Coming to someone new with problems that may be difficult to discuss is not easy.  My first priority in beginning to work with a new client is to create a safe, supportive, and accepting environment for us to begin our work together.  I like to work collaboratively with my clients and have them actively involved in identifying and prioritizing treatment goals. Most people come to me with more than one problem and the problems are often complicated.  So, the best approach often involves a blend of techniques, including some that may be created and tailored specifically for that individual.  As therapy progresses, I provide feedback and offer suggestions about ways to practice new skills and translate therapy insights into change. use evidence-based therapy approaches because they are often most effective and efficient.  Cognitive Behavioral Therapy (CBT) is a cornerstone of my treatment approach.  It is supported by strong research evidence and can be applied effectively to a broad range of needs.  It involves examining patterns of behavior and thought that cause and prolong problems, such as depression and anxiety.  In my work with individuals, I also use aspects of other therapies supported by research evidence, such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Mindfulness-Based Cognitive Therapy (MBCT), and Motivational Interviewing (MI).  These approaches teach skills for coping with challenging emotional states and interpersonal problems, living in the present, accepting the aspects of life that can’t be changed, working through ambivalence, clarifying values, and making day to day life a reflection of what is most important.  In my work with couples, I use Gottman Method Couples Therapy (GMCT) and Emotionally Focused Therapy (EFT) .  These approaches teach couples effective skills for managing conflict and increasing the safety, security and intimacy in their relationships.