Megan Goldberg (she/her)

You don't have to commit to abstinence to start this work. I use a harm reduction approach, which means we begin wherever you are: wanting to cut back, make more intentional choices, or understand why stopping has been harder than it should be. We look at what the substance or behavior has been doing for you, what needs it's meeting, and what would actually have to change for something else to fill that space.

Most relationship conflict isn't really about communication. It's about vulnerability. Whether you're stuck in the same arguments, navigating a major crossroads, rebuilding after infidelity, or trying to understand how ADHD is shaping your dynamic, the work is about understanding your patterns well enough to actually change them. I work with all relationship structures, including LGBTQ+ couples and ethically non-monogamous and polyamorous relationships.

ADHD in adults is rarely just about focus. It's about exhaustion, emotional intensity, and a lifetime of adapting to a world that wasn't built for your brain. I have ADHD myself, so you won't have to explain yourself from scratch. We'll work on practical strategies that fit how your brain actually works and go deeper into the emotional layer underneath, including the shame and self-doubt that build up over time.

AEDP works with emotion as the engine of change, not just something to manage or talk about. In sessions, this looks like slowing down and staying close to what's actually happening emotionally in real time, noticing what shifts when something lands, and working with that movement rather than around it. The goal is to help you access and process core emotional experiences that have been blocked or buried, and to build on those moments of change as they happen.

CBT shows up in my work as a practical tool, not a rigid framework. When unhelpful thought patterns are driving anxiety, avoidance, or self-criticism, we name them, examine them, and build more accurate ways of thinking. For ADHD clients especially, CBT helps with task initiation, time management, and the cognitive distortions that build up around underperforming. It works best alongside deeper exploration of where those patterns came from in the first place.

Psychodynamic therapy is the foundation of how I work. It starts from the premise that what drives us is often outside our awareness, shaped by early relationships, attachment patterns, and experiences we haven't fully processed. In sessions, this means paying attention to patterns, defenses, and what comes up between us, not just what you report from your week. The goal is insight that actually changes something, not just understanding that stays in your head.