I highly prize the relationship with my patients as the foundation of creating meaning based driven work in the therapeutic approach, so begin intakes with a thorough exploration of childhood and lifestyle dynamics, in a way that fosters unconditional regard for my patient. The initial assessments involve an exploration of current symptomlogy through the use of evidence based assessment tools. During subsequent sessions, I focus on exploring past dynamics that created meaning making, and defenses or resistances that get in the way of moving forward in life. This process provides insight into how to proceed with evidence based psychodynamic intervention strategies to help the patient navigate their world, and gain insight into how they view themselves, others and the world. Through the integration of existentialist analysis into sessions, I help patients discover what is meaningful for them, and how to maximize and move with greater meaning making in their daily life, above and beyond symptom reduction. I engage in continual ongoing assessment as we continue our work together, to explore the depth of suffering and how to move towards greater life joy through insight. In work with couples, I adopt an approach which requires individual sessions with partners to gain insight into their own attachment and childhood based unconscious issues, to help fuel our work together moving forward to create and sustain a healthier and happier relationship.