Not at all. Many clients come in without one, just knowing something isn't working the way they want it to. We can explore whether ADHD fits as part of the work together.

No - I work with teens and adults, and many people first recognize their ADHD patterns as adults. Sessions are shaped around where you are now, not a childhood-focused program.

We'll definitely talk, but sessions also focus on building concrete systems and strategies you can actually put to use between sessions.

Yes. Medication and therapy often work well together, and therapy can address the day-to-day systems and habits that medication alone doesn't touch.

Anything that shifts how life feels day to day - a new job, a move, becoming a parent, an empty nest, retirement, a breakup, or a loss. If it's changed your footing, it's worth talking through.

It varies. Some clients come for a few months around a specific transition, others stay longer as new changes come up. We'll check in on pacing together.

That's common, and it's actually a good place to start - we'll figure out together what's actually weighing on you, even if it's not obvious yet.

Yes - even changes you chose can be disorienting. We'll work with whatever's actually showing up for you, regardless of whether the change was wanted.

EMDR (Eye Movement Desensitization and Reprocessing) is a trauma-focused therapy approach that helps the brain process difficult memories so they carry less weight day to day. We'll talk through whether it's a good fit for you before diving in.

No. We move at whatever pace feels safe, and EMDR in particular doesn't require you to describe the event in detail for it to work.

It varies quite a bit depending on the person and what you're working through - some people see meaningful shifts in a handful of sessions, others need more time. We'll check in on progress regularly.

Yes - EMDR can be effective for both recent and long-past events. The brain can still reprocess old memories even years later.

Not exactly. We'll talk, but the focus is on identifying what's keeping the anxiety or low mood going and building practical tools you can use between sessions, not just process feelings in the room.

They often show up together and share some of the same tools, but we'll pay attention to your specific pattern - racing thoughts and worry call for different strategies than low motivation and flatness.

That's very common, and we don't need a clear cause to start - we'll work with what's actually happening for you now, regardless of where it came from.

Not necessarily. Some clients benefit from combining therapy with medication, others don't need it - that's a conversation we can have together, and I can point you toward a prescriber if it seems helpful.

Not necessarily - we can start together and bring in individual sessions if it's useful, depending on what's going on.

That's common, and we'll talk through how to approach it. Sometimes starting with just the parent is the right first step.

That's a fine place to start - the first sessions are about figuring out together what would actually help, not committing to one specific path.

Yes - families come in all shapes, and the work is about your specific dynamics, not a one-size-fits-all model.

Yes - many young adult clients are. We can talk through what that means for privacy and billing before we start, so there are no surprises.

Online sessions make it easy to stay consistent during the school year and pick back up when you're home, so scheduling around a college calendar isn't a problem.

That's a completely normal place to start. A lot of the early work is simply figuring out what's actually going on.

It can be - campus counseling is often short-term and session-limited. This gives you a consistent therapist and more flexibility in how long we work together.

Only if you want me to. Some clients want scripture, prayer, or faith language woven into our work; others just want a therapist who won't dismiss their beliefs as part of the picture. We'll figure out together what's most helpful for you.

No - this isn't about a specific church or tradition. It's about making sure your faith, whatever that looks like for you, has a place in the room if you want it there.

That's welcome here too - this isn't about reinforcing a specific belief, it's about making space for wherever you actually are with your faith.

This is licensed clinical therapy - faith can be part of the conversation, but you're getting full clinical care, not a substitute for pastoral counseling.