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The Work

A Specialized, Active Approach

Understanding why you do something is a start. Treatment focuses on what keeps it happening, and on practicing something different.

A woman in light clothing walking down a long arched corridor toward warm evening light.

Maintaining Factors

What Keeps a Problem in Place

Compulsions

The checking, rituals, and mental reviewing that bring brief relief and keep the cycle going.

Avoidance

Steering around places, people, feelings, or conversations, so the fear never gets tested.

Reassurance

Asking, searching, confessing. Each answer helps for a moment and makes the next doubt louder.

The Body's Alarm

A nervous system that still reacts as if danger is present, even when you know it isn't.

Unspoken Patterns

The cycles between partners that repeat because no one has found a way to name them.

Matching Treatment

How Treatment Is Chosen

No single modality fits everything. The method follows the problem.

  • ERPFor OCD and intrusive thoughts.
  • EMDRFor trauma and memories your body still carries.
  • Sex TherapyFor desire, pleasure, shame, and communication.
  • Couples WorkFor recurring cycles between partners.
  • Somatic WorkFor a nervous system that needs more than words.
  • Ketamine-Assisted PsychotherapyPreparation and integration for appropriate clients, with medical care provided separately.

What Sessions Feel Like

Direct and collaborative. Sometimes uncomfortable in a useful way, and never shaming. You take an active part, including between sessions.

Honest Fit

When Another Fit Is Better

This practice is openly affirming of LGBTQIA+, kink, ENM, and polyamorous clients.

This practice isn't the right match for everyone. Another option may serve you better if you are looking for:

  • Low-cost or insurance-only care
  • A one-session quick fix
  • A space to vent without engaging in active treatment
  • A higher level of care than outpatient specialty therapy can safely provide

In those cases, Andrea will help point you toward better-fit options.

Methods and Formats

How I Work

Exposure and Response Prevention (ERP)A plan for responding differently to OCD's demandsEMDR TherapyPreparation and memory work at a considered paceWhat Sex Therapy Is and Is NotThe conversation, without physical activityWhy Intensive TherapyWhat extended time makes possibleHow Telehealth Sessions WorkPrivacy, location, and practical details

Start with what keeps returning.

Start with a $100 consultation. The $100 is credited in full toward your first paid session or intensive.

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