My training and clinical experience have prepared me for work with many symptoms, experiences, and clients' aspirations. But there are some concerns that I am either not prepared to treat or I believe will be better addressed in other clinical environments.

Here are a few of the concerns I do not know enough about to spare a prospective client frustration or help facilitate the outcomes they deserve:

Issues related to chemical dependency, addictions, or compulsions, require a host of skills that I do not possess.

I'm not educationally or experientially prepared to do clinical work with people of any age with disordered eating.

I am not the right person to help with body dysmorphia, gender identity, concerns for sexual function, or fidelity to one's partner and their shared agreements.

When couples choose me, the work we do together is animated by fears of changes that uniquely affect people who live with progresssive conditions. These are people whose devotion to one another is not in doubt. They want to live the rest of their lives in the partnerships that have enriched them. So our work is never to try to examine whether they belong together. If either person in the partnership is "leaning out" - I'm not the right therapist for that work either.

If a prospective client has trouble holding a consistent sense of self, lives a life marked by dramatic shifts in relationships, finds emotional regulation difficult, or feels they must test people around them before making even a tentative commitment to shared clinical work - I am not the right clinician.

Finally, I cannot work with a bully - any person who enjoys hurting, humiliating, or "getting something over" on someone with less power.

It can be frustrating to work to change, make the commitment in time and money and energy, and later come to feel that there's something missing for you. So, even if none of the situations above describe you, I will still want to take time to learn what I can about whether I am the right professional to help you.