Reflections.

Notes from the practice. Short pieces on therapy, presence, the body, and the work of being human. Not advice. More like conversations we keep having that seemed worth writing down.

Updated regularly
Starting therapy

What to expect in your first therapy session

A walk-through of what actually happens in the first 50 minutes — what the clinician asks, what you don’t need to prepare, and why the goal of session one is not insight.

Telehealth

Online therapy vs. in-person, what actually changes

The honest differences between video and in-room sessions, what the research shows, and where each format has the edge.

Mid-therapy

How to know if therapy is working

It’s rarely the dramatic breakthroughs. The quieter signals that the work is doing what it’s supposed to do.

Couples

How to talk to your partner about starting couples therapy

If you’re the partner who’s ready and they’re not, the conversation that gets things started rarely starts with “we need therapy.”