Evidence-based, collaborative, unhurried.
Therapy with me is structured but not mechanical. We work together, at a pace that respects both what you came in with and what surfaces once we start. I practice two distinct evidence-based approaches: Beckian CBT combined with REBT, and Interpersonal Psychotherapy (IPT). I do not offer hybrid or combination therapy. We agree on one approach at a time based on what the problem actually calls for, and we deliver it the way its developers intended, so we can measure whether it's working and change course if it isn't.
Beckian CBT combined with REBT. This is a specific, published integration of two cognitive-behavioral traditions, not an ad-hoc blend. It brings together CBT in the tradition of Aaron and Judith Beck with Rational Emotive Behavior Therapy (REBT) in the tradition of Albert Ellis, following the framework set out in Cognitive Behavioural Counselling in Action by Trower, Casey, and Dryden (Sage). My training here follows the work of Beck and Ellis. It's practical: we look at the thoughts and beliefs feeding a problem, test them against reality, and build different habits of mind and action. From REBT I bring a particular focus on the difference between inferences (what you think happened) and evaluations (how bad you think that is), plus rational emotive imagery, behavioral experiments, and imagery rescripting for traumatic memories.
Interpersonal Psychotherapy (IPT). A short-to-medium-term, structured approach that locates difficulty in the space between you and the people who matter: grief, role changes, conflict, loneliness. My training here follows Weissman, Markowitz, and Klerman. It's particularly well-suited to depression and life transitions. There is also an adaptation of IPT for PTSD, which can be a gentler alternative to exposure-based trauma therapies. Exposure therapies are effective but have around a 30% dropout rate in meta-analyses. IPT for PTSD offers a route that avoids detailed re-telling of the traumatic event.
In practice, we spend the first session or two getting a careful picture of what's going on. Then we agree on a focus. Sessions are 50 minutes, usually weekly at first. You should feel, within the first few sessions, that we're actually working on something, not just rehearsing the problem.
Who I work with.
I work mainly with adults in high-pressure roles, and with people going through a particularly stressful chapter. I also bring deep specialist experience with veterans, active-duty service members, and first responders around combat-related PTSD, complex trauma, and moral injury.
Adults in high-pressure roles. Lawyers, engineers, clinicians, executives, founders, senior individual contributors. People whose careers run on being dependable. The work looks fine from the outside. Inside it's a different story: sleep that won't come, irritability that scares you, a persistent feeling that something is off, or the sense that you've drifted from the person you meant to be.
People going through a stressful chapter. A hard patch at work, a relationship coming apart, a loss, a diagnosis, new responsibilities, a move, a change you didn't ask for. Therapy is not only for crises. It is also for the long-running version of "something's off" that you have been managing alone for a while.
Veterans, active-duty service members, and first responders. Combat-related PTSD, complex trauma, moral injury, suicidality, the weight of coming home. You will not need to explain what a duty station is, or apologize for dark humor. Years at the VA, and treating active-duty personnel and first responders alongside them, mean the room already understands some of it.
Whichever group you fall into (and some people sit in more than one), the starting point is the same: a careful, honest conversation about what's going on, and a plan that respects your time and your intelligence.
- Session length50 minutes
- Initial cadenceWeekly
- FormatTelehealth or in-person (Pittsburgh, from summer 2026)
- LicensurePA, TX, CA
- InsuranceOut-of-network; superbills provided
Two distinct approaches.
I practice each approach on its own terms, following its established framework, so we can see clearly what is working. I do not blend them together in the same course of therapy.
Beckian CBT combined with REBT
A specific, published integration of Cognitive Behavioral Therapy in the Beckian tradition with Rational Emotive Behavior Therapy, following the framework in Cognitive Behavioural Counselling in Action (Trower, Casey, and Dryden, Sage) and the source work of Beck and Ellis. Useful for anxiety, panic, OCD, PTSD, perfectionism, and the particular kind of self-criticism that fuels burnout.
We identify the beliefs and behaviors keeping the problem in place, and we build alternatives. In session and in your life between sessions. Includes rational emotive imagery, behavioral experiments, and imagery rescripting for traumatic memories.
Interpersonal Psychotherapy (IPT)
A structured, time-limited approach that locates distress in four interpersonal problem areas: grief, role transitions, interpersonal disputes, and interpersonal deficits. Following Weissman, Markowitz, and Klerman.
Particularly strong for depression, reintegration after deployment or career change, and relational strain that's quietly driving everything else. An adaptation of IPT for PTSD offers a gentler alternative to exposure-based trauma therapies for clients for whom detailed re-telling of traumatic events would be a barrier.
What I help with.
Anxiety and panic
Generalized worry, social anxiety, health anxiety, panic attacks, and the steady low-grade dread that hums under a high-stakes job.
Depression and mood
Persistent low mood, loss of meaning, rumination, and the kind of flatness that's harder to name than to live with.
PTSD and complex trauma
Combat-related PTSD, operational trauma for first responders, childhood or relational trauma, and the long aftermath of being somewhere you shouldn't have had to be.
Professional burnout
Exhaustion, cynicism, lost sense of efficacy. Often tangled up with identity, values, and relationships, which is where IPT can be especially useful.
Moral injury & the weight of duty
The particular wound that comes from doing, failing to prevent, or witnessing acts that violate your moral code. Common in combat, policing, and emergency medicine. It is not the same as PTSD, and it deserves its own careful conversation.
Life transitions
Reintegrating after deployment, leaving a career that defined you, becoming a parent, becoming a caregiver, losing someone important, or simply realising you've outgrown the shape of your life.
What to expect from our first session.
We'll spend 50 minutes getting oriented. You'll tell me what's bringing you in and what you're hoping might be different. I'll ask some careful questions about your history, your current context, and anything specific you'd like me to know. By the end, you should have a clearer sense of what we'd focus on, whether I'm the right fit, and what a reasonable first stretch of work might look like. No pressure to continue. You get to decide.