Therapy for what hurts— and what keeps repeating.
Anxiety, depression, overwhelm, shame, relationship difficulties, burnout, and feeling stuck are often the reasons people begin therapy. Sometimes the problem is clear. Sometimes you only know that something in your life no longer feels sustainable.
We begin with what is happening now. Then, when it is useful, we look underneath it—at the experiences, relationships, nervous-system patterns, beliefs, and adaptations that may still be shaping how you feel and respond today.
Trauma
Informed
Neurodivergent
Affirming
LGBTQ+
Affirming
Depth-Oriented
Care
You may know exactly what’s wrong. Or only that something needs to change.
01
Anxiety & Overwhelm
Worry, overthinking, panic, perfectionism, irritability, hypervigilance, or the feeling that you are always bracing for something can make even ordinary life exhausting.
02
Depression & Disconnection
Depression does not always look like sadness. It can feel like exhaustion, numbness, isolation, loss of motivation, difficulty experiencing pleasure, or simply not feeling much like yourself anymore.
03
Grief, Loss & Life Change
Grief can follow death, divorce, estrangement, illness, identity changes, lost opportunities, or the end of a life you expected to have. Sometimes healing means making room for what cannot be undone while discovering what comes next.
04
Trauma is not only what happened. It can also be what you learned to expect, avoid, suppress, or become in order to survive it. Those adaptations can continue affecting relationships, emotions, sexuality, self-worth, and the nervous system long after the original experience is over.
05
Autism, ADHD, sensory sensitivity, masking, burnout, rejection sensitivity, and a lifetime of being misunderstood can shape how you see yourself and how safe it feels to simply be who you are.
06
Health, Illness & the Body
Cancer, chronic illness, disability, pain, medical trauma, and changes in sexuality or body image can affect far more than physical health. They can change relationships, identity, confidence, independence, and even how you understand your life and future.
The symptom may be real.
But not the whole story.
Anxiety can be anxiety. Depression can be depression. Grief can follow a profound loss, and illness can change the way a person experiences themselves and their life. We do not assume that every symptom is evidence of something hidden underneath it.
But sometimes what hurts today is connected to a much older story.
Adverse childhood experiences, trauma, attachment wounds, family dynamics, chronic stress, rejection, shame, loss, or years spent adapting to environments that did not fully understand you can shape the nervous system and the beliefs you carry about yourself, other people, and what it takes to feel safe.
The strategies that developed in response may have once been remarkably useful. Staying vigilant. Keeping people happy. Disconnecting from difficult feelings. Becoming fiercely independent. Performing, masking, controlling, withdrawing, or anticipating what everyone else needs before they have to ask.
The problem is that a strategy built for one chapter of life can keep operating long after that chapter has ended. What once protected you can eventually become the anxiety, exhaustion, disconnection, relationship pattern, shame, or sense of stuckness that brings you into therapy.
We are interested in helping you feel better. We are also interested in understanding why this particular problem developed in this particular person, in this particular life.
our approach
Sometimes meaningful change comes from understanding a problem differently, learning new skills, making a difficult decision, setting a boundary, or changing something concrete in your life.
Other times, you already understand the problem—and it keeps happening anyway.
That is often when we begin looking deeper: at trauma, attachment, family of origin, protective patterns, unconscious associations, parts of the self, nervous-system responses, or beliefs that may have formed long before you knew you were forming them.
We are not committed to making therapy deeper than it needs to be. We are committed to going deep enough to find the root of the change you came for.
Start Where You Are
You do not need to understand the cause before therapy can help. We begin with what is happening in your life now—what hurts, what is not working, and what you want to be different. Sometimes that work is practical. Sometimes simply having a place where the whole experience can be understood begins to change it.
Follow What Keeps Repeating
When insight has not been enough, we get curious about what is underneath it. Recurring reactions and relationship patterns often have a logic of their own. We slow them down, look at where they came from, and help you understand what your system may still be trying to protect you from.
Use the Tool That Fits
The method should serve the person—not the other way around. Depending on what the work calls for, therapy may draw from attachment and relationship work, trauma-focused approaches, parts work, hypnotherapy, neurodivergent-affirming therapy, sexuality and identity work, or other experiential approaches. When another clinician or specialty within ACT would serve you better, we can bring them into the work too.
When the work needs a different lens.
01
Trauma can affect safety, relationships, self-worth, sexuality, emotions, and the nervous system long after the original experience is over. Specialized trauma work helps make sense of what happened, what you learned to do to survive it, and what may no longer be necessary now.
02
Autism, ADHD, masking, sensory differences, rejection sensitivity, and burnout can shape identity and relationships in profound ways. Neurodivergent-affirming therapy helps you understand your wiring without treating difference as pathology—and begin building a life that fits you better.
03
Sexual concerns can involve desire, functioning, shame, identity, trauma, health, relationships, body image, or experiences from much earlier in life. Specialized sex therapy creates room to understand the whole story without assumptions about what sex or intimacy is supposed to look like.
