Telehealth works surprisingly well for the kind of therapy we do here — and for some people it works better than an office.

The practical advantages are real. No commute, no babysitter, no dashing across town between work and an appointment. You can join from your living room, your bedroom, wherever feels most private and comfortable. For couples who are already stretched thin, removing that friction matters.

There’s also something clinically useful about seeing people in their own environment. The space you live in tells me things an office never would. And for conversations about intimacy and sex in particular, being in your own home can make it easier to speak honestly — you’re already on familiar ground.

If finding a private space at home is difficult, many clients join from their car. That tends to work better for individual sessions than couples work, but it’s always an option if you need it — as long as you’re parked. Sessions can’t be held while driving.

As I’m licensed in Maryland and Pennsylvania and can only work with clients located in those states, you’ll need to actually be in one of those states for a session to occur.

It depends on what’s driving the problem. If the issue lives primarily within the relationship dynamic — the pattern between you, the distance, the conflict that keeps circling — couples therapy is usually the right place to start. Often, being so close to the problem makes it hard to know what the relationship needs. Sometimes one or both people need individual support alongside the couples work — to get clearer on what they want, to address past trauma that’s showing up in the relationship, or to build the capacity to stay regulated during difficult conversations. That individual work is best done with a separate therapist, and I can help connect you with the right person. We’ll figure out what makes most sense on the consultation call. You don’t need to have the answer before you reach out.

I’m licensed in Maryland and Pennsylvania and work exclusively via telehealth with residents of these states. I work with couples and individuals across the full spectrum of identities, orientations, and relationship structures — if you’ve wondered whether this is a space where you’ll be understood without having to explain yourself first, it is. The people who find their way here tend to be hungry for truth, trying harder than anyone around them knows, and braver than they give themselves credit for. If you’re sick and tired of being sick and tired and ready to do the real work — this is the right place.

All sessions are online. For the kind of work we do here — which is often most honest when you’re in your own space — that’s not a limitation. It’s an advantage.

The first step is a free 15-minute consultation call where we’ll talk about where you find yourself stuck and where you want to focus your therapy. In couples work, both people take part in the call. If it feels like a good fit we’ll schedule your first appointment and I’ll send intake paperwork through the client portal beforehand. That paperwork needs to be completed before we meet and I need it 24 hours in advance of the appointment so I can review it and get to know what I need to cover with you in that first appointment.

In our first session we meet together to discuss the problem more thoroughly — what’s been happening, how long it’s been going on, and what you’ve already tried. That conversation shapes everything that follows.

The next 2 to 3 sessions are held individually — one series with each partner — so I can better

understand what the relationship looks like from each person’s perspective and what each of you is carrying into it. If there’s a lot to unpack that can extend to 4 sessions. That fuller picture is what makes the couples work more effective. If you are looking for Out of Control Sexual Behavior treatment the assessment process goes longer and spends more time on your history.

From there we go deeper — into the patterns, the history, the things that haven’t been said.