Sarah Puskavich, LCPC, NCC, CRC

The clients that I tend to work with struggle with anxiety, depression, family of origin issues, and poor self-image. However, they want to create change. While there are often the big picture issues we are working through, often there is more nuance to the issues such as perfectionism or attachment issues causing anxiety; burnout or unresolved trauma causing depression; or frequent conflict with loved ones or body image issues causing low self-esteem. Understanding your unique circumstances is vital to treating your issues effectively. Working together, we will communicate to create a balance between processing issues, and then developing coping skills to address concerns. Processing allows us to focus on your experiences, identify patterns, sit with emotions, and clarify how you feel. Sometimes it also feels good just to get thoughts out of your mind within a safe space. While processing can lead to helpful insights and cathartic releases, adding in the skill development piece gives a framework for change to occur. It's my job to propose a skill that I think will help with the issue we are addressing. Then together, we can modify the skill to make sure it's accessible and realistic for you. It is so important that this process is collaborative so you feel empowered to use these skills in your own life and understand the "why" behind it. The skills that we will work on together, are not only backed by research, but have been shown to help people through the clinical work I've done.