For teens

You don't have to have it figured out

Whether it's pressure at school, friendships, or a future that feels overwhelming, therapy can help you work through it and build practical skills for focus, stress, and difficult emotions. Here's what to expect, and how to get started.

You might be here because

  • Friendships feel complicated, or lonelier than they used to.
  • School takes everything you have, whether your grades are great or slipping.
  • You know what you need to do, and focusing long enough to do it feels daunting.
  • The future feels overwhelming: what to study, what kind of work to do, whether you'll be able to afford the life you want.
  • The world feels uncertain and unsettling right now, and you're expected to keep going like it's not.
  • You want to figure out what matters to you, as distinct from what you've been told matters.

What to expect

We usually meet once a week to talk through what's going on and work toward goals we set together. I'll be direct. I won't tell you what to think, and I won't pretend things are fine when they aren't. You can say the thing you've been thinking but not saying out loud. You can also take your time and stay quiet for a while if you need to.

What we'd work on

Some of it is practical. There are skills for stress, anxiety, low mood, perfectionism, focus, and feelings that get too big too fast (e.g., the spiral the night before a test, or replaying a conversation with a friend over and over).

Some of it is bigger. What do you value, once you set aside what your parents, your school, or the people around you say you should? What kind of person do you want to be? What do you do with the part of you that's scared, or angry, or convinced you're behind? Those questions don't have quick answers, and they're worth the time.

You have a say in the goals. We decide together what we're working on, and you can change your mind.

What it's for

  • Feeling less weighed down, and more able to enjoy things.
  • Handling pressure without it running your life.
  • A way of talking to yourself that isn't your harshest critic.
  • Skills to manage your feelings, relationships, and anything else that feels like a struggle.

We can meet in my office in Palo Alto or over video, whichever feels easier for you.

If things are bad right now: if you're thinking about hurting yourself, or you're scared for your safety or someone else's, call or text 988 any time, day or night. You can also tell a trusted adult, or call 911. I'm not able to respond to emergencies, so please use 988 or 911 rather than waiting to hear from me.

Privacy and what gets shared

Your parents participate at the start and as appropriate throughout. I share general themes and progress with them, but not the details of what you say in session. If something comes up that I think they need to know, I'll talk with you first where I can, and we'll make a plan together for how to share that information. The limit is safety: if I'm seriously worried that you might hurt yourself or someone else, I'll take steps to reduce the risk, which may include involving your parents. In some situations the law also requires me to report to an outside agency, and that's separate from anything I tell your parents. When it's safe, I'll talk with you before I do any of this, or tell you afterward.

We'll go over all of this before we start, and you can ask me anything about it, as many times as you want.

How to start

In my practice, a parent or guardian agrees to therapy and sets it up, so the first step is a conversation with them.

You don't need a perfect explanation. It can be as simple as telling them one or two things that have been hard lately and that you'd like support with. Then you can show them the page I wrote for parents, which explains what I do, how they're involved, and has a button for them to book a free call with me.

When your parents book a call with me, you're welcome to have a short call with me too before we schedule a first session, so you get a say in whether I'm the right fit.

If that feels hard, you can also show this page to a school counselor or another adult you trust and ask them to help you bring it up.

You might be here because

  • Friendships feel complicated, or lonelier than they used to.
  • School takes everything you have, whether your grades are great or slipping.
  • You know what you need to do, and focusing long enough to do it feels daunting.
  • The future feels overwhelming: what to study, what kind of work to do, whether you'll be able to afford the life you want.
  • The world feels uncertain and unsettling right now, and you're expected to keep going like it's not.
  • You want to figure out what matters to you, as distinct from what you've been told matters.

What to expect

We usually meet once a week to talk through what's going on and work toward goals we set together. I'll be direct. I won't tell you what to think, and I won't pretend things are fine when they aren't. You can say the thing you've been thinking but not saying out loud. You can also take your time and stay quiet for a while if you need to.

What we'd work on

Some of it is practical. There are skills for stress, anxiety, low mood, perfectionism, focus, and feelings that get too big too fast (e.g., the spiral the night before a test, or replaying a conversation with a friend over and over).

Some of it is bigger. What do you value, once you set aside what your parents, your school, or the people around you say you should? What kind of person do you want to be? What do you do with the part of you that's scared, or angry, or convinced you're behind? Those questions don't have quick answers, and they're worth the time.

You have a say in the goals. We decide together what we're working on, and you can change your mind.

What it's for

  • Feeling less weighed down, and more able to enjoy things.
  • Handling pressure without it running your life.
  • A way of talking to yourself that isn't your harshest critic.
  • Skills to manage your feelings, relationships, and anything else that feels like a struggle.

We can meet in my office in Palo Alto or over video, whichever feels easier for you.

If things are bad right now: if you're thinking about hurting yourself, or you're scared for your safety or someone else's, call or text 988 any time, day or night. You can also tell a trusted adult, or call 911. I'm not able to respond to emergencies, so please use 988 or 911 rather than waiting to hear from me.

Privacy and what gets shared

Your parents participate at the start and as appropriate throughout. I share general themes and progress with them, but not the details of what you say in session. If something comes up that I think they need to know, I'll talk with you first where I can, and we'll make a plan together for how to share that information. The limit is safety: if I'm seriously worried that you might hurt yourself or someone else, I'll take steps to reduce the risk, which may include involving your parents. In some situations the law also requires me to report to an outside agency, and that's separate from anything I tell your parents. When it's safe, I'll talk with you before I do any of this, or tell you afterward.

We'll go over all of this before we start, and you can ask me anything about it, as many times as you want.

How to start

In my practice, a parent or guardian agrees to therapy and sets it up, so the first step is a conversation with them.

You don't need a perfect explanation. It can be as simple as telling them one or two things that have been hard lately and that you'd like support with. Then you can show them the page I wrote for parents, which explains what I do, how they're involved, and has a button for them to book a free call with me.

When your parents book a call with me, you're welcome to have a short call with me too before we schedule a first session, so you get a say in whether I'm the right fit.

If that feels hard, you can also show this page to a school counselor or another adult you trust and ask them to help you bring it up.

Common questions

Do I need my parents' permission?

In my practice, yes. A parent or guardian agrees to therapy and sets it up. Once we start, we'll work together to set goals for what you want to work on.

What if I don't know what to say?

That's fine. You don't have to know what to say at first. I ask questions, and I'm comfortable with quiet.

What if I think I have anxiety, depression, ADHD, and/or another mental health issue?

You don't need to know for sure to start. We'll talk through what you've noticed, and I can use short screeners to see whether anxiety, depression, or ADHD might be part of what you're dealing with. We also work on practical skills for managing symptoms day to day. If a fuller evaluation or other support would be useful, I'll let you know and help your parents find the right support.

How hard do things have to be before I try this?

There's no bar to clear. Starting while things are manageable can help keep them that way, and starting when they feel unmanageable can help them get better. We can begin wherever you are, including somewhere in between.

Heading to college soon?

Once you're 18 you book for yourself, and the rules about privacy change. There's a page for college students and people in their twenties that covers the details.

If this sounds right

No pressure and no deadline. The next step is showing your parents the page written for them. You're welcome to have a short call with me too.