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A place to think carefully about complicated clinical work.
Some cases stay with you after the session ends.
You may have a good conceptualization and still feel uncertain about where to go next. You may understand the protocol but find that the person in front of you does not fit neatly inside it. Or you may be holding several possible explanations at once and trying to decide which one actually matters for the work.
Clinical consultation gives us room to slow that down.
I offer consultation in two areas that have become central to my own clinical work: EMDR and trauma treatment, and psychotherapy with adults with ADHD and executive-functioning differences.
EMDR consultation
When knowing the protocol is not the same as knowing what to do next.
EMDR can look straightforward on paper.
In practice, clients bring attachment histories, dissociation, complex trauma, shame, neurodivergence, relational dynamics, cultural context, and protective strategies that do not always move through treatment according to a clean sequence.
Consultation can help when you find yourself wondering:
· How do I adapt the protocol to the real person sitting in front of me?
· How can I feel safe making changes to what I learned in Basic Training without feeling like I am “breaking” EMDR?
· How do I know when we have done enough resourcing?
· How do I follow a case conceptualization through all eight phases of EMDR?
· How do I work with this client's protection without fighting against it?
· How do I know when I am moving too quickly, or when I might be avoiding the work?
My approach to EMDR consultation is relational, attachment-informed, culturally attuned, and influenced by my training in Somatic Experiencing. We pay attention not only to the target and the protocol, but also to what is happening in the client's nervous system, what their responses may be protecting, and what makes it possible for processing to move without overwhelming the system.
We can think together about target selection and sequencing, preparation and resourcing, blocked processing, complex and developmental trauma, dissociation and protective responses, case conceptualization, and how to integrate EMDR thoughtfully with the rest of your clinical work.
I am particularly interested in the places where protocol and complexity meet.
Consultation is most useful when it leaves you understanding the treatment well enough to make the next clinical decision with more clarity.
My background in EMDR
I am an EMDRIA-Certified EMDR Therapist and EMDR Consultant-in-Training.
I was originally trained in EMDR while working with individuals involved in the foster-care system. That setting shaped the way I think about trauma treatment in ways that have stayed with me.
I saw firsthand that a technically correct intervention could still miss something essential if it was not sufficiently attuned to the person's attachment history, developmental context, culture, family system, or lived environment. I also saw how much difference it could make when treatment took those factors seriously.
That experience is part of why I place so much emphasis on understanding the person around the protocol.
My trauma work now draws from EMDR, attachment and relational theory, Somatic Experiencing, nervous-system-informed approaches, and other trauma-focused models when they help clarify what is happening for the client.
Cultural context is also central to how I think about case formulation. Immigration, race, family expectations, socioeconomic context, religion, identity, community, and experiences within larger systems can all affect what safety, dependence, authority, protection, and vulnerability mean to a client. Those factors should inform how we understand the case rather than being added after the clinical formulation is already complete.
I currently provide individual EMDR consultation and lead EMDR consultation groups through the Trauma Therapist Institute as part of my Consultant-in-Training work.
ADHD clinical consultation
ADHD therapy is rarely only about executive functioning.
A client may come in because they cannot start a project, keep missing deadlines, or feel overwhelmed by ordinary responsibilities.
But fairly quickly you may also find yourself working with perfectionism, shame, anxiety, emotional reactivity, trauma, relationship conflict, burnout, or years of believing they simply should have been able to try harder.
That can make ADHD cases deceptively complex.
Clinical consultation can be useful when you are wondering:
· Is this ADHD, anxiety, trauma, or some combination of them?
· Why does my client understand the strategy but still struggle to use it?
· How much of our work should be practical and how much should be exploratory?
· How do I address executive functioning without turning therapy into productivity coaching?
· What do I do with the shame that has accumulated around years of ADHD difficulties?
· How do I understand emotional reactivity or sensitivity in the context of ADHD?
· How do I help a client build useful structure without asking them to become someone they are not?
My approach is strengths-based and clinically integrative.
We can look at executive functioning directly, including initiation, planning, prioritization, time, transitions, working memory, motivation, and follow-through. But we can also think about the emotional and relational context surrounding those difficulties and whether anxiety, trauma, attachment, perfectionism, or other factors are contributing to what you are seeing.
We keep the whole person in view, including what is cognitive, emotional, relational, developmental, and contextual.
My background in ADHD and executive functioning
ADHD and executive functioning have been part of my professional work for many years.
My background includes specialized experience in psychological and neuropsychological assessment, including ADHD evaluation, alongside psychotherapy and extensive executive-functioning work. In 2019, I founded Organized Mind, a practice focused on ADHD, academic strategy, and executive functioning.
That combination has shaped the way I think about ADHD clinically.
I am interested in what is happening cognitively, but also in what years of living with an ADHD brain may have come to mean to the person. The best intervention is often found by understanding both.
How consultation works
You can bring a specific case, a treatment question, a conceptual dilemma, or an area of your work where you feel less certain.
Sometimes we will get very concrete about what happened in a particular session and what you might do next. At other times, the most useful work is stepping back and looking at the larger formulation.
I want consultation to leave you with more than another technique to try.
Ideally, you leave understanding the case more clearly, feeling more grounded in your own clinical judgment, and with a better sense of what deserves your attention next.
Consultation is collaborative
There is room here to say:
I have no idea what is happening.
There is also room to say:
I think I know what is happening, but I want another mind on it.
Good clinicians get stuck. Complicated cases generate uncertainty. A protocol can be followed correctly and still leave important clinical questions unanswered.
Consultation gives us somewhere to think about those questions without needing to perform certainty.
Begin with a consultation
If you are looking for consultation around EMDR, complex trauma, adult ADHD, or executive functioning, you are welcome to reach out with a little information about what you are looking for.
We can determine whether my background is a good fit for the kind of consultation you need.