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Conditions we treatWhen the standard path has not brought relief.
Medicine-assisted psychotherapy for people who have not found relief through standard treatment.

Every patient starts in the same place.
Regardless of diagnosis, the first step is a free safety screening. There is no cost and no obligation. It is simply the first honest conversation about whether this approach could help you.
It is the same first step whether you are already well along in exploring this, or only just starting to look into it.
The four conditions we focus on most.
We concentrate the bulk of our clinical work on four conditions. Each has its own page covering what makes this approach different and what candidacy looks like.
Depression
For depression that has not responded to medication, standard psychotherapy, or both.
Read moreAnxiety
For worry, hypervigilance or panic that has not lifted the way you hoped.
Read morePTSD and Trauma
For trauma that has not resolved with trauma-focused therapy alone.
Read moreOCD
For intrusive thoughts and compulsions that have not loosened their grip.
Read moreWhat if your situation is not listed here?
These four are where we focus most of our clinical work, but they are far from the only reasons people come to us. We also walk alongside people navigating:
Personal growth means whatever it means to you: spiritual, professional, or simply the sense that there is more available to you than where you currently are.
If what brought you here does not fit neatly into a diagnosis, that is alright. Healing rarely does. Reach out, and we will have an honest conversation about whether this approach could help you.
Three things people ask us first.
More complex presentations
Many of the people we see are managing more than one thing at once: depression alongside chronic pain, anxiety layered onto grief, trauma sitting underneath a life transition. That complexity does not rule anything out. Our screening process looks at your full clinical picture, not a single label, and our team will always tell you plainly if we think another approach, or another provider, would serve you better.
Is a diagnosis required?
No. A formal diagnosis can be helpful context, but it is not a requirement to reach out. Many people come to us with a strong sense that something is not working, well before putting a clinical name to it, or without ever doing so. The safety screening is where we sort out what is actually going on and whether this is a fit. It is not something you need to arrive already knowing.
Who we work with
We work with adults, eighteen and over. We do not treat adolescents. If you are seeking care for someone under eighteen, we are not the right service, and we would rather tell you that at the outset than after a screening.

Wondering if this is right for you?
Start with a free safety screening. No cost, and no obligation.