Information for Referring Providers
This page is for licensed healthcare and mental health providers seeking referral collaboration.
I work with adults whose trauma-related symptoms persist despite standard interventions—particularly when nervous system dysregulation, dissociation, shutdown, or early shock responses are present.
Referrals commonly come from:
* Psychiatrists
* Psychiatric Nurse Practitioners (PMHNP / CNP)
* Primary Care Providers (PCP)
* Therapists and other mental health specialists
Clinical Focus
I primarily work with adults presenting with:
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Complex or developmental trauma
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Dissociation, shutdown, or collapse responses
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Nervous-system-driven anxiety or panic
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Somatic symptoms with limited response to medication alone
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High-functioning clients with internal fragmentation
My role is psychotherapy-focused and trauma-specialized, not medication management.
How This Work