I believe therapy can be a transforming, life enhancing experience. There are several key elements in therapy that produce this kind of change:

  • Collaboration

    At its best, effective therapy is a collaboration between therapist and client to resolve issues the client brings. I tend to be active in therapy. I ask questions, offer observations, and look for patterns in your life, past and present. I do, however, believe you are the final expert on yourself, and I honor your sense of what works for you.

  • Getting to the roots

    Addressing surface behaviors alone produces short-term relief at the expense of long-term change. It's essential to help the client identify the root causes that created the behaviors. This involves exploring and reducing carried pain from the past.

  • Compassionate, shame-free environment

    It's important that clients feel safe, respected, and non-judged. In particular, recovering addicts are not seen as bad people who need to become good, but rather wounded people who need to become well.

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Patrick Means, MA, LMHC


“The world breaks everyone, and afterward many are strong at the broken places.”

-Ernest Hemmingway