Licensed professional counselor in Pittsburgh, PA. I work with children, adolescents, adults, and couples across seven clinical areas: child and teen therapy (DBT-A), infidelity and betrayal trauma, eating disorders and ARFID, gambling addiction, couples therapy, neurodivergence, and depth psychology. The common thread is patterns that do not resolve with standard approaches, where evidence-based treatment needs to meet the deeper question of why the pattern exists.
If you're here because something is wrong, you're in the right place.
DBT-A for adolescents struggling with intense emotions, self-harm, and crisis behaviors. Parent psychoeducation and family skills training.
Masking, burnout, sensory processing, and rejection sensitivity. RO-DBT for overcontrol, process-based therapy for individual pattern mapping, and depth work that takes neurodivergent experience seriously.
Specialized treatment for avoidant/restrictive food intake disorder. CBT-AR, sensory approaches, and family-based work.
Evidence-based treatment that takes gambling seriously as both a neurological condition and a psychological one. Understanding what gambling provides is the beginning of recovery.
EFT and depth-oriented couples work for relationships where the same fight keeps happening or one partner is changing in ways the relationship can't accommodate.
Affair recovery that goes beyond stabilization. Gottman and EFT protocols for the crisis, plus the deeper work of understanding what the affair revealed.
The transdiagnostic maintenance model predicts, with startling precision, what happens between a 7:05 AM resolution and a 7:05 PM binge. Willpower is the wrong tool because the mechanism is a closed loop, not a character defect.
Gambling debt feels insurmountable, but recovery is possible. Learn practical steps for financial inventory, debt repayment, credit counseling, and rebuilding.
Some teens deteriorate in summer due to lost structure, social isolation, and disrupted sleep. Learn how to maintain therapeutic gains without overscheduling.
Beginning in the late 1990s at Stanford, Christy Telch adapted Marsha Linehan's dialectical behavior therapy for patients whose binge eating was driven by affect dysregulation rather than by cognitive over-evaluation of shape and weight. The RCT lineage that followed, culminating in the Safer, Telch, and Chen treatment manual published by Guilford in 2009 and revised in 2017, established DBT-BED as the evidence-based intervention of choice for the affect-regulation presentation. This post traces what the protocol contains, how it differs from standard DBT, and when it is indicated over Christopher Fairburn's CBT-E.
In 1991, two social psychologists named the mechanism the affect-regulation bulimic patient has been using without a name for it. The binge narrows attention to the immediate sensory, shutting off the higher-order self-evaluation that has been running all day. The purge is what lets her go to bed.
Psychoeducation courses written for the people living with these conditions and their families. Evidence-based, clinician-written, no cost.
Clinician-designed tools to help you understand what you're dealing with. Free, private, no account required.
Screens for gambling-related harm across four domains: financial, emotional, relational, and behavioral. About 5 minutes.
Take the assessment → AssessmentMaps your psychological patterns, including stress responses, interpersonal style, and how you relate to control. About 15 minutes.
Take the assessment → Assessment48-item assessment of eight cognitive processes based on Dario Nardi's research. Best-fit personality type and archetypal function stack. About 5 minutes.
Take the CSI → Assessment SuiteAQ-10 quick screen (5 min), CAT-Q masking assessment (10 min), and RAADS-R comprehensive (20 min). Designed for adults, especially women and late-identified individuals.
See the assessments → AssessmentMeasures four dimensions of relational health: Calm, Accepted, Resonant, and Energized. About 5 minutes.
Take the assessment →