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Online Therapy

Online Therapy in Scottsdale

Online therapy for Scottsdale adults and couples who want to talk about expectations, closeness, and what remains unsaid. A private conversation can begin without making your life look different first.

What You Bring

Keeping things composed can become a habit.

You might be meeting expectations at work and home while finding it harder to say what you need. In a relationship, avoiding difficult feelings can initially seem considerate, then leave both partners guessing. High expectations can also make ordinary uncertainty feel like failure. I work with adults and couples who want to understand that pressure, including the part of them that would rather stay busy than risk an honest conversation.

How Online Sessions Work

Privacy is part of the arrangement.

We use secure video, and you choose a room where the conversation cannot be overheard. Headphones can help, but they do not replace privacy. If our connection drops, we attempt to reconnect and use the phone contingency we discussed beforehand if appropriate. You must be in California, Arizona, or Missouri for each appointment. I am licensed in California, Arizona, and Missouri, and we check where you are joining from.

Session Options

Individual Space and Shared Conversations

Individual Therapy

Individual meetings last 45 minutes. We can talk about perfectionism, emotional avoidance, family expectations, and the gap between what you show others and what you actually feel.

Couples Therapy

Couples meetings last 60 minutes. You can bring distance, intimacy, finances, or disagreement about priorities. We look at how both partners respond, rather than making one person the problem.

Rates and Insurance

How I Work

I can be direct without asking you to perform.

Internal Family Systems helps us understand protective habits, including minimizing emotions or keeping control. Psychodynamic work asks where those habits first made sense. Narrative ideas give us a way to question the rule that being successful means never needing anything. With couples, Emotionally Focused Therapy focuses on the repeating exchange between you, so criticism or silence can be understood in the context of attachment and vulnerability.

First Steps

Before We Begin

01
Ask about the fit
The consultation is free. You can describe what is hard to discuss and ask how I approach privacy and confidentiality.
02
Arrange uninterrupted time
We review availability and the setting for video sessions. Most clients meet weekly; frequency is a clinical conversation, not an automatic rule.
03
Check the agreement
Rates sets out private pay, superbills for possible reimbursement, and the complete cancellation policy, including the requirement for 48 hours of notice.

Questions

About Online Sessions

Can we talk about confidentiality before beginning?

Certainly. I explain confidentiality and its limits before treatment. You can ask questions about what privacy looks like in online sessions.

Do couples need a major conflict to start?

No. Emotional distance or conversations you keep postponing can be reasons to seek a consultation. We assess whether this care fits.

What if I find it difficult to name feelings?

We can begin with what you notice: tension, withdrawal, irritation, or staying busy. You do not need a particular emotional vocabulary to participate.