Before any treatment recommendations are made, a comprehensive diagnostic assessment is necessary.  This will involve a discussion of your current concerns, personal history, previous treatments and what you would like to accomplish with treatment.  Treatment recommendations are then reviewed. These may include psychotherapy, medication or both psychotherapy and medication.  Some disorders are effectively treated with psychotherapy, others with medication.  Sometimes the most effective treatment is a combination of therapy and medication.    Deciding what treatment to use requires consideration, not only of the problem to be treated, but also what an individual prefers as well as what research indicates is effective treatment.   You are an important partner regarding treatment decisions for yourself or your child.   A positive therapeutic relationship underlies all treatment.   Beyond that, specific psychotherapies that I use include cognitive behavioral therapy, interpersonal therapy, supportive therapy, behavior therapy and play therapy, selecting the therapy that is expected to address the problem being treated.  Motivational interviewing and mindfulness practices also inform my practice.  Consultation and counseling for parents who have concerns about their child’s behavior or well-being are also provided.