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Individual Therapy 

Individual therapy can be hard to explain as it is unique to the individual.  Therapy involves the process of openly talking about yourself and your problems. I invite you to be active in the process and to look inward with openness even in the face of hardship. Much growth comes outside of the therapy room. I see myself as a temporary passenger on your journey and honor the hard work that comes in the process of change. Metaphorically I see myself as a Sherpa helping you overcome the mountain of hardship. I work to help you carve out a safe passage as you exert the energy towards your destination. Each mountain, and thus each person, I work with approach different terrains. I work to create the atmosphere for you to open and grow. I believe in depth therapy and want to illuminate how you have come to be. Only then can you open to the truest parts of yourself, soul, and experience. This is how true happiness is found.  

Couple’s & Marriage Therapy

Negotiating intimacy is complicated. Couples often find it difficult getting the intimacy and love they want. German Philosopher Arthur Schopenhauer described intimacy like the dilemma porcupines go through on a cold night. In cold weather a group of porcupines get close to one another. But as they begin to feel warmth they start to feel pricked and poked and thus move away. This phenomenon is often present in relationships. Partners find it difficult being emotionally close while maintaining individual autonomy. My approach is to help each member find warmth and closeness while having the breathing space needed to thrive.


Consultation/ Supervision

I enjoy consulting with colleagues and young professionals wanting to gain experience and knowledge in the field of clinical psychology, counseling, and therapy. I have experience teaching and supervising students working towards professional degrees in psychology and counseling. I approach consultation of clinical cases with a psychodynamic lens mindful of personality structure and diagnosis.

Eye Movement Desensitization & Reprocessing (EMDR)


EMDR therapy is recognized as an effective form of trauma treatment in numerous practice guidelines worldwide.  In the US, this includes organizations such as the American Psychiatric Association and the Department of Defense.  More than twenty randomized studies support the effectiveness of the therapy in the treatment of PTSD. Further, more than twenty randomized studies have demonstrated positive effects of the eye movements.  Eye Movement Desensitization and Reprocessing (EMDR) is a comprehensive, integrative psychotherapy approach. It contains elements of many effective psychotherapies in structured protocols that are designed to maximize treatment effects. These include psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies. EMDR psychotherapy is an information processing therapy and uses an eight-phase approach to address the experiential contributors of a wide range of pathologies. It attends to the past experiences that have set the groundwork for pathology, the current situations that trigger dysfunctional emotions, beliefs and sensations, and the positive experience needed to enhance future adaptive behaviors and mental health. (Retrieved May3rd 2013 via http://www.emdr.com/general-information/what-is-emdr.html). 

Patrick Preston Psy. D.


Licensed Clinical Psychologist