I help adults and elders with relationship issues, including communication, love, commitment and infidelity; life transitions, grief and loss, issues of religion, faith and understanding spiritual experiences, and overcoming moderate difficulties from trauma. I only take new clients who can reliably and safely cope with everyday tasks and responsibilities and who clearly want to live.* I am not trying to be all things to all people and want to work with those I am best prepared to serve. If you do not see your area of concern listed here or explained below, please ask me.
I do not accept new clients in crisis, with active alcohol or drug addictions or who have an unresolved history or risk of danger to themselves or others, and who have suicidal ideation. My work is more insight-oriented than providing symptom control or helping with chronic problems getting through the day — such as people with progressing dementia, which may require frequent assessments (see below).
I am sometimes approached by people who are assured by my doctoral level of training. There are many highly qualified therapists who have earned master’s-level degrees but have specialties I do not cover, such as domestic violence, life-threatening eating disorders or self-harm. I sometimes seek consultation with those professionals.
Psychotherapy, Not Assessments or Medication Management
I primarily offer psychotherapy, not assessments. People may seek a psychologist because our training includes making psychological assessments. Afterward some of us continue providing that service and others choose different specialties. In the first appointment with a new client, I perform a general psychological interview to make sure I’m not likely to miss a major issue. However, I do not provide assessments such as those ordered by the legal system or for medication management. Those generally require a battery of tests, which are not my chosen specialization.
I am not able to prescribe medication, because this is outside the scope of my license as a psychologist.
If Facing Limited Access
Some people want me to take them on because I am one of a limited number of clinicians on their insurance panel. I am registered with those panels for the convenience of clients who see me within my practice focus.
If you find yourself with urgent need and unable to get a timely psychotherapy appointment under your coverage, please ask your third-party payer for a list of available therapists and clinics. If your need feels more urgent or you are still unable to see someone soon enough, please ask for help with placement by contacting the Clark County Crisis line at (800) 626-8137 | TTY (866) 835-2755. They are always available. Other useful emergency resources are the national Suicide Prevention Hotline at (800) 273-8255, or you can call 911 for life-threatening emergencies or go to your nearest hospital emergency room.
* If a client goes into crisis I work to keep them safe and to stabilize them, but this is rarely needed with the people who typically see me.