Individual and Couple Therapy
in Tacoma and Seattle

Tacoma Office near Proctor District

35th & N. Cheyenne St

Ample Free Parking

Tacoma Detailed Directions


Seattle Office on Greenlake

Greenlake Wellness Group

7900 East Green Lake Drive North, Suite 202

Free Convenient Parking

Greenlake Office Detailed Directions


(253) 304-1411

Click the appropriate button below to see what appointments are currently available. Please contact me by email or phone before scheduling a first appointment. I am unable to see new clients without some preliminary discussion. Thank you.



Existing clients may use the Paypal button below to pre-pay for an upcoming scheduled session.




Shame in the Bedroom

I recently had the pleasure of discussing the topic of shame, especially as it pertains to sex, with my friend and colleague Jessa Zimmerman. You can hear our conversation on her excellent show, the Better Sex Podcast. Please consider subscribing to the podcast on iTunes.

Speaking of podcasts, I have been posting to a new show called The Art of Experiencing: Mindfulness and the Zen Koan.



We tend to think of ourselves as individuals going about our business. Things from the outside happen to us and then we react. We admit, of course, that we also “happen” to others and they react to that. But I think we tend to overlook, or over-simplify, what goes on there.

We tend to notice the big effects. When you insult me I feel angry or maybe ashamed. When I massage your shoulders you feel good or maybe loved. But what we may not see are the micro-events that occur unceasingly between us. How I look at you, or the way my look causes you to feel some small worry—so small you may not notice it in the flow of daily life but, upon reflection, there it is all the same. These tiny exchanges of action-and-response can form long chains that extend over weeks, months, decades, a lifetime.

In all that time we may only notice those most visible links where something dramatic happens. There is an explosion of temper, a breaking down into despair, an upwelling of love or lust. But these are just punctuation to a continuous weave of interaction. The big, memorable events emerge from this weave and cannot be fully grasped without it. When we chart only those outstanding moments we likely miss the actual logic that governs them.

In therapy, it is tempting to tell our stories of the big events—those that have punctuated the long trajectory of our life and those of the past week. But we may have trouble making sense of the big events if we lack the fine-grained understanding of the tiny interactions that form the chain linking these big events together. Part of the value of therapy, then, is to create a space to explore much more subtle features of our experience, to familiarize ourselves with the hidden stories within and around the big stories we already know.

These little bits of experience bring us closer to our own body. The granular detail of living reveals itself in small sensations, the quanta of experience. We begin to notice the feel of our tears ducts welling, or the rise of heat in our chest, a sense of constriction in the throat, our stomach tightening or sickening—little cues we might usually miss that nevertheless structure with precision what we do next, to which, in turn, another person reacts. Every moment of social interaction is like this. Even when we are alone, it is also like this—we react, after all, to ourselves. Whether solitary or social, interaction is always happening.

Therapy, too, is made entirely of interaction. When we bring explicit awareness to interaction, to the internal chains we build and the social chains that flow into and out of these internal chains, we begin to fathom the sheer complexity of human living and, together, we begin to know ourselves in the richness and intricacy that we all are.


Being Witnessed

Parker Palmer offers beautiful words when he says:

The human soul doesn’t want to be advised or fixed or saved. It simply wants to be witnessed — to be seen, heard and companioned exactly as it is. When we make that kind of deep bow to the soul of a suffering person, our respect reinforces the soul’s healing resources, the only resources that can help the sufferer make it through.

Read his whole blog post here.


Healing As a Practice

Sometimes we go into psychotherapy with a very specific problem and corresponding goal. But very often we are working on something more general, harder to define, more complex. We are doing deep work, addressing patterns that have been with us for most of our lives that have become problematic. Most frequently, we are healing very old wounds.

Few of us escape childhood without some wounds. We remain vulnerable to wounding as adults too, of course, but the ones from earlier on tend to cut the deepest and present the greatest difficulties in healing. It takes time, the work deepens slowly, and it has an iterative quality. We find ourselves circling back around to the same old territories over and over again. Like peeling away the layers of the proverbial onion, we notice over time that we are cutting deeper and deeper into those familiar patterns of thought, feeling, and body sensation. It’s not that we have been going around in circles, but that we have been penetrating our patterns in corkscrew fashion, spiraling persistently toward the core.

If we enter into this process in a very goal-directed way, we are bound to get frustrated. It’s hard work and progress is slow. It is customary for therapists to remind us that ‘it took a lifetime to develop these patterns, so it will take significant time to change them.’ (Of course, in this day and age, a whole phalanx of the field believes that adequate change can occur in 8-12 sessions, if only you follow the most empirically validated protocol closely enough. This assertion doesn’t even pass the smell test in the kind of work we are talking about here, and the research upon which it is based has begun to look less and less convincing as it has developed—but I digress.)

