Joshua Koch (he/him)

My approach to family therapy is grounded in Bowen Family Systems Theory, which explores how family dynamics and intergenerational patterns influence our relationships and emotional well-being. I help families identify recurring patterns, improve communication, manage emotional reactivity, and establish healthier boundaries. My focus is on helping each family member develop a stronger sense of self while maintaining meaningful connections and navigating challenges together.

I help individuals and couples navigate relationship challenges by exploring how family dynamics, past experiences, and learned patterns influence their connections with others. Using Bowen Family Systems Theory, we'll work on improving communication, managing emotional reactivity, establishing healthy boundaries, and breaking recurring conflict patterns. My goal is to help you build meaningful relationships while maintaining your individuality and sense of self.

Anxiety often stems from more than what's happening in the present. Using Bowen Family Systems Theory, I help clients explore how family dynamics, relationship patterns, and learned expectations contribute to anxiety. Together, we'll identify patterns such as overthinking, difficulty setting boundaries, fear of disappointing others, and taking responsibility for things outside your control. My approach focuses on strengthening your sense of self, managing emotional reactivity, and developing the

I help clients build self-esteem by exploring how family dynamics, past experiences, and relationship patterns shape their sense of self-worth. Using Bowen Family Systems Theory, we'll identify patterns of self-doubt, approval-seeking, and prioritizing others' needs. My approach focuses on strengthening your sense of identity, developing confidence in your decisions, and learning to value yourself without relying on external validation.

I incorporate narrative therapy techniques to help clients explore the stories they've developed about themselves through family experiences, relationships, and societal expectations. Together, we'll identify limiting beliefs, challenge narratives that no longer serve you, and explore alternative perspectives. My goal is to help you separate your identity from your struggles and develop a more authentic sense of self aligned with your values.

I incorporate Internal Family Systems (IFS) techniques to help clients explore the different parts of themselves that influence their emotions, beliefs, and behaviors. Together, we'll identify protective patterns, understand the needs behind internal conflicts, and develop greater self-compassion. My approach focuses on reducing self-criticism, strengthening self-awareness, and helping you respond to life's challenges with greater confidence and intention.