Human beings are comprised of muscles, tissues, endocrine, gastrointestinal, respiratory and cardiovascular systems, as well as multiple nervous systems. One of these nervous systems is the brain and spinal column, another is specific to the gastrointestinal system, and still another is the autonomic nervous system, which is responsible for modulating stress. There can be conscious control over all these nervous systems, which can influence bodily functions such as heart rate, blood pressure, digestive function, and muscle tension. Learning how to take control of your bodily functions can help with a wide variety of physical sensations and symptoms.

In addition, our emotional and spiritual sides are almost always challenged when illness emerges or re-emerges. Finding new ways to cope can improve quality of life, as well as decrease reactions such as anxiety and depression.

Multiple studies using cognitive behavioral therapy, which includes stress management, show clinically meaningful improvements in conditions including chronic migraine and tension headaches, fibromyalgia, arthritis pain, low back pain, pelvic pain, bruxism, menopausal hot flashes, insomnia, and irritable bowel syndrome. The mechanism has to do with balancing the autonomic nervous system, by decreasing the sympathetic portion and increasing the parasympathetic branch of the system.  Changes in thoughts, emotions and behaviors can lead to actual changes in the brain, similar to those seen when medications are used.

No, because clinical psychologists in Virginia are not permitted to prescribe medications. However, medications can be a valuable part of your health care, so knowing what you are taking is helpful to me.

For established patients, under certain circumstances, phone sessions are possible. These may include illness, inability to travel, or inclement weather. In case of chronic severe illness, I will at times be able to do home visits.

I do not complete any documentation for disability or psychological functional capacity. I believe that the vast majority of people have a better quality of life when engaged in meaningful work, paid or unpaid. I also believe that ongoing litigation is a factor that in many cases impedes improvement. Therefore, I would ask that you delay beginning treatment with me until all lawsuits related to any of your medical problems are concluded. I only appear in court if subpoenaed.