I have been fortunate in that I have never had to carve out a narrow specialty to maintain a private practice. My patients come to me with a wide range of problems and concerns, and these varied experiences have broadened and deepened my understanding of how to solve the problems that keep people from being happy. Still, as a generalist, I have certainly become most experienced with the more common types of presenting problems.
About a third of my practice consists of marriage or couples counseling. I have found that there are at least 22 skills that both partners need to possess if a relationship is going to be able to thrive. I have developed a one-page assessment for looking at couples' strengths and weaknesses and this usually forms the basis of goal setting. You can preview that assessment in the Patient Handouts section of this website. The most commonly presented relationship problems include:
I help parents deal more effectively with their children's behavior problems and academic underachievement. My approach has been successful with children as young as two years of age, but it is powerful enough to work with older adolescents as well. Even if your child or teenager has no interest in counseling, I routinely find that many common problems can be resolved based on plans that I develop by working directly with the parents. You will find several documents in the Patient Handouts section of this website that further explain my approach. Examples of these types of problems include:
About a third of my practice consists of what I call the "common colds" of outpatient psychotherapy; that is, anxiety and depression. In many cases such problems can be addressed by considering the big picture question of what it takes to be happy. I have developed an assessment which quickly leads to recommendations for rebalancing one's life in the interest of achieving lasting happiness. Please refer to the downloadable document entitled Principles of Psychological Well-Being on the Patient Handouts page.
One of the most surprising developments in my practice in the past ten years has been the discovery of amino acid treatments. There are a number of nutritional supplements that offer remarkably effective alternatives to antidepressant and antianxiety medications. At last count, I have successfully treated over a thousand people for problems which, otherwise, would typically have resulted in the long-term use of prescription medications.
I also have specific solutions for a number of less common difficulties, such as: