Culture

Therapy that doesn't ask you to mask, perform, or hold still.

This is a neurodivergent-affirming, relational practice. Sessions are designed to meet sensory, attentional, and emotional needs, not to override them.

A quiet therapy space at golden hour: a cream linen armchair with a maroon knit throw and pillow, beige headphones resting on the seat, a small side table holding a rainbow pop-it fidget board and two fidget spinners next to a notecard reading 'movement is welcome here'. A wall print above the bookshelf reads 'you do not have to do it all the same way'.
A therapeutic space where your nervous system gets to exhale.

How the room is held

A warm space with active clinical feedback.

The culture of this practice is collaborative, direct, and deeply human. Sessions are not passive listening only. There is room for emotional spaciousness, silence, and nonlinear process, and there is also room for clear reflection, clinical naming, pattern recognition, and active feedback when that supports the work.

I welcome feedback from clients about what is landing, what is not, what feels too fast, what feels too vague, and what kind of support helps you stay connected to yourself. The goal is not performance. The goal is a therapeutic relationship sturdy enough to hold honesty in both directions.

This is a small, relational practice, not a high-volume, rapid-response one. I take in roughly one to two new clients per quarter, on purpose, so the work stays depth-oriented and the caseload stays small enough to actually hold.

I do not structure the practice around urgency, and I do not ask clients to either. The email response system is tiered: standard messages in 3–5 business days, action-required in 2–3, urgent in 1–2. Different things deserve different timeframes. The assumption that everything must be immediately responsive is part of what wears people down in the first place.

An accommodation request from me to you:

Scheduling Note: To accommodate the fluid nature of therapy, please allow for a 5-minute delay at the start of our sessions and up to 10 minutes of buffer space afterward. This ensures we don't overlap with other commitments if a session needs a few extra moments to wrap up naturally.

What "neurodivergent-affirming" means here

It means the small adjustments people often have to ask for, and sometimes mask through, are built in from the start. You don't have to perform a particular kind of attention to be in this work.

  • Stim freely. Rock, sway, tap, or move as you need to.
  • Doodle, knit, or fidget. Many clients regulate better with something in their hands.
  • Pace at your own speed. Slower, faster, with pauses. Whatever supports the work.
  • Reduce or skip eye contact. Look at the floor, the wall, your notes, or close your eyes.
  • Take breaks. Pause, mute, step away, return when you're ready.
  • Audio-only sessions available. No camera, no performance. Just the conversation.
  • Lights, surroundings, captions. Adjust your environment to whatever helps you stay present.
A still life on soft linen: a small sage fidget cube, a smooth river stone, a wooden bowl, a ball of maroon yarn with bamboo knitting needles, and a maroon knit throw

Audio-only telehealth

For sensory reasons, low-bandwidth days, or moments when being on camera is genuinely too much, audio-only sessions are available on request. The clinical work doesn't suffer. Often, something harder to say in a face-to-face session gets said when the camera is off.

Warm beige over-ear headphones resting on a folded maroon knit throw beside a closed laptop and a steaming mug

Multi-generational care

This practice works with adults across the full adult lifespan. That includes:

  • Older adults navigating late-life transitions, grief, retirement, or identity in later seasons.
  • Gen X & Millennials in the middle decades: career inflection, caregiving load, relationship change, identity work.
  • Gen Z adults establishing footing in early adulthood: emerging identity, vocational direction, relational patterns, anxiety.

Cross-generational care isn't a marketing line here. It's the actual mix of the practice. Different generations carry different language, different reference points, and different relationships to therapy. The work adjusts.

Three journals stacked in different stages of wear: an oxblood maroon leather-bound volume on top, a cream linen journal with a burgundy ribbon bookmark, and a nearly new cream journal with an olive sprig tucked between the pages, with a pair of reading glasses resting on top

Asking for what you need

You're welcome to name accommodations in the consultation call, in our first session, or any time after. There is no exhaustive list you need to come in knowing. The goal is to build the room together.

An open notebook with soft handwritten lines, a fountain pen resting on the page, a small olive sprig and a porcelain cup, with two folded maroon linen napkins laid side by side as if in conversation
Need a specific accommodation we haven't named?

Email the practice ahead of time. If it's something we can build into how sessions run, we will.

Formats & contact

How sessions can actually meet you.

Video is the default, but it isn't the only door. If your nervous system is steadier on the phone, or you need to lie down with the lights off and just talk. Those are real options here.

Default

Video sessions

Secure Google Meet, camera-on by default but never required. Most clients land here.

On request

Audio-only video sessions

Same platform, camera off. Useful when seeing yourself on screen is its own kind of overwhelm.

On request

Full telephone sessions

A real phone call. No app, no screen, no link to click. For clients who do their best thinking with eyes closed, walking slowly, or simply away from a device.

Check-in phone call

$20 / up to 25 mins check-in phone call. A brief, focused call for established clients facing something time-sensitive between sessions. Availability is not guaranteed and this is not a crisis service. For crises, use 988, Crisis Text Line, 911, or the nearest emergency department.

Non-urgent administrative response

  • Standard email: 3–5 business days.
  • ACTION REQUIRED in subject line: 2–3 business days.
  • URGENT in subject line, CC EA (admin@privatepractice.icu): 1–2 business days.

Email is not an emergency channel. For crises, call or text 988, text HOME to 741741, call 911, or go to the nearest emergency department. NAMI HelpLine: 1-800-950-6264 for non-emergency support and information.

A practice that fits how your nervous system actually works.

The consultation is itself low-pressure. A 20-minute phone call, no video required.

Book a consultation