How We Work

Our Approach

Our work is goal oriented and collaborative: we ask what you want to address and whether the session helps with that concern. We draw on clinical approaches in service of what works, what helps, and what makes sense.

A winding garden path beneath oak trees in golden light

Who This Is For

Teens, adults, couples and families can ask how a method relates to their concern. Panic and recurring arguments may call for different methods. If an exercise misses the point, we want to hear that and understand why.

Individual goals
Couple and family concerns
Questions about methods

Focus of Care

What We Work On

Naming a Goal
A concern you want the session to address together.
Understanding a Pattern
A specific thought, feeling or interaction that needs attention.
Trying a Response
A skill connected to the concern you have described.
Reviewing the Work
Your feedback on what felt useful or missed the point.

How We Work

Your clinician considers your concern, goals and feedback. We explain how an approach relates to your situation and welcome questions.

CBT examines links between thoughts, feelings and behavior.
EFT explores emotions and patterns of connection in relationships.
The Gottman Method addresses couple communication and conflict.
ERP practices approaching fear without the usual avoidance or reassurance response.
Mindfulness-based work attends to present thoughts, emotions and sensations.
Existential therapy explores meaning, choice and responsibility.
Solution-focused work identifies goals and responses you can try.
MI explores ambivalence and your reasons for change.
PIER connects early psychosis identification, family education and referral.

What Can Shift

Feedback Informed Treatment means we regularly ask how therapy is going and adjust the work. An unclear exercise or a concern that now matters more is worth discussing. Your feedback helps us keep sessions connected to what you need.

What Sessions Look Like

In a 50-minute appointment, we may revisit your goal, examine a recent situation and ask what you want to try next. Sessions take place in San Diego or by telehealth anywhere in California.

What you notice between appointments helps us decide together whether the priorities or methods need to change.

Fees in Brief

Individual, couples and family sessions are 50 minutes. We are in network with many plans and provide superbills for out-of-network benefits. Contact us for rates.

Insurance and Fees

Frequently Asked Questions

Must I Choose a Model Before Starting?

No. Your concern is the starting point, and your clinician explains a proposed approach and why it may fit.

What if an Exercise Does Not Help?

We want to know what happened. Feedback Informed Treatment includes adjusting the work in response to your experience of an exercise.

Do All Clinicians Use Every Approach?

No, we draw on these methods as a practice. Your clinician can explain which approaches they use for the concern you want to address.

Methods in Plain Language

Explore Our Approaches

Related Support

You May Also Want to Explore

These service pages show how the methods above connect to different concerns. Individual sessions might examine thoughts around panic, couples work can focus on communication, and psychosis-focused care includes assessment questions and family education. We can explain how a proposed method fits the conversation you want to have, so its purpose matters more than its name.