04
For some people, deeper experiential work can create access to emotions, memories, perspectives, and internal patterns that are difficult to reach through ordinary conversation alone. When clinically appropriate, Ketamine-Assisted Therapy can become another tool within a larger therapeutic process.
You shouldn’t have to edit yourself to be understood here
Therapy works differently when you do not have to spend the first several sessions translating who you are, defending the way you live, or wondering whether some part of your identity will become the problem in the room.
We welcome LGBTQ+ and trans clients, neurodivergent people, people in consensually non-monogamous or polyamorous relationships, people exploring gender or sexuality, and clients whose lives, bodies, relationships, beliefs, or ways of being do not fit neatly inside conventional expectations.
The same is true of spirituality, religion, culture, sexuality, disability, chronic illness, and the ways you make meaning of your life. You do not need to share our worldview—or anyone else’s—for those parts of your experience to be taken seriously.
Our job is not to move you toward a predetermined version of who you should become. It is to understand you well enough to help you build a life that feels increasingly honest, workable, connected, and your own.
The whole person rarely fits inside one clinical category.
A person can come to therapy for anxiety and discover that grief is part of the story. Depression may overlap with burnout, neurodivergence, chronic illness, trauma, or a life that no longer feels meaningful. Relationship difficulties can involve attachment, sexuality, family of origin, or experiences that happened long before the current relationship began.
Our model borrows from the way complex cases are approached in a skilled teaching hospital: start with the whole person, then bring the right lens to the problem in front of you. We do not expect one diagnosis, one modality, or even one clinician to explain everything.
That may mean staying with straightforward individual therapy. It may mean going deeper into trauma or longstanding protective patterns. It may mean bringing in specialized work around neurodivergence, sexuality and intimacy, grief, chronic illness, or—when appropriate—ketamine-assisted or other experiential approaches.
Sara, Marc and the team work collaboratively, and clients may work with any of them at different points when the work calls for a different kind of expertise. The larger story does not have to disappear simply because the lens changes.
Two clinicians. Complementary lenses.
Marc tends to go deeper
When someone understands the problem intellectually but still cannot seem to change it, Marc often becomes interested in what is happening underneath conscious awareness.
His work may explore trauma, grief, attachment wounds, protective adaptations, unconscious associations, parts of the self, and experiences that continue shaping emotions and relationships long after the original event has passed. He also works with existential and spiritual questions around meaning, identity, mortality, purpose, and how a person understands their own life.
When appropriate, that work may include hypnotherapy, parts work, trauma-focused approaches, or Ketamine-Assisted Therapy.
Sara tends to make change livable.
Sara often works where insight meets the realities of everyday life—relationships, communication, sexuality, identity, neurodivergence, family dynamics, health, and the practical decisions that determine whether change can actually take root.
She also works extensively with people recovering from narcissistic abuse and emotionally manipulative or controlling relationships—helping clients make sense of what happened, rebuild trust in their own perceptions, strengthen boundaries, and begin separating who they are from the adaptations they developed inside the relationship. Sara has also written professionally on narcissistic abuse and relationship dynamics.
Her work includes people navigating cancer survivorship, chronic illness, disability, pain, changes in sexuality or body image, and the ways physical health can alter identity, relationships, independence, and the future someone imagined for themselves.
She helps clients understand what is happening while also asking: What would make life work better now?
meet our team
Meet the people behind the work. Two complementary approaches, with the flexibility to match the depth, perspective, and kind of support the work calls for.
Sara Sloan
LMFT, CST, IRT
Relationships • Sexuality • Neurodivergence • Narcissistic Abuse • Health & Identity • Affair Recovery • Couples
Marc Geronimo
LMFT-A, CHT
Trauma • Grief • Relational Patterns • Hypnotherapy • Existential Work • Couples • Ketamine-Assisted Therapy
common questions
People come to individual therapy for anxiety, depression, grief, trauma, relationship difficulties, burnout, identity concerns, neurodivergence, chronic illness, sexuality, major life changes, and patterns that simply keep repeating. You do not need to arrive with a diagnosis or even a clear explanation of what is wrong. We can begin with what is happening now and figure out the larger story together.
You do not need to know before you begin. Sometimes straightforward individual therapy is exactly what is needed. Other times the work may benefit from a more specialized lens around trauma, neurodivergence, sexuality, grief, or experiential approaches such as Ketamine-Assisted Therapy. Part of our job is helping determine what kind of work makes sense as we understand you better.
That is a common reason people seek deeper therapy. Insight is valuable, but some patterns involve emotional learning, protective responses, trauma, attachment, or associations that are not changed simply by understanding them intellectually. When that happens, we may work more experientially rather than continuing to analyze the same problem.
No. We do not assume every problem comes from childhood, and we do not go looking for trauma simply because therapy is happening. We start with what you want help with now. If earlier experiences appear relevant, we can explore them at a pace and depth that makes sense for you.
You do not necessarily have to make that decision alone. Marc and Sara share a whole-person approach but bring different clinical instincts and areas of expertise. We can help you determine which clinician and kind of work best fit what you are dealing with, and that can change over time as the work changes.