• I work with adults who come on their own terms, seeking treatment for themselves. • No prior diagnosis is excludes you from this work, nor is one required to begin. • Sexuality and gender are not treated here as problems to be corrected. They are also not reduced to labels or predetermined explanations. Questions of sexuality, gender, identity, relationships, and desire can be explored seriously and openly, wherever that exploration leads. • I do not treat couples or families.• When substance use is active to the point that it structures your day or carries into sessions, this work is not likely to be effective. I’m happy to help connect you with services focused on stabilization and revisit this work when appropriate.