Therapeutic Approach

I have trained intensively in dialectical behavior therapy (DBT) and have spent the last few years as a member of a gold standard consult team with DBT Eastside in Bellevue. Most of the therapy I provide is informed by DBT even if clients do not opt for a gold standard approach, which includes weekly skills groups, individual sessions, diary cards, and coaching calls. The DBT approach emphasizes building skills in four main focus areas: mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance skills. DBT encourages individuals to follow a "middle path" in life, helping clients to find peace and balance in a stressful and tumultuous world. I also teach skills groups and offer individual sessions in Radically Open DBT, which helps individuals coping with anxiety, OCD, eating disorders, and treatment-resistant depression build greater openness, flexibility and connectivity with others in their lives.

I have received clinical training and consultation through Harborview Medical Center to provide Common Elements Treatment Approach (CETA), an evidence-based therapy for treating PTSD and trauma. This approach can be helpful for many clients trying to move past a traumatic event or an unexpected loss, and can be used as needed after an initial consultation. I have also received training in and like to integrate elements of cognitive behavioral therapy, strengths and solution-focused therapies, motivational interviewing, interpersonal psychotherapy, exposure therapy, and internal family systems as needed for each individual client's needs. You are unique and thus my approach will be tailored to your specific needs, wants and abilities. There is no one-size-fits-all approach here. These approaches can be used for individual, couples, or family therapy as needed.

Below are brief summaries of some of the approaches used at Lookout Counseling Services: 

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Radically Open DBT

Created for those suffering from excessive self-control, Radically Open Dialectical Behavior Therapy (RO-DBT) builds upon the success of traditional DBT to treat a unique spectrum of symptoms. Individuals suffering from disorders of over-control, such as anorexia nervosa, obsessive compulsive disorder, chronic depression, chronic avoidance, perfectionism, treatment-resistant anxiety, and paranoia may be able to find relief using RO-DBT.

If you are struggling with chronic overthinking, being hyper-detailed focused and overly cautious, having difficulty connecting with others and expressing emotions, RO DBT can help you learn ways to create greater openness, flexibility and intimacy with others.

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Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) posits that our thoughts and feelings play a fundamental role in our behaviors. The goal of CBT is to teach people that while they cannot control every aspect of the world around them, they can take control of how they interpret and deal with things in their environment. It helps to uncover unhealthy patterns of thought and how they may be causing self-destructive behaviors and beliefs. This approach is very helpful in treating depression, anxiety and obsessive compulsive disorder.  


Standard DBT

Dialectical behavior therapy was created initially to treat people with suicidal behavior and borderline personality disorder, though it has now been adapted for a variety of other mental health concerns that can potentially threaten one's relationships, work, emotional well-being and own safety.

The term "dialectical" comes from the idea that bringing together two opposites in therapy (validation and acceptance versus problem solving and change) can produce greater results than focusing on either one alone.

Standard DBT can teach you the skills to help regulate difficult emotions, avoid problematic and potentially dangerous behaviors, and gain greater mindfulness of yourself and others.