beginning where you are

People come to therapy with different needs. Some arrive feeling acutely anxious, depressed, overwhelmed, or stuck. Others come with a more general sense that something isn’t working, even if they can’t yet put words to it.

The work begins by helping people express what they are most immediately sitting with — emotionally, experientially, and in their relationships — in ways that feel accurate and manageable. When experience can be named, it often becomes less frightening and more workable..

Relief often comes not from quick answers, but from feeling deeply understood and from discovering that one’s experience makes sense in context.

  • Psychotherapy is an exploratory process that unfolds over time. It offers a space to slow down, reflect, and understand emotional experience as it takes shape in the context of one’s life and relationships.

    My approach emphasizes careful listening, curiosity, and collaboration. Rather than focusing on isolated symptoms alone, the work attends to patterns — how they develop, how they function, and how they may no longer serve the life a person is trying to live.

    Change does not come from quick fixes or guarantees. It emerges through developing a different relationship to one’s inner experience — one in which thoughts and emotions feel less overwhelming, more intelligible, and more usable. Over time, many people find that they are better able to tolerate emotional variation, trust their judgment, and navigate life with greater steadiness and flexibility.

    The aim of the work is not perfection, but understanding — and the freedom that can come from it.

  • People who engage in this kind of work often find it helpful when they are:

    Feeling overwhelmed, anxious, depressed, or burned out

    Struggling with patterns in relationships or work that are no longer serving you

    Navigating transitions, loss, or questions of direction

    Living with the effects of trauma or longstanding stress

    Seeking a deeper understanding of themselves and how they function

    This list is not exhaustive. Therapy is shaped collaboratively, in response to what each person brings.

  • While my work is grounded in a depth-oriented, relational (psychodynamic) framework, therapy is not limited to insight alone.

    When helpful, I integrate practical, goal-oriented strategies to support symptom relief — particularly when people are feeling overwhelmed, dysregulated, or in distress. These tools can be useful in creating stability and easing immediate suffering.

    At the same time, the work remains oriented toward understanding underlying emotional patterns and relational dynamics, so that change is not only short-term, but meaningful and enduring. Symptom relief and deeper understanding are not opposing goals; they often support one another.

  • Therapy is a collaborative process built on trust, consistency, and thoughtful engagement. The pace and focus of the work are shaped together, with attention to what feels most relevant and useful at each stage.

    If this approach resonates with you, I invite you to reach out to schedule a consultation.

John Menaker