Grounded in careful assessment, we orient each session around what feels most urgent to you and map small, testable steps forward. From our San Francisco office and through English-language telehealth, sessions move at a pace you set—sometimes reflective and exploratory, sometimes action-focused between visits. We blend close listening to relational and developmental patterns with targeted interventions and periodic medication review when helpful, tracking progress together. People facing complex mood, developmental, or trauma-related challenges often find this steady, collaborative rhythm stabilizing.