In individual work, I am interactive and work concretely with goals and how to achieve those goals. I offer specific tools for improving areas you are struggling with or just want to improve: - creating clear communication, - how to disagree in a non-divisive way, - how to clarify expectations, wants and needs, disappointments and resentments, etc. I am also mindful of the effect that a person's childhood has on how a person acts as an adult and where she/he gets "stuck", so I can "unstick" those places with specific skill-building. My specializations include: depression, anxiety, all relationship issues, eating disorders/bingeing, chronic illness (especially CFIDS and diabetes), and problems with sex/sexuality, childhood history of abuse (intermittent/chronic/severe), and PTSD, including single incidents to severe dissociative processes. In couples work, I support each person’s process and direction. I am fair and balanced with each partner in a couple; I am directive and create new ways of communicating and safe experiments within the session. I work with many different kinds of couples and a large variety of issues. Focus is often on: issues of improved communication, fair fighting, unequal/inhibited sexual desire, abuse history affecting intimacy, separation decisions, clean divorce. I have thirty-two years licensed experience working with individual women, men and couples. I have been in private practice since 1980, when I received my license to practice Marriage and Family Counseling. I just completed a three-year part-time position with UCSF as a Behavior Medicine Specialist for CDAPP (California Diabetes and Pregnancy Program). I trained health care professionals in psychosocial issues in their Sweet Success (pregnancy and diabetes) programs. Before that I worked directly as a Social Worker with pregnant women who had diabetes; I screened them for depression and provided education and support regarding a wide range of psychosocial issues. It also has a number of articles about when a person might need therapy, how to find a therapist and information about couples counseling. There are links to organizations as well as book lists and other useful information.