For some people, the decision to begin therapy comes after realizing their lives are not going the way they want them to. 

                Perhaps this awareness comes as a result of a particular crisis, like losing a job, or ending a relationship.  For other people, it is just a sense that they are not in control of their lives.  Or that they are holding themselves back from enjoying life more fully.  Perhaps they realize that something that happened at some earlier time keeps limiting the quality of life today.

                    My responsibility as a therapist is to ask what you want therapy to do for you -- what you would like to change in your life -- to listen and formulate a treatment approach that will meet these needs, whether it means individual, couples, group or family therapy, on either a short term or long term basis.