I work with adults in the middle of it.

The ones who'd get "adjustment disorder" as a placeholder diagnosis when it's actually the whole thing.

 

High-achieving, high-functioning people who are, frankly, exhausted. People in transition who haven't found the right therapist yet, or who've been to therapy already and still aren't sure it can work for them.

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That includes men, athletes current and former, academics, and other therapists. These are people our field is not especially good at, and I think that's a precision problem rather than a client problem.

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I've sat with people carrying things most therapists never hear.

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Over twenty years of clinical work where it's hardest — forensic and correctional settings, community mental health. That shapes how I listen. I'm interested in what's actually driving something, not the tidy version.

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How I work

Warm and direct. I'll tell you the truth kindly, and I won't waste your time.

I bring an eye for assessment, systems thinking, and a coaching mentality — focused on patterns, skills, communication, and results. I'm also a tenured professor, a CrossFit coach, and a yoga instructor. Which is to say I think about bodies and behavior, not just insight.

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Because you're busy, we can set the terms on how often and how long we meet. 

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On diagnosis

I'm less interested in what to call it than in how it actually works.

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Diagnosis has real uses — accommodations, access, a word that makes something legible. I'll do that work when it's useful to you. But a label tells me a category. It doesn't tell me what your mornings are like, what you've built to compensate, or what it's cost you to look this functional.

What gets called a symptom is often an adaptation — something that worked, at some point, for reasons worth understanding before we decide anything needs to change.

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So the work is exploratory and narrative: learning how your particular system runs, refining that understanding as we go, and retelling the story with the parts that were missing.

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I've walked some of this myself. That's context, not a template. My path is mine, and yours will be different. Figuring out how it's different is most of the work.

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Context isn't background

Nothing you're dealing with is happening in a vacuum. What looks like a personal problem is often a person doing something reasonable inside an unreasonable situation: a workplace, a family system, a marriage, a body, a set of conditions you didn't choose. I'm interested in all of it, because you can't accurately assess a response without understanding what it's a response to.

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That includes the parts of your life shaped by identity: race, gender, sexuality, class, faith, disability, immigration, neurotype. Not as a box I check, but because those things determine what's actually available to you, what costs more for you than it does for someone else, and what you've had to become fluent in to get through the day. I'd rather know than assume, so I'll ask, and I'll take your word for it.

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Why the practice is small

I built this for the people I kept meeting who had outgrown generic therapy. I spend real time learning how your particular system works, and then the work recalibrates as you do. It's rigorous because you deserve rigor.

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Practical

$225 per 50-minute session.

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Extended intensive sessions, $540, when the standard hour isn't the right container.

In person in East Boston, or telehealth anywhere in Massachusetts.

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Private pay. No diagnosis on your record for billing purposes, no session limits, no outside party deciding what's medically necessary. I'll provide a superbill if you want to submit for out-of-network reimbursement.

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Other ways I work

Care navigation and forensic consultation — Coming soon. Evaluation, case consultation, and expert services for attorneys, agencies, and organizations.

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Coaching and training — Skill development, professional development, workshops, and applied behavioral science for teams and individuals, offered through Flow Move Thrive. Coaching is a distinct service, not therapy — separate agreements, separate roles, and I don't hold both with the same person. For more information visit flowmovethrive.com