But I would go further. Both my own experience and emergent neuroscience suggest that we never entirely change our patterns. The patterns that we took into adulthood are strong attractor states to which our neural pathways will continually revert when we are stressed or otherwise distracted. In other words, it requires effort to do something different, and always will. In this respect, psychological healing is not a one-time process that ends in a cure. It is a lifelong practice that, at its best, deepens continually but demands our attention and care forever.

I don’t mean to say that you have to be in therapy forever. Some, who have sufficient interest and resources, may indeed choose to work with a therapist for decades at a time, or a whole lifetime. But this is usually not necessary for robust healing. In general, therapy tends to be especially useful at three points in the healing process. First, when a person realizes that they have work to do but are unclear on what exactly the work is, or how to go about it, a therapist can help that person organize their experience and make sense of their troubles. And the therapist can help guide the person toward a way of working with their patterns. This part of the work can be measured in months, but often is measured in years. Give it a year and see how it is going. At a certain point, it is probably a good idea to untether yourself from regular therapy and work in your daily life on your own, and with the help of your loved ones and broader community.

Sometimes we stumble on a deep patch of new work, or we find that work we have been doing suddenly gets richer, more difficult, even disorienting. This is the second juncture at which therapy can be especially useful. At this point you might return to your therapist, or seek out a new therapeutic relationship to tackle the new work. These patches may appear because you discover significant new information about your past, or because you are now in a new stage of life, or you experience some strong reaction that you had never felt before.

The third place that therapy comes in handy, and perhaps the most common in long-term work, is that you have become involved in your daily life and lost track of your healing project, or some hardship or inordinate stressor sends you forcefully back into your old patterns. You find that you need to refresh your effort. This is very normal; it’s just part of living, which makes so many demands on us even in the best of times. Returning to therapy can get us back on track, remind us of what we learned before, and update our way of working to meet current needs.

In this kind of work, healing is not a ‘fix’ that we apply and then forget about it. It is a practice, much like exercise, eating well, or religious observances. It is something we devote time and energy to because we know it makes us feel better in the short-term most of the time, and seems necessary in the long-term for our overall well-being. It is good and noble work. It helps us become the best person we can be because it continually, freshly reveals to us the person we already deeply are.


Momentum in Therapy

Sometimes in therapy we are working toward a single well defined goal, and sometimes we are working on many issues at once, or working deeper, over a long period of time. In the first situation, we track our progress from session to session asking ourselves what is changing, how things are improving. In the second situation we take a longer view, aware that deep work unfolds somewhat non-linearly and progress is measured over greater expanses of time.

Momentum is important for both of these, but especially for the first. (I will say more about the second in a future post.) Naturally, we want to make the most of each session. We can best do that when we build momentum across sessions. What do I mean by momentum? We sense momentum when we can readily pick up where we left off the last time, or when work begun in the previous session continues to develop throughout the week so that we can pick up at a further point in the next session. Momentum like this almost invariably contributes to a sense of real progress across sessions toward the identified goal.

The indicators of low momentum might include not being able to remember what we talked about in the previous session; little sense of carrying the work done in therapy through the intervening days; or spending sessions catching up on events rather than working on the material developed in earlier sessions. It’s OK when this kind of thing happens—it’s a normal part of the therapeutic process—but it tends to occur less and less as momentum builds.

The most basic way to create momentum in therapy is to come regularly and often. For most people in most situations (including couples), weekly sessions tend to work very well. There is enough time in between to let the work of sessions filter through, but not so much time that we lose focus. Sometimes, when conditions are acute, I might recommend meeting more often; but this can be very intense and may be more than is required. At the other end of the spectrum, meeting every other week can also work, but it represents the outer limit of frequency for most people, in my experience. For biweekly meetings to be effective, you would have to be extremely regular. Even missing one session could, and probably would, squander any existing momentum.

Another key component to momentum concerns how the material covered in a session is carried forward through the week. If we jump right back into our busy lives the moment we leave our session, giving no thought to the session until we find ourselves back for the next session, we may miss an opportunity to build momentum. That said, it’s also true that we often chew on the material of therapy even when we go on with our normal routines; it’s probably happening in the background even when we don’t notice it. But, even so, if we can also chew on that material in a conscious, intentional way, we are likely to increase the momentum of our work. One way to do this is to write down some notes after each session. Maybe sit in the waiting room immediately after the session, or in your car, or once you get home, and jot down a small number of take-aways that you want to keep in mind as you go through your week.

Lastly, we can enhance momentum by spending a few minutes prior to our session reflecting on the material of previous sessions and tapping into what feels most important right now. It is always OK to arrive at a session without any agenda; sometimes our best work can happen there. But it can also be very effective when we come into the session with a sense for what we want and need to work on in that hour. This is especially helpful when we are working toward a specific goal.