Therapy for the person holding it all together.

White roses blooming on a branch against a clear blue sky.

What I Believe About This Work

Caregiving is love, and it's also labor. The love part gets all the attention. The labor part often goes unpaid, unscheduled, and largely unacknowledged, even though it consumes your days. I treat it as real work, because that's what it is—and because it is hard to name your exhaustion when the rest of the world just calls it "being a good parent" or "being a good sibling."

You are allowed to want your own life. Wanting time, privacy, a career, or a marriage that isn't entirely organized around medical appointments—none of that means you love your person less. Most of my clients need to hear this out loud more than once.

You are allowed to grieve the life you expected. Most parents picture a certain kind of family before their child arrives. When a diagnosis changes that picture, the grief is real—for the childhood you imagined, and sometimes for the life you had before. It can even look like envy: watching other families complain about report cards and middle school drama while you are managing something else entirely. That doesn't make you ungrateful. It makes sense, and you can say it out loud here.

Siblings are not extras. In families organized around one person's intensive needs, the other kids quickly learn to be low-maintenance. That adaptation has a cost, and it usually shows up decades later in adulthood. Their experience deserves its own dedicated space, not just a passing mention at the end of someone else's care plan.

I will be honest with you about what can and cannot change. Some diagnoses do not improve. Some family dynamics will not magically resolve. But what can shift is how alone you feel inside of it, and how you choose to move through what is in front of you.

How I Can Help

  • Caregiver Support

    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.

  • Sibling Support

    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.

  • Anticipatory Grief & Loss

    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.

  • Chronic Illness & Medical Complexity

    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 & Relationship Issues

    Chronic illness and caregiving put incredible strain on relationships. Resentment builds when one person shoulders most of the labor, or when relatives offer unhelpful opinions instead of actual help. We can talk about the reality of these dynamics—how to set firm boundaries with family members who don't get it, how to navigate the isolation, and how to protect the relationships you actually want to keep.

  • Caregiver Burnout & Fatigue

    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.

Not sure where you fit?

Most of the people I work with are in more than one of these at once. If some of it sounds like your life and some of it doesn't, that's normal. Bring what you've got to the consultation and we'll sort it out there.

What to Expect

You don’t have to be sure.

You might not know yet what you'd even want from therapy. That's okay. Most people arrive here tired rather than certain, and figuring it out is part of what we'd be doing together.

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