Therapy and Psychiatry for Adults
Most adults who come to us have already tried something — a therapist who wasn't a good fit, a medication that didn't work, or a period of white-knuckling it on their own. We offer a different model: CBT, integrated psychiatry, and addiction treatment under one roof, coordinated rather than siloed. Not everyone needs every piece, but all options should be available and considered.
What Brings Adults to Us
Anxiety and Depression
Anxiety and depression are the most common reasons adults seek therapy — and among the most treatable. Both respond well to CBT, which gives you a concrete set of skills rather than an open-ended talking relationship. When therapy alone isn't enough, or when symptoms are severe enough to warrant it, psychiatric evaluation can determine whether medication would help. Having both under one roof means they work together, not at cross-purposes.
Substance Use and Addiction
Alcohol, cannabis, opioids, stimulants, gambling — the specific substance matters less than whether use has become a problem. The clearest indicator is consequences: relationship damage, work difficulty, health problems, or simply not being able to stop when you decide to. Most people with substance use disorders don't need inpatient rehab — office-based outpatient treatment works well for the majority of people, and early intervention is far more effective than waiting until more damage is done.
Co-Occurring Mental Health and Addiction
Mental health and addiction problems are more common together than separately. Depression drives drinking; anxiety drives cannabis use; ADHD increases addiction risk; trauma underlies more substance use than most people realize. Treating one without addressing the other almost always fails. We're built to treat both simultaneously — not to refer you out when the picture gets complicated.
ADHD
ADHD in adults is frequently undiagnosed or undertreated, and its effects — on work performance, relationships, financial management, and self-esteem — are often attributed to character rather than neurology. Adults with ADHD also have elevated rates of anxiety, depression, and substance use. A thorough evaluation can clarify whether ADHD is driving the difficulty, and whether therapy, medication, or both would address it most effectively.
Relationships and Family
Mental health and addiction problems don't stay contained to the person who has them — they affect partners, families, and the people closest to you. We offer couples and family therapy alongside individual treatment, which matters most when communication has broken down, trust has been damaged by addiction, or the family system has organized itself around the problem in ways that make it harder to solve.
How We Work
Cognitive Behavioral Therapy
CBT is the most evidence-supported therapy for anxiety, depression, and addiction in adults. It's structured and skills-focused — you learn to identify the thoughts and situations that drive distress or problematic behavior, test them against reality, and practice responding differently. Sessions have a direction. You should be able to tell whether it's working.
Integrated Psychiatry
When medication is part of the picture, it should be coordinated with therapy — not managed by a separate provider who doesn't know what's happening in your sessions. Our in-house psychiatrists work alongside your therapist, which means faster adjustment, fewer gaps, and a treatment approach that holds together.
Medication-Assisted Treatment
For opioid and alcohol use disorders, FDA-approved medications — buprenorphine, naltrexone — significantly improve outcomes when combined with therapy. MAT isn't a substitute for doing the work; it's a tool that makes the work possible by reducing cravings and withdrawal so you can engage with treatment. We prescribe and manage these medications in-office.
Couples and Family Therapy
Addiction and mental health problems affect everyone close to the person struggling. Couples therapy can address communication, trust repair, and the relationship patterns that predate the problem or maintain it. Family therapy is particularly useful when a family member's behavior — either the person with the problem or the people around them — has become part of what needs to change.