Areas of Expertise
Welcome.
If you are here, you may be standing at a threshold — in your identity, your health, your relationships, your work, or your sense of meaning. You may feel stuck, uncertain, overwhelmed, or simply aware that something deeper is asking for attention.
This practice is built for these moments.
I am a psychiatric mental health nurse practitioner practicing psychodynamic, integrative care — care that looks beyond symptom checklists to understand the deeper patterns shaping your life. Together, we explore how early experiences, attachment, culture, illness, loss, desire, and identity continue to influence the present.
This work is collaborative. It is thoughtful. It is not rushed.
Medication, when helpful, is used carefully and transparently. Therapy is reflective, grounded, and oriented toward growth. We move at a pace that allows insight to deepen and change to feel sustainable.
Across my work, there is a shared theme:
We work at thresholds.
Thresholds of identity.
Thresholds of illness and mortality.
Thresholds of grief and transformation.
Thresholds opened by psychedelic experiences.
Thresholds encountered in coming out, aging, caregiving, or major life transitions.
Psychiatric mental health care here is not reductionistic. It is relational, meaning-centered, and humane. My role is not only to treat symptoms, but to help you understand yourself more fully — and to support change that aligns with who you are becoming.
If you are ready to approach what feels difficult, uncertain, or sacred in your life, I would be honored to do that work with you.
The areas below reflect the primary contexts in which this work unfolds.
Psychiatric Evaluation & Medication Management
A psychiatric evaluation is not simply a checklist of symptoms. It is a careful conversation about the story of your life.
We explore early experiences, attachment patterns, cultural identity, medical history, and current stressors to understand how your nervous system and psyche have adapted over time. Diagnosis, when useful, is approached thoughtfully — not as a label, but as a tool.
Medication, when indicated, is used deliberately. I favor the least intrusive intervention that can meaningfully support stability and functioning. Decisions are made collaboratively and revisited regularly. The goal is not simply symptom suppression, but greater clarity, steadiness, and capacity for living.
Existential Therapy, Grief & Serious Illness
Some seasons of life demand a different kind of psychiatric care.
Serious illness, caregiving, anticipatory grief, and proximity to mortality reshape identity. Anxiety, depression, and distress in these contexts are not always pathology — they are often understandable responses to profound change.
My background in hospice and palliative care informs this work deeply. We address suffering without denying reality. We explore meaning without imposing belief. We make room for fear, anger, ambiguity, and hope.
This is grounded, steady support for moments when life feels most fragile.
LGBTQ+ & Affirming Care
Affirming care extends beyond tolerance or acceptance. It recognizes the psychological impact of living within systems that have not always been safe.
Our work may include identity development, internalized shame, relational trauma, minority stress, family systems, ethical non-monogamy, spiritual conflict, or aging within LGBTQ+ communities. I do not pathologize identity. Instead, we examine how identity has been shaped, defended, protected, and sometimes constrained.
This is a space where complexity is welcome — and where resilience is strengthened without minimizing harm.
Psychedelic Preparation & Integration
Psychedelic experiences can open profound psychological and spiritual material. Without thoughtful preparation and integration, however, they can also leave people disoriented or untethered.
Preparation work focuses on intention, psychological readiness, and stabilizing factors in your life. We examine relational patterns, trauma history, medical considerations, and expectations.
Integration is not about chasing mystical meaning. It is about metabolizing insight — translating intense experience into grounded, sustainable change. We work slowly to weave insight into daily life, relationships, and identity.
