Meridian

For clients located in South Dakota or Colorado. Clients outside the United States: please use the contact/intake option below.

Getting started

A clear path, in your time zone.

I am one clinician, based in the United States, meeting people by secure video. English is the only language I work in. The practice is built for about 30 ongoing clients. Currently accepting a limited number of new clients.

The usual path for therapy

Submit a screening, then the provider reviews it, then a free 15-minute consultation, then assessment, a treatment plan, and ongoing therapy.

  1. Submit a short screening

    You answer a brief screen: contact details, the service you want, a few sentences about what you hope will change, and two safety questions. This is not a full history, and it does not start care.

  2. The provider reviews it

    I read the screening and decide whether a free consultation is a fit. A safety concern is reviewed first. Review can also end in a referral or a decline.

  3. A free 15-minute consultation

    If we move ahead, we talk about your country, time zone, and whether we can work together. This is not a therapy session. The website cannot promise that care is allowed where you live.

  4. A comprehensive assessment

    If we go ahead with therapy, the next step is usually a biopsychosocial-spiritual assessment. It is a clinical interview, not a test battery. You receive a written assessment with recommendations.

  5. Your individualized treatment plan

    Every therapy client gets a plan of their own. We set personal goals, measurable objectives, and intervention strategies tailored to you.

  6. Ongoing therapy, with progress reviews

    We meet by secure video. From time to time we look at the plan together and change it when your needs change.

What the plan holds

Every therapy client receives individualized treatment planning. The pieces are simple, and they are reviewed as we go.

Goals

What you want to be different in your life. Written in your words, not a stock phrase.

Objectives

Signs we can notice along the way, so progress is something we can talk about plainly.

Strategies

The ways we will work in session, and anything you choose to practice between meetings.

A different path for coaching

Coaching is not therapy. It does not include a clinical assessment or a treatment plan. It is practice for English communication.

  1. A free 15-minute conversation

    We see if coaching fits. We talk about your country, your time zone, and where you want English to feel easier. This conversation is not therapy and not a clinical assessment.

  2. Practice on real situations

    We work on conversations you actually have: work, study, a partner, friends, or daily life. We go slowly. You can ask me to repeat a word or explain it in simpler English.

  3. Practical goals, not a treatment plan

    We set a few simple practice goals. They are not a diagnosis and not a clinical treatment plan. If you need therapy instead, we can talk about that separately.

Time zones

Sessions can be offered Monday to Friday, 7:00 a.m. to 8:00 p.m. US Mountain Time. I can also arrange times with US Central Time in mind, because my licenses are in South Dakota and Colorado.

Sessions can be scheduled inside a wide window. Exact openings depend on the calendar. I am not available every hour of that window.

We agree the time in your local time zone. You do not have to convert the clock yourself. I confirm the hour where you live before we meet.

The window is wide so people in Europe, Africa, and the Middle East can usually find a daytime or evening hour, and people in the Americas can meet during their day. People in parts of Asia and Australia can often meet in their morning.

English only

I do not offer sessions in other languages. If English is not your first language, you can still be a therapy client. We go slowly. If you want the work itself to be about speaking and understanding English, choose coaching. That service is not treatment.

Where I see clients

I hope to work with English speakers living outside the United States. Availability depends on local regulations and on my license. I do not claim that care is legally available in any specific country.

  • Australia
  • Brazil
  • Canada
  • France
  • Germany
  • Ireland
  • Italy
  • Japan
  • Mexico
  • Netherlands
  • New Zealand
  • Portugal
  • Singapore
  • South Africa
  • Spain
  • Switzerland
  • United Arab Emirates
  • United Kingdom

This list is a placeholder of countries people often ask about. It is not a statement that therapy, assessment, or coaching is legal or available there. I am licensed in the United States. Rules where you live may be different. We talk about your country in the free consultation before any work begins. Nothing on this website is a promise of eligibility.

Secure video

Sessions are by secure video. The exact platform will be confirmed before the first meeting. Please use a private, quiet space and a stable connection.

Two ways to reach the practice.

Clients in South Dakota or Colorado can request a time in the client portal. If you live outside the United States, use the contact page. Email is not a clinical record.

Currently accepting a limited number of new clients.

Contact the practice