. Avoidance keeps anxiety alive. We move toward what feels threatening in measured, supported ways. You will learn regulation skills, but we will also confront the deeper truths anxiety protects. The aim is grounded confidence, not just symptom relief.

Addiction is rarely about the substance alone. It is about pain management, attachment wounds, shame, and escape. We examine the function the behavior serves without minimizing consequences. That includes trauma, loneliness, and the shadow parts that feel unacceptable. Recovery here means accountability paired with compassion. We build distress tolerance, relational honesty, and a life that no longer requires numbing to survive.

Psychodynamic work looks beneath the surface at the unconscious patterns shaping your thoughts, emotions, and relationships. We explore early experiences, internalized beliefs, defense mechanisms, and the parts of you that operate outside awareness. The goal is insight that leads to freedom. By making the implicit explicit, you gain choice instead of reenacting old dynamics. This is deeper work that addresses root causes, not just symptoms.

Attachment theory helps us understand why we pursue, withdraw, over-function, or shut down in relationships. Our early bonds shape how we experience safety, conflict, and intimacy. In therapy, we identify your attachment patterns and how they show up in adult relationships. We work to create earned secure attachment by building emotional regulation, clear communication, and the capacity to stay present without abandoning yourself or others.

Addiction is not theory to me. I understand it personally and clinically. I know the pull, the rationalizations, the shame, and the split between who you are and who you’re becoming. My approach is direct and accountable, but never self-righteous. We look at trauma, attachment wounds, and the function the addiction serves. I help you build structure, truth-telling, and internal integrity so sobriety isn’t just abstinence, but transformation.