A comprehensive assessment that looks beyond symptoms to understand the full context of your life, health, and experiences. We clarify diagnosis, assess safety, and develop a thoughtful, individualized treatment plan. This is the foundation of care that is both precise and personal.

When appropriate, this is collaborative, evidence-based medication care focused on effectiveness, safety, and long-term well-being. My expertise is at your service as we co-create a path toward a better quality of life.

Care grounded in affirmation, cultural competence, and lived understanding. We address identity-related stress, gender-affirming needs, relationships, and mental health concerns without pathologizing who you are. This is a safe space to explore themes we encounter in our community: coming out, aging & saging, ethical non-monogamy, and the impact of minority stress.

Thoughtful preparation and skilled integration are essential to reducing risk and supporting meaningful outcomes. I offer my specialized training to support harm-reduction guidance, intention setting and—when clinically appropriate—careful coordination or tapering of certain medications to enhance safety. Integration sessions provide a grounded space to process insights, emotions, and spiritual material, helping translate powerful experiences into lasting, sustainable change.

Psychiatric mental health care for those standing at profound thresholds—individuals living with serious or terminal illness, loss, caregiving or working in healthcare. This work integrates psychiatric expertise with meaning-centered therapy, addressing depression, anxiety, anticipatory grief, moral distress, and identity shifts. Rooted in extensive experience in end-of-life settings, this is grounded support for times when life feels fragile.