Frequently Asked Questions

Can you see us individually and as a couple?

I do not usually work with a couple and see either person individually on an ongoing basis. Sometimes, when I am working with a couple, I will see both individually for an occasional session. But this is only to further the couples work. It is never ongoing long term individual therapy. If I am seeing a couple and one or both clients would like individual therapy, I refer them out to a different therapist for individual therapy.

What happens in couples counseling?

When couples come to see me there usually has been some damage to the relationship. So the counseling includes both a focus on repairing damage, improving communication skills so the couple doesn’t continue to damage the relationship, and learning new skills to keep the relationship happy and loving. So couples counseling is a conversation between the members of the couple and the therapist. I will stop arguments that are escalating, because I do not want the damaging communication to continue in my office.

Do you only offer couples counseling or do you also offer individual therapy?

I offer both individual and couples counseling.

How does therapy help depression?

Therapy is used sometimes to treat a depression. Therapy can help lift the depression, sometimes forever, sometimes for a period of time. Therapy works by addressing some of the causes of depression. Those things that seem to be related to depression include: difficult relationships in the past and present, traumatic experiences from the recent and distant past, emotions that are unexpressed in healthy ways, and ways of thinking that were learned from those around you, from both childhood and adulthood. Another major trigger and cause for depression is intense or long term stress. Too much stress can lead to burn-out and resulting depression and/or anxiety.

How serious a situation is depression?

Depression really ranges from very mild to very serious situations. In a very severe case of depression, you may be unable to get out of bed, to get anything done and unable to even get to work. While probably everyone has felt a mild sense of being depressed at some point in their life, when that depressed feeling stops you from working, socializing and taking care of your basic needs, that is a depression that you deserve to treat in therapy. The problem here is that if you are depressed, you may not feel like you deserve treatment. Your depression may have increased a sense of hopelessness, and low self-esteem. In less severe cases, depression may still leave you feeling unhappy, or unsatisfied with your life. It may limit how much you achieve in your life, or may cause you to not follow your dreams and goals.

What are the symptoms of depression?

Signs of depression include:

Depressed mood
Trouble sleeping
Loss of energy most days
Feeling worthless
Loss of interest or pleasure in most things
Thoughts of suicide

This is just a partial list of some things you may experience with a depression.

If you have any questions that are not answered above, please use my CONTACT FORM to email me with your questions  or call at 415-339-7890 or 707-583-2305.

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