Clinical health psychology examines the many forces that shape health and illness, including our biology, emotions, relationships, behavior, culture, and social environment. It offers a way to understand how psychological experiences affect the body—and how physical symptoms, medical conditions, and health-related changes influence the way we think, feel, and live.

Sexuality develops at the intersection of the body, mind, relationships, culture, identity, and personal meaning. It can be a source of pleasure, connection, and vitality, but it can also become complicated by pain, shame, trauma, physical symptoms, differences between partners, or experiences from the past. Sex therapy provides a thoughtful place to understand those concerns and develop a healthier, more satisfying relationship with your sexuality.

Secure video sessions make it possible to engage in thoughtful, specialized therapy from the privacy and convenience of your own space. I provide online individual, couples, trauma, and sex therapy to clients who are physically located in South Dakota or New York at the time of their appointment.

Couples therapy helps partners understand the patterns shaping their relationship—how they reach for one another, protect themselves, become disconnected, and attempt to repair. Together, we work to strengthen communication, navigate conflict, restore trust, deepen emotional and sexual intimacy, and create a relationship that feels more honest, connected, and sustainable.

Trauma can continue to shape the nervous system, body, relationships, sexuality, and sense of self long after the experience has ended. Trauma therapy helps uncover the connections between what happened then and what is happening now. Using research-informed, experiential, and somatic approaches, we work to reduce distress, restore a sense of safety, and help you move forward with greater freedom and choice.

Anxiety and depression can appear as persistent worry, emotional numbness, exhaustion, irritability, disconnection, or the sense that everyday life requires more effort than it should. Therapy offers a place to understand what these symptoms may be communicating, identify the patterns and experiences sustaining them, and develop more effective ways to feel, function, and reconnect with your life.

I have worked with LGBTQIA+ clients for more than a decade and provide affirming psychotherapy for transgender, nonbinary, and gender diverse people. Therapy may include exploring gender identity, navigating transition-related decisions, strengthening relationships, addressing trauma or mental health concerns, and supporting sexual and emotional well-being. My approach is individualized, collaborative, and informed by the World Professional Association for Transgender Health Standards of Care, Version 8, which supports safe and effective pathways toward health, well-being, and greater comfort with one’s gendered self.

Fertility treatment and family building can bring hope alongside grief, uncertainty, relationship strain, difficult decisions, and questions about identity or the future. I provide a thoughtful place for individuals and couples to process these experiences, communicate more openly, and navigate assisted reproduction, fertility preservation, pregnancy loss, donor conception, or the use of a gestational carrier. My approach is inclusive of diverse families and informed by current guidance from the American Society for Reproductive Medicine regarding the emotional, relational, and psychosocial dimensions of reproductive care.

Interpersonal group psychotherapy offers something individual therapy cannot: the opportunity to understand yourself through relationships as they unfold in real time. The group becomes a living social laboratory where members recognize familiar patterns, receive honest feedback, take relational risks, and practice new ways of connecting. Through the shared experience of being known, challenged, and accepted by others, insight becomes a new interpersonal experience.