You know the medication schedule, when the g-tube or tracheostomy site needs attention, and which nurse to ask for. You do not know the last time anyone asked how you were. Therapy here is for the parts you don't say out loud—the exhaustion, the resentment that arrives alongside the love, the guilt that follows the resentment, and the version of your life you quietly stopped expecting. You don't have to justify any of it before we start.

You grew up next to someone whose needs were bigger than yours, and you learned early not to add to the pile. Maybe you became the easy one. Maybe you're an adult now, managing your parents' expectations about who provides care next. Siblings carry a specific kind of loss—for the childhood, for the attention, for the relationship you might have had. That's worth its own hour. I work with siblings from age 12 through adulthood.

Grief doesn't wait for a death. It shows up at a diagnosis, at a prognosis, at the appointment where someone tells you what your child will not do. You can be grieving a person who is alive and in the next room. This is one of the loneliest things to carry, because it's hard to explain to anyone who hasn't done it, and because saying it out loud feels like giving up. It isn't.

Whether you're the patient or the person managing the care, illness reorganizes a life. Appointments stack up. Insurance denies things. Equipment breaks on a Friday. The stress of that is real, and so is what it does to your mood, your sleep, and your sense of who you are outside of it. I've worked inside this system, so you won't have to explain how it works before we can talk about what it's costing you.

Family conflict and relationship issues can be complicated and the conflict can leave you feeling hurt, frustrated, or stuck. Therapy provides a supportive space to explore patterns, improve communication, and foster healthier, more fulfilling connections.

Burnout in caregiving isn't the same as burnout at a job—you can't quit, and there's often no one to hand it to. It shows up as numbness, as a short fuse, as dread on the drive home, as anxiety that won't settle, and a flatness that looks like depression because it often is. Some people call it compassion fatigue. Whatever you call it, we'll look at what's actually depleting you and what can realistically change, including the parts that can't.