Jackie Prestoy (she/they)

I specialize in supporting clients who want to better understand and change their relationship with substances. My approach is harm-reduction informed and trauma-sensitive so that I can help you identify underlying triggers, process emotions, and build sustainable coping strategies. Whether you’re looking to explore patterns of use, reduce harm, or work toward abstinence, we’ll collaborate to create an approach that fits your goals and life.

Living with ADHD can feel like your brain is working against you- making it hard to focus, follow through, and manage daily life. In therapy, I help clients explore their unique cognitive style and emotions around ADHD, and we’ll work together to build practical strategies, self-compassion, and executive functioning skills. My approach is neurodiversity-affirming and collaborative, aimed at helping you feel more organized, empowered, and at ease.

I specialize in supporting clients who want to better understand and change their relationship with substances. My approach is harm-reduction informed and trauma-sensitive so that I can help you identify underlying triggers, process emotions, and build sustainable coping strategies. Whether you’re looking to explore patterns of use, reduce hard, or work towards abstinence, we’ll collaborate to create an approach that fits your goals and life.

My work with substance use is harm-reduction informed, client-centered, and nonjudgmental. Whether you want to cut back, change your relationship with substances, or work toward abstinence, I collaborate with you to set goals that fit your life and values.

I believe therapy should honor your full identity and lived experience. I work with LGBTQ+ and BIPOC clients navigating minority stress, stigma, and intergenerational trauma, using cultural humility and curiosity to create a space where all parts of you are welcome.

I specialize in trauma and complex PTSD, offering a safe, steady space to process painful experiences. My psychodynamic and relational approach helps clients uncover how trauma shapes emotions and relationships, while building resilience and self-trust.