The hour stays close to what you came to change.

HOW I WORK

Each session starts with what matters most to you today. You choose what we focus on. I listen for what is happening now and for the pattern that gives it more force than it appears to have.

ACTIVE AND DEPTH-ORIENTED

Understanding and action belong in the same conversation.

Depending on what we are working with, I may also draw from psychodynamic and relational approaches, somatic work, parts work, and EMDR. The method follows the problem rather than asking you to fit a preset sequence.

I integrate insight-oriented and behavioral approaches so the hour is immediately useful and the work remains valuable long after therapy ends.

“We keep asking what makes the response feel necessary from inside it, and what would need to become available instead.”


A decision, conflict, reaction, or loss, gives us a precise place to enter the work. You do not have to summarize your entire history before the session can become useful.

We begin with what is happening now.

01


What looks irrational from the outside often has a coherent history. We identify the relationship, belief, or protective logic that makes the response credible without treating its origin as its permanent justification.

We understand the response in context.

02


You may already know the pattern. We pay attention to the live moment in which that knowledge becomes unavailable, when guilt, uncertainty, attachment, shame, or urgency takes over.

We notice where insight stops translating.

03


That may involve language for a boundary, a behavioral experiment, somatic attention, parts work, EMDR, or staying with an emotion long enough for it to stop deciding the next move automatically.

We create another response while it can still matter.

04


THE THERAPEUTIC RELATIONSHIP

The way the conversation changes is part of the work.

I pay attention to what becomes easier or harder to say, where you begin managing my response, and when the clearest part of your position disappears. We can look at that together without turning the session into a performance review.

Some sessions need more room to think. Others need more structure, feedback, rehearsal, or a direct observation. Frequency is collaborative and adjusted together.

BEFORE WE BEGIN

Questions about this work.

START WITH ONE FULL SESSION

Bring the part that still takes more effort than it should.

We will begin with what matters most now and use the first session to understand where the work can have the most effect.

Anna Keylina, LCSW

VIRTUAL PSYCHOTHERAPY FOR ADULTS


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