What this counseling work offers

Counseling and psychotherapy here are offered as depth-oriented, relational mental health care within the scope of licensed professional counseling.

This work may support:

• emotional regulation and resilience

• anxiety, depression, grief, and stress

• relational patterns and life transitions

• identity, meaning, and values exploration

• integration of difficult or formative experiences

Sessions are paced intentionally and grounded in collaboration, consent, and respect for your autonomy. The focus is on careful listening, reflection, and understanding patterns over time, rather than rapid symptom suppression or directive problem-solving.

What this counseling work does not provide

To maintain clarity, safety, and ethical practice, counseling services here do not include:

• Crisis or emergency mental health services

• On-call, after-hours, or 24/7 availability

• Inpatient, intensive outpatient (IOP), or partial hospitalization care

• Primary medical care or acute care visits

• Full-scope psychiatric treatment or comprehensive psychiatric medication management

This counseling practice is not designed to replace emergency services, inpatient care, or specialty psychiatric treatment when those levels of care are needed.

A note on psychiatric scope and medication

Within the counseling role, I do not:

• manage complex psychiatric medication regimens

• provide ongoing psychiatric medication adjustments

• function as a primary psychiatric prescriber

If higher-level psychiatric care or medication management is needed, I support appropriate referrals and collaboration with qualified medical providers, with your consent.

Relationship to medical care and ketamine services

Counseling and psychotherapy are offered as a distinct pathway of care, separate from integrative medical services and spiritual direction.

While ketamine-assisted psychotherapy or integration may be offered in specific, clearly defined contexts, counseling sessions themselves remain grounded in the scope of psychotherapy and are not used for ongoing psychiatric medication management.

Each form of care offered through this practice has its own scope, boundaries, and consent process. Roles are not blended within sessions.

A note on safety:

If you are experiencing a mental health emergency, suicidal thoughts, or are in immediate danger, please contact emergency services (911) or the Suicide & Crisis Lifeline (988) for immediate support.