To the therapist who is at a loss…
You have tried the interventions. You have adjusted your approach. You understand the history, the trauma, the barriers, and the patterns. And still, treatment feels difficult to navigate or slow to move forward.
Sometimes what is needed is not more effort, but space to step back, think collaboratively, and regain clarity.
About Katie
My work experience has provided me with a passion for helping people sit with clients when it is really difficult, arguably one of the most difficult things to do as a therapist.
You have talked about all of the tools, given all of the homework, attempted to remove barriers; and still, the person seems to not be making progress.
Yet, they return, again and again, often weekly. They must be getting something.
My background includes work in residential mental health settings serving adults with serious mental illness in clinical and leadership roles, leadership within high-acuity systems, extensive involvement in the initial Joint Commission accreditation process, and a passion for supporting people diagnosed with Borderline Personality Disorder and the clinicians who support them.
What to expect
This is collaborative consultation and support for therapists working with emotionally intense, high-needs, or clinically complex clients.
A space to:
process difficult clinical dynamics
think through barriers to progress
explore relational patterns
discuss liability or systems concerns when appropriate
reconnect with your clinical judgment
reduce isolation and burnout
feel supported while continuing to support others
This consultation space is especially appropriate for therapists working with:
personality disorders
severe trauma
serious mental illness
therapy-interfering behaviors
dependency dynamics
clients with repeated crises or high utilization patterns
clients who deeply want change but struggle to engage in it
I approach consultation from both a relational and systems perspective, considering:
clinical presentation
therapeutic relationship dynamics
therapist emotional impact
ethical considerations
documentation and liability concerns when appropriate
sustainability for the therapist providing care
Most importantly, this is a space where therapists do not have to pretend they are unaffected by the work.
You are allowed to care deeply and still feel frustrated, tired, overwhelmed, uncertain, or stuck.