My approach to couples work is primarily influenced by Psychobiological Approach to Couple Therapy (PACT), which draws upon the body, neuroscience, attachment theory, family systems, mindfulness, psychoanalytic/psychodynamic, and social justice.
Yes, we will talk about your development, childhood, and family-of-origin but don't worry, I am not going to have you lie on a couch. In psychodynamic therapy we will focus on recognizing, acknowledging, understanding, expressing, and overcoming negative and contradictory feelings and repressed emotions in order to improve the patient’s interpersonal experiences and relationships. But, this is just one of the tools on my tool belt.
CBT is a type of psychotherapy that teaches individuals different ways of thinking, behaving, and reacting to unhelpful and maladaptive thoughts. Cognitive restructuring helps the individual learn how to identify, challenge, and neutralize unhelpful/maladaptive thoughts. Behavioral activation helps the individual learn to overcome obstacles to participating in enjoyable activities.
My therapeutic style is eclectic (integrative) in nature, incorporating psychodynamic, interpersonal, narrative, somatic, cognitive-behavioral, and mindfulness-based techniques. I find it limiting to just work from one theory and I tailor my approach to each individual client to achieve the best results.
Yes, at some point I will probably talk about mindfulness-based practices with you and even ask you to do a "homework" assignment that involves yoga, listening to a meditation app, or practicing staying in the present moment. If you are avidly against any of this, I will totally respect that. Current research supports the use of mindfulness for the treatment of depression, anxiety. etc. Focusing on the here and now helps individuals become aware of their negative thoughts, acknowledge them without judgment, and realize that these thoughts are not accurate reflections of reality.
Behavioral: Excessive porn use Frequent masturbation Making explicit or obscene phone calls to others Extramarital affairs Regular use of escorts or prostitutes Frequent attendance to strip clubs Engaging in cybersex or phone sex Purchasing and hiding sexually explicit content from family and friends Displaying sexually offensive behaviors to others / engaging in sexual harassment Partaking in risky sexual behaviors Having anonymous sex with others Cognitive: Preoccupation with thoughts that are sexual in nature Obsession with sexual activity Inept decision-making Poor impulse control Euphoria when anticipating or engaging in sexual activity Psychosocial: Feelings of guilt or shame following sexual encounters Depressed mood Mood swings
Low sexual desire Infidelity Mismatched desires and needs within a couple Physical sexual pain Emotional sexual pain Erectile dysfunction Delayed or impaired orgasm or ejaculation concerns Lesbian, gay, bisexual, transgender, gender queer, intersex, and asexual health or curiosity Sexual trauma Embarrassment and anxiety in regards to sexual situations Concerns over what is “normal”
Difficulty communicating Mismatched sexual desire Interest in alternative sexual lifestyles, including BDSM/kink/poly/non-monogamy/furries