• United Healthcare

• Optum

• Oxford

• Harvard Pilgrim Healthcare

• Anthem Blue Cross Blue Shield

Working from a systemic perspective means looking beyond individual symptoms to understand how relationships, family dynamics, roles, and environments shape your emotional experiences. Instead of asking, “What’s wrong with you?” we ask, “What’s happening within the person’s larger system, what changes can the person make to respond better, and in what ways can the system change so everyone functions better?” This approach often fosters deeper and more lasting change.

Our therapists use integrative approaches, meaning we tailor psychotherapy to the unique needs of each individual, couple, or family—not the other way around. Instead of relying on a one-size-fits-all approach, we draw from multiple evidence-based modalities, integrating techniques based on your goals, personal history, nervous system, relationships, and stage of life.

Our therapists are trained in, and may incorporate, a range of therapeutic approaches, including:

• Cognitive Behavioral Therapy (CBT)

• Dialectical Behavior Therapy (DBT)

• Acceptance and Commitment Therapy (ACT)

• Somatic Therapy

• Emotionally Focused Therapy (EFT)

• Gottman Method Couples Therapy

• Internal Family Systems (IFS) / Parts Work

• Trauma-Informed Therapy

• Attachment-Based Therapy

• Systems-Informed and Relational Therapy

• Experiential Therapy

• Exposure and Response Prevention (ERP) for OCD and anxiety

• Play Therapy and Filial Therapy

• Structural Family Therapy (SFT)

• Bowenian Family Therapy

Treatment is collaborative, personalized, and grounded in a systemic and relational lens, with care tailored to your specific goals, symptoms, and relationship dynamics.

Standard psychotherapy sessions are typically 53 minutes long. Longer sessions may be recommended for couple or family therapy when clinically indicated.

Most clients begin with weekly sessions. Session frequency is regularly assessed and may shift to biweekly or even monthly over time based on your symptoms, goals, and progress. We tailor frequency of therapy to best suport your needs throughout your treatment and the goal is for you to end therapy once your presenting problem is resolved.

Absolutely! Marriage and family Therapists (MFTs) see couples and families, but they often see individuals. As trained relational therapists, MFT’s use a systemic lens—when working with individuals we are understanding the person and their presenting problem within the context of their relationships, family dynamics, and social environments to identify the impact on your emotional well-being. This approach helps both of us gain deeper insight so you can develop effective strategies for lasting change in all areas of your life.

An important concept used in the MFT field, states “the whole is greater than the sum of its parts,” which means that relational systems (such as families) exhibit patterns, dynamics, and outcomes that cannot be fully understood by examining one person in isolation. MFT’s know that changes in one member may lead to changes across the system, but the system's functioning is shaped by the interplay among all members, their relationships, and the context of their lived experience. When an MFT works with individuals in isolation, this concept is front and center which allows for deeper exploration with an individual, challenging questions to gain an understanding of what the individual perceives as well as how they respond to their environment and other people. The emergent qualities of the system are more complex and meaningful than simply adding up the individual behaviors or characteristics and a trained MFT who understands this concept will know how to work with an individual using a systemic lens. It is the heart of the work we do.

No. Couple therapy can be helpful at any stage. Couple therapy is helpful for those who are newly committed, those in longstanding commitments, and even those who are at a crossroads. Whether you want to learn new skills, navigate conflict, you’re feeling disconnected, recovering from a rupture, or wanting to strengthen your relationship and emotional intimacy before problems escalate, we are here to help you change the patterns that are no longer serving you.

This is very common. Therapy can still be effective when partners have different levels of readiness. Our role is to ensure each person feels heard, respected, and supported, and to help assess whether couple therapy is appropriate or if individual work or a different approach may be recommended. We often know within 3-4 sessions whether or not ongoing couple therapy is appropriate.

Yes and no. We offer both in-person and telehealth sessions, provided you are physically located in New Hampshire in a private space for the duration of your session.

For minors and family therapy, we require in-person sessions and we’ll make exceptions depending on the therapist’s level of experience. Family therapy involves complex dynamics that are best addressed face-to-face to ensure a secure and productive environment for everyone. Working in person allows us to observe important nonverbal cues, relational patterns, and emotional responses, which are essential for safety, effectiveness, and developmental appropriateness.

No. We are not a crisis center and we do not have on-call therapists. Our therapists do not check voicemail or messages outside business hours. If you are experiencing an emergency or are at risk of harm, please go to your local emergency department, call 911, or contact a crisis hotline immediately (988).