Honest answers to the questions people actually have.

A useful test: is something taking up more of your mental life than you would like, and have your own efforts stopped moving it? If yes, therapy is likely to help, regardless of whether the difficulty sounds “serious enough”. You do not need a diagnosis to qualify, and you do not need to be in crisis.

A less useful test, which people apply constantly: comparing yourself to someone worse off. That comparison is true of nearly everyone alive and has never made anybody feel better.

Fifty minutes, mostly you talking. I will ask what brought you now, what has already been tried, what an ordinary week looks like, and what “better” would mean concretely. Towards the end we will sketch a plan. You do not need to prepare anything, and nobody is committed to anything afterwards. Full detail here →

Fit. It is a short conversation to hear what is going on, tell you honestly whether this is something I work with, and answer your questions about fees, format and approach. It is not a mini-session, and there is no pressure at the end of it. If I am not the right person, I will say so and help you find someone better placed.

Yes. Couples work is a substantial part of my practice, and individual patients sometimes bring a partner for a session or two where it would be useful. Couples sessions run slightly longer, and we agree in advance what is and is not shared between you.

Focused work on a specific difficulty — a particular anxiety, a decision, a defined period of grief — often runs eight to sixteen sessions. Longer-standing patterns, complex trauma or work that touches many areas of life takes longer, sometimes considerably.

What I can promise is that we will talk about it openly rather than letting therapy drift indefinitely, and that you will always be able to answer the question “what are we working on?”

It happens, particularly around weeks three to six, and it usually means you have started looking directly at something you had been carefully not looking at. That is uncomfortable and it is not a sign the work is going badly.

Tell me if it happens. We can slow down, change the focus, or build more stability first. What we will not do is pretend it is not happening.

Then we find out why rather than continuing on hope. Sometimes the fit is wrong. Sometimes the approach is wrong — a person who needs trauma-focused work will not get far with pure problem-solving. Sometimes something medical is in the way: a thyroid problem, untreated sleep apnoea, a medication that needs review.

Reviewing progress honestly is part of the job. If I am not helping, I would rather say so and refer you on than take your money indefinitely.

Not homework in a school sense, but yes — therapy that lives only inside the consulting hour works far more slowly. It might be noticing something, trying a small behavioural experiment, keeping a brief record, or having a conversation you have been postponing. We agree it together, and if you do not do it, that is information rather than a failing. There is a log for it here →

For most common concerns the research shows comparable outcomes. Some people find it easier to be honest from their own sofa; others find the room itself does something a screen cannot. Many of my patients mix the two according to the week. Telehealth is available anywhere in Florida.

Current fees and insurance arrangements are confirmed on the free introductory call and set out in writing before your first appointment. Please do ask — it is a completely normal question and one of the things that call is for.

If your plan is not accepted directly, a detailed receipt can be provided for out-of-network reimbursement where your policy allows it. If you are uninsured or not using insurance, you will automatically receive a Good Faith Estimate under the federal No Surprises Act.

Twenty-four hours’ notice, please, so the slot can go to someone else. Illness, emergencies and genuine life events are handled reasonably — tell me as early as you can and we will sort it out.

Some evening slots are available, and weekends by arrangement. Availability changes, so please ask when you get in touch rather than assuming either way.

In Hollywood, Florida. The full address and directions are provided when your appointment is confirmed. Telehealth is available throughout the state, which many people use for some or all of their sessions.

Nobody, without your written permission. I will not confirm to a caller that you are a patient. The exceptions are narrow and required by law — immediate danger to you or someone else, suspected abuse of a child or vulnerable adult, or a court order. They are set out in full here →

Therapy records are held by the practice, not added to your general medical file, and are not shared with employers. If you use insurance, your insurer receives the minimum information required to process a claim, which typically includes dates of service and a diagnostic code. If that concerns you, say so before we start — it is a reasonable thing to weigh up, and paying privately is an option.

No. The tools, games and worksheets run entirely inside your browser. Anything you choose to save is written to your own device’s local storage and never transmitted anywhere — not to this website, not to me, not to any third party. Clearing your browser data deletes it. Full privacy details →