How I Help

Assessments

Addiction is characterized by much more than observable behavior, and an impulsive decision is not necessarily a compulsive one. Therefore, accurate assessments require a thorough and honest conversation. With a non-judgmental and compassionate approach, I use validated screening tools unique to your age and behavior. Together, we will identify patterns and triggers, high-risk behaviors to avoid, and “yellow flags” for an addiction. An assessment with me is a nonthreatening and valuable opportunity for you to gain important insight and serves as a form of prevention and early intervention for more severe disorders.   

Cognitive Behavioral Therapy (CBT)

CBT is a structured, short-term, present-oriented psychotherapy directed toward solving current problems and modifying inaccurate and/or unhelpful thinking and behavior. It is one of the most well-researched therapeutic techniques with evidence supporting its efficacy for multiple mental health issues, including anxiety, depression, and substance use disorders.

I trained in CBT as a graduate student at Fordham University and apply its core concepts across my practice. I also offer it as a stand-alone course of treatment for people looking for a time-bound, targeted approach. You do not need to come in with a specific goal in mind.

We will explore what’s important to you at this time and identify measurable steps, or objectives, towards achieving this. Abstinence may not be your goal right now, and that’s okay. There are tangible improvements to the quality and longevity of life with reduced substance use. Goals that matter to you (health, relationships, school, work) frequently override self-restraint (“white knuckling it”). Examples of measurable objectives that support various goals include reducing the quantity, potency, or frequency of substance use, stopping the use of some substances, and taking medications as prescribed. 

Ongoing psychotherapy

Underlying mental health issues often trigger the transition from “bad habits” to addiction. Compulsion to exist in an altered state means that baseline (sobriety) is a very uncomfortable space. Therefore, the concept of “recovery” can feel like a threat, and treatment can appear like a challenge to a longstanding coping mechanism. This is why psychotherapy is crucial to addiction treatment. During early recovery and the time following more intensive care (rehab, detox, etc.), the thoughts and feelings formerly numbed by a substance or behavior come to the surface. Ironically, despite things “looking better” on the outside, internal experiences can be dark and distressing until new coping mechanisms develop. This is where therapy with me can help.

You do not have to go through this alone. We will begin by building a strong therapeutic relationship based on trust and support. People in addiction often have a powerful internal critic, so criticism from others can often feel unbearable. I use open-ended questions, judicious self-disclosure, and knowledge of current addiction and mental health research to invoke a conversation in which you will (re)discover your voice, learn to tolerate strong emotions, and build on your existing strengths. You will be challenged, but you will also laugh. Therapy with me is not a punishment. 

Ketamine Assisted Psychotherapy (KAP)

I am a licensed KAP provider through Journey Clinical. Ketamine is an FDA-approved dissociative anesthetic drug, legal in all 50 states, and used in hospital settings for surgery and pain management since 1970. It is one of the most extensively studied psychedelic medicines. I offer KAP as an option for interested and eligible patients because it can provide an opportunity to shift from habitual thinking and gain a new perspective. This can be especially meaningful for people struggling with addiction. Furthermore, the process of KAP - intentional, supportive, transparent - can be a corrective experience for people used to experiencing shame and secrecy around their behaviors.    

Medication Management

All patients (over 18) working with me have access to psychiatric medication management with Journey Clinical. I collaborate with their medical team to design a personalized treatment plan. Information on Journey’s pricing and accepted insurances can be found here.

Consultations & Care Coordination

With your consent, I will coordinate care and facilitate effective communication with recovery coaches, psychiatrists, medical providers, employers, teachers, family members, and other important people or institutions in your life. I also offer thoughtful and engaging presentations on substance use and addiction for groups interested in learning more about this confusing illness. I do not charge for these because integrated care and advocacy are essential to my purpose.