Evidence-based, and chosen because it makes sense for you.
I specialize in trauma. That usually means EMDR, cognitive behavioral therapy, or some combination — plus whatever else fits the person actually sitting in front of me. All of it happens by secure video, anywhere in Wisconsin.
EMDR
Eye Movement Desensitization and Reprocessing.
Some memories never got filed properly. They stay vivid and close, and a sound, a smell, or a certain tone of voice drops you right back into them. EMDR uses short sets of bilateral stimulation — guided eye movements, tapping, or alternating tones — while you hold a memory in mind, which appears to help the brain finish processing it didn't get to finish at the time.
You are not asked to narrate the event in detail. A lot of the work happens internally, and you can stop a set at any point. This is part of how we figure out why your nervous system is losing its mind.
How a course of EMDR usually goes
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History & preparation
We map what you want to work on and build grounding skills first — a calm place, containment, and a reliable way to end a session settled rather than cracked open.
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Targeting
We choose a specific memory, the image carrying the most charge, the belief attached to it, and what you'd rather believe instead.
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Reprocessing
Short sets of bilateral stimulation with pauses to check in. Sessions are structured so you're never left mid-processing when the clock runs out.
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Installation & closure
We strengthen the new belief, check for anything still sitting in the body, and close deliberately. Between sessions, we track what shifts.
Often a good fit for
- Single-incident trauma — accidents, assault, medical events
- PTSD and complex trauma histories
- Intrusive images, flashbacks, nightmares
- People who find saying it out loud unbearable
Practical details
- 75-minute or 90-minute extended sessions
- Delivered by video, using on-screen stimulation or self-tapping
- Headphones recommended for bilateral audio
- Preparation phase comes first — always
CBT, trauma-focused
Structured, skills-first, and portable.
Cognitive behavioral therapy connects what happened to what you think, feel, and do now. Used in a trauma-focused way, it moves through a clear sequence: understanding what trauma does to a body, building regulation skills, naming feelings, catching the thoughts that hook into them, and — only when you're ready — putting words to the story at a pace you set.
Sometimes a coping strategy that once kept you alive is now the thing making your life harder. CBT is often how we find that out, and how we build something that works better.
Who it's for
Adolescents and adults. For younger clients, a supportive caregiver can be part of the work when that's clinically useful and the client is on board.
What sessions look like
A mix of talking it through and practicing something concrete. Skills get used between sessions, because that's where life actually happens.
Often blended with EMDR
These aren't competing options. Many people do skills work in CBT and reprocessing in EMDR, moving between them as needed.
Pacing & safety
Narrative work only starts once coping skills are solid. Nothing gets shared with a caregiver without the client knowing exactly what will be shared.
Individual therapy
Not everything that brings someone to therapy is trauma, and not everyone wants to start there. Ongoing individual work with adolescents and adults covers the rest of it:
- Anxiety, panic, and the worry that won't shut up
- Depression and the days you can't make yourself move
- ADHD — the executive function part and the shame part
- Grief and loss
- Major life transitions, chosen and unchosen
- Relationship patterns, boundaries, and burnout
- Complex stuff that doesn't fit neatly into a diagnostic box
Sessions run 55 minutes, or 45 when that's clinically appropriate — usually weekly at first, tapering as things steady.
Family sessions
Some things can't be solved one person at a time. Family sessions bring more than one member of a household into the room to work on what's happening between you rather than only inside you.
How it starts
- An assessment happens first, to make sure family work is genuinely the right next step
- The family initial appointment runs 60 minutes; ongoing sessions are 55
- Everyone gets told up front what's shared and what stays private
- Virtual, like everything else — members can join from different rooms or different houses
All of it is virtual.
Secure video through a HIPAA-compliant platform, available to anyone physically located in Wisconsin at the time of the appointment. That includes EMDR, which adapts well to video using on-screen bilateral stimulation or self-tapping.
No waiting room, no lobby, no explaining to a receptionist why you're there. For a lot of people that's not a compromise — it's the reason they finally started.
What you'll need
- A connection that mostly behaves, and a device with a camera
- A space private enough that you're not being overheard
- Headphones, ideally — good for privacy, necessary for bilateral audio
- To be physically in Wisconsin during the session
Telehealth isn't right for everyone. If you're in an unsafe living situation or in acute crisis, in-person care or a higher level of support may be safer — and I'll say so directly rather than keep you in a format that can't hold what you're carrying.
Frequently asked
Not sure which one fits?
That's genuinely my job, not yours. Tell me what's going on and I'll tell you what I'd recommend — including if that's someone else.