Pamela Duff (she/her)

Anxiety is one of the most common reasons people seeks therapy. Anxiety can typically be managed by learning coping skills and uncovering unhelpful thought patterns.

I have specialized training in opioid and alcohol addiction. My treatment knowledge includes 12 Step Recovery, methadone maintenance (and other medication to manage cravings), and spiritual approaches to healing from addiction.

It can be difficult to seek help from someone that you feel doesn't understand your relationship structure. I have specialized training and an in depth understanding of concerns people face when adjusting to or maintaining consensual non-monogamy in their relationship(s).

I have specialized knowledge related to the issues people face while maintaining an established consensually non-monogamous relationship (or adjusting to a new one!). There will be no shock, confusion, or trying to talk you out of your decision.

Anxiety is a common mental health issue characterized by feelings of fear, worry, and unease. It can be triggered by various situations, and if left unmanaged, can significantly impact your daily life, relationships, and overall well-being. We will begin by teaching you tools to cope when anxiety shows up and then move into exploring the roots of these anxious thoughts and feelings so that they become less intense and more manageable.

Self-esteem is the belief and confidence you have in yourself and your abilities. It can be influenced by a variety of factors, including past experiences, relationships, and societal norms. A healthy level of self-esteem is important for overall well-being, as it can impact your mental health, relationships, and decision-making. We will work together to help you develop a positive self-image by unearthing negative beliefs about yourself and challenging your inner critic.

Codependency is a pattern of behavior where you prioritize the needs and feelings of others above your own. It can stem from a variety of factors, including childhood experiences and past relationships, and can manifest in various ways, such as people-pleasing, avoiding conflict, and taking on others' problems as your own. Codependency can lead to feelings of resentment and burnout that can be worked through by learning to set healthy boundaries.

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on the connection between a person's thoughts, feelings, and behaviors. CBT aims to help individuals identify and challenge negative patterns of thinking and behavior that contribute to mental health problems, such as anxiety and depression. The therapy is often short-term and goal-oriented, with an emphasis on practical strategies and techniques that can be used to improve daily functioning and overall well-being.

Existential Therapy focuses on exploring the human experience, including the search for meaning, purpose, and the challenges of existence. This approach helps individuals confront existential concerns and develop self-awareness, personal responsibility, and a greater sense of purpose in life.