My Approach
I help adults in Texas move from feeling stuck and struggling to living full, rich, meaningful, and authentic lives, one session at a time.
How do I do that?
In my work, I draw from a variety of “third-wave” cognitive and behavioral therapies, especially Acceptance and Commitment Therapy (ACT), while tailoring my approach to the unique context of each individual client. I believe therapy works best when it’s grounded in a safe, caring, respectful, and highly collaborative relationship, and building a genuine connection with my clients is an important part of how I work.
Sounds good, huh? but what does all that mean?
Let’s break it down…
What are “third wave” cognitive and behavioral therapies (CBTs)?
Let’s start with the “CBT” part…
“Cognitive Behavioral Therapies,” or CBT, refers to a “family” of therapies that share a commitment to using scientific research to develop effective approaches to healing and change. CBT has a remarkable record of research support and is widely considered a “gold standard” or “frontline treatment” for many common mental health and behavior problems.
Okay… what about this “third wave” thing?
Over the past several decades, cognitive and behavioral therapy has developed through three broad “waves.”
The first wave, beginning in the 1950s, applied scientific principles of learning and behavior to mental health problems. The second wave, emerging in the 1970s, added a focus on thoughts and their influence on emotions and behavior. This gave rise to the “traditional” CBT many people are familiar with, which often focuses on identifying and changing unhelpful patterns of thinking.
The third wave, beginning in the 1990s, took a different approach. Rather than trying to eliminate difficult thoughts and emotions, therapies like Acceptance and Commitment Therapy (ACT) focus on changing our relationship to them, so they no longer hold us back, whether they change or not. Third-wave approaches also place greater emphasis on living a full and meaningful life, rather than making symptom reduction the primary goal of therapy.
Third wave approaches emphasize the role of mindfulness, values and compassion as essentials for effective living, and Psychological Flexibility as the overarching goal of therapy. You can read more about these concepts below.
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The term Mindfulness refers to a set of psychological skills that all involve paying attention with flexibility, curiosity and nonjudgmental acceptance to our present moment experience. Formerly associated mostly with contemplative practices such as Buddhist meditation and practices in other ancient wisdom traditions, mindfulness is now widely viewed as a central component of modern psychotherapy largely due to an incredible depth of research demonstrating is effectiveness for many different issues. Mindfulness has even been shown in brain imaging research to help our brains grow in positive ways!
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A focus on values adds an existential dimension to traditional CBT. Bringing values into therapy means not just trying to help you feel better (although we will certainly aim for that!), but also helping you clarify who and what it is that you most care about, who you want to be in life and how you want to spend your precious time on this earth. Your values can then serve as a kind of guide, or inner “compass”, that can guide your forward in life, and help motivate you to do that hard work of confronting your challenges and problems.
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Compassion simply means noticing when we or others are hurting and responding with kindness. In recent years, research has demonstrated that having compassion for ourselves improves mental health and performance across many areas of life, and also to help create a more stable sense of wellbeing and self worth.
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Psychological Flexibility is the foundation of the main model of therapy I use in my practice—Acceptance and Commitment Therapy, or ACT. It means being able to stay aware and present, tune into what matters most to us (our values), and take effective action toward what matters, even when painful thoughts and feelings show up.
Research has shown that greater Psychological Flexibility is associated with better mental health and functioning across a wide variety of issues and populations, and arguably makes more of a difference in how we live than any other set of skills in psychology. (Source)
Specific therapies I use in my practice include:
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Acceptance and Commitment Therapy, or ACT, is a modern, evidence-based behavioral therapy that helps people develop greater Psychological Flexibility—the ability to be more aware of ourselves, more tuned into what really matters to us (our values), and more able to act on what matters, even in the presence of painful thoughts, feelings, and memories. Rather than simply aiming to solve problems in our lives or address “symptoms,” ACT places a strong emphasis on living full, rich, meaningful lives, regardless of our circumstances.
ACT has extensive empirical support for its effectiveness with a wide range of issues, including well over 1,500 randomized controlled research trials (one of the highest standards of research in psychotherapy). I have extensive training in ACT, including completion of multiple advanced-level ACT trainings, regular and ongoing individual consultation with senior ACT trainers, and ongoing participation in multiple training and consultation groups for ACT therapists in Austin, of which I am a founding member. I am also a co-leader of the Central Texas chapter of the Association for Contextual Behavioral Science, the professional organization for ACT.
You can read more about ACT Here
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Exposure and Response Prevention (ERP) is a type of behavioral therapy for anxiety disorders and obsessive-compulsive disorder (OCD) that involves gradually exposing individuals to their fears while preventing them from engaging in their usual compulsive behaviors, and instead practicing new, more helpful ways to respond. ERP helps us break free from the vicious cycle of anxiety and develop skills to respond more flexibly to anxiety and obsessions, so that we are more able to do what we matters to us in our lives.
I attended multiple trainings on exposure/ERP, and continue to train regularly with experts in exposure therapies.
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Emotion Efficacy Therapy (EET) is a newer therapy protocol that integrates elements of ACT, emotion regulation skills from Dialectical Behavior Therapy (DBT), and exposure methods from ERP into one powerful approach. EET provides a series of practical skills to increase our ability to respond to emotions effectively and do what matters most to us, even when our emotions are activated.
I have received training in EET from its creator, Dr. Aprilia West, and have pursued advanced training through individual consultation with Dr. West.
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Functional Analytic Psychotherapy (FAP) is a behavioral therapy that places a strong emphasis on the therapeutic relationship as a context for meaningful change. FAP focuses on understanding patterns of behavior that show up in our relationships with others, including patterns that may be getting in the way of the relationships and life we want. Through the therapeutic relationship itself, FAP creates opportunities to practice new ways of relating to others, while developing greater awareness, flexibility, and connection.
I have received introductory training in FAP from its creator, Dr. Mavis Tsai.is a
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Compassion-Focused Therapy (CFT) is a type of CBT developed especially for people who struggle with shame, self-loathing, and harsh self-judgment and criticism. CFT can help you develop a more supportive, understanding, and kind relationship with yourself, so that you can build true confidence and self-acceptance, motivate yourself without shame, heal emotional wounds, face your difficulties, and thrive.
I have received training in CFT from experts in the field, including Dr. Dennis Tirch and Dr. Laura Silberstein-Tirch, as well as from CFT’s founder, Dr. Paul Gilbert.
You can read more about CFT Here
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Schema Therapy
Behavior Activation
Cognitive Therapy
Focusing on the therapeutic relationship
As important as theory and techniques are to effective therapy, they matter little without a strong, close relationship between therapist and client. Without this kind of relationship, it can be difficult to do the intimate, personal work of getting to know ourselves and trying out new ways of living and relating.
The therapeutic relationship can also serve as an incredibly helpful “laboratory” for creating and sustaining the kind of fulfilling, close, and safe relationships we all desire outside the therapy room. My experience as both a therapist and a client has shown me the immense power of a quality therapeutic relationship, and I place a great deal of emphasis on the relationships I develop with my clients.
Putting it all together…
My approach to therapy involves weaving these different models and areas of knowledge together into one powerful, cohesive, structured-yet-flexible framework for helping clients to live their best lives. My approach is also informed by my personal journey.
Ready to take the first step?
Reach out today for your free 30 minute consultation today.