Therapy for the things that often get layered together and don't fit a single label.
Anxiety isn't one thing. Generalized anxiety, social anxiety, panic, and OCD can look similar from the outside but respond to pretty different approaches. I trained at the OCD and Anxiety Treatment Center and use ERP (Exposure and Response Prevention), CBT, and ACT depending on what fits the person in front of me.
For OCD specifically, ERP is the most effective treatment we have, but how it's delivered matters a lot. If you've tried exposure work before and it felt more like punishment than therapy, that's a signal something was off about the way it was done, not about you. Done well, it can feel collaborative and even hopeful.
When anxiety shows up alongside autism or demand sensitivity, things get more nuanced. The standard playbook needs some adjusting, and I'm comfortable making those adjustments with you.
If your child seems to refuse even small everyday requests in ways that don't make sense, and reward charts, consequences, and gentle parenting scripts have all left you more exhausted than when you started, you may be looking at demand sensitivity, sometimes called Pathological Demand Avoidance (PDA). The reason the usual tools haven't worked isn't because your child is being difficult on purpose. It's because those tools target behavior, and what's actually driving the avoidance is a nervous system that reads demands as threat.
I co-developed the RELATE framework with Rachelle Manco, LCSW. It's a structured way of working with PDA that focuses on the nervous system instead of the behavior. I work with parents who want to shift the dynamic at home, and with demand sensitive teens and adults directly.
More at relatepda.com
Therapy can feel like it's missing the mark when the model wasn't built with autistic brains in mind. A lot of approaches assume things like a certain pace of processing, a certain comfort with eye contact and small talk, a certain tolerance for sensory input. When those assumptions don't fit, sessions can feel exhausting or beside the point.
I work with autistic teens and adults on the things that actually come up day to day: managing sensory overwhelm, navigating relationships in a way that fits your nervous system, working through the anxiety or low mood that often shows up alongside autism, and making sense of your own profile so you can stop blaming yourself for things that were never character flaws.
I also work with parents of autistic kids and teens who want a therapist who gets the bigger picture, not someone whose main goal is making your child easier to manage.
ADHD isn't really about attention. It's more about how your neurodivergent brain manages time, motivation, follow-through, transitions, and the dozen invisible steps between knowing what to do and actually doing it. When that system isn't working the way other people's seems to, life starts to feel like you're working twice as hard for half the result, and the shame piles up fast.
I work with neurodivergent teens and adults on the everyday stuff that ADHD makes harder: getting started, staying with something, managing the emotional pieces (the rejection sensitivity, the time blindness, the cycle of overwhelm and avoidance), and figuring out which strategies actually fit your brain instead of fighting it. ADHD also overlaps a lot with autism, anxiety, OCD, and substance use, so we look at the whole picture rather than treating ADHD as if it lives by itself.
This isn't about productivity hacks or trying harder. It's about understanding how your particular brain works and building a life that fits it.
Depression, trauma, substance use, self-harm, ADHD layered on top of everything else. These usually don't show up alone, and treating one piece while ignoring the rest is often why progress stalls. Because I've worked across outpatient, inpatient, PHP/IOP, and residential settings, I'm comfortable holding the whole picture instead of pretending one diagnosis is the whole story.
The approach depends on what you actually need. I draw from CBT, DBT, IFS, EFT, Motivational Interviewing, Brainspotting (Level II certified), ERP, and ACT, and we figure out together what fits.