We provide individual therapy, couples therapy, and clinical supervision.

Each service is grounded in a psychodynamic orientation, designed to move beyond symptom management into deeper self-understanding and relational growth.

The process begins with an inquiry through our contact form. We then conduct a brief, complimentary phone consultation to assess fit, discuss your clinical goals, and determine if our therapeutic approach aligns with your needs.

You can read more about the process on our How to Start page.

We believe that therapy is a collaborative relationship. Our exploratory consultation is a dedicated space to assess "relational fit"—ensuring you feel understood, heard, and that our style of engagement resonates with your objectives.

Our practice is defined by an intentional, psychodynamic focus. Rather than focusing solely on quick-fix interventions, we explore the formative dynamics and internal structures that shape your life. We view therapy as a rigorous, reflective, and evolving process.

We believe consistent engagement is essential for meaningful change. Typically, we meet on a weekly basis to maintain the momentum and depth required for psychodynamic work.

Yes. We offer both modalities to ensure accessibility while maintaining the high standard of care and professional intimacy that our practice is known for.

Yes, we are pleased to offer services in Turkish, providing a space for those who feel more comfortable exploring their inner world in their native language.

We are an out-of-network practice and are not currently accepting new insurance clients. Upon request, we can provide a monthly superbill (an itemized receipt) that you may submit to your insurance provider for potential out-of-network reimbursement, depending on the specifics of your plan.

If you plan to request reimbursement, we recommend calling your insurance company and asking the following: "Does my plan include out-of-network mental health coverage? If so, what is the allowable amount for individual/couples therapy (CPT codes 90791 or 90837), and what is my annual deductible?"

Psychodynamic therapy is an approach that seeks to uncover how past experiences and unconscious patterns influence your current behavior and relationships. It is a process of deep curiosity that helps you gain insight into why you feel and react the way you do.

It means your treatment is not governed by a rigid manual. Instead, we adapt our interventions based on your unique history, cultural background, and emotional needs, ensuring that our work together evolves in direct response to your unfolding story.

Talk therapy offers a unique space for reflection that is rarely available in daily life. By articulating your experiences in a non-judgmental, professional setting, you gain distance from your immediate reactions, allowing for a deeper understanding of your internal world and the development of more intentional ways of relating to yourself and others.

Progress at Knots is rarely linear. It is often measured by an increased capacity to hold complexity, a decrease in reactive patterns, and a deeper, more grounded sense of your own professional or personal identity. We view progress as the shift from feeling "acted upon" by your experiences to becoming an active, reflective participant in your own life.

While we work with a wide range of concerns, our practice is not equipped to provide crisis intervention or treatment for acute, severe psychiatric disorders that require a multidisciplinary team or inpatient support. If we determine that our level of care is not the right fit for your current needs, we will work with you to provide appropriate referrals.

Consistent attendance is fundamental to the therapeutic process. Because we reserve a standing, dedicated time slot exclusively for you, we require 24 hours' notice for all cancellations. If a session is cancelled with less than 24 hours' notice, or in the event of a missed appointment (no-show), you will be charged the full fee for that session. This policy ensures we can maintain the sanctity of our time together and respects the professional commitment required for consistent, effective clinical work.

Confidentiality is the cornerstone of our practice. We adhere to the highest HIPAA standards, ensuring that your records and the content of our sessions remain private. There are limited, legally mandated exceptions—such as concerns about imminent harm to self or others—which we will discuss and clarify during our intake assessment.

No, we do not prescribe or manage medication. Our practice is focused exclusively on psychodynamic and integrative talk therapy. If you are seeking support with medication, we are happy to provide referrals to trusted psychiatrists or psychiatric nurse practitioners who can collaborate with your treatment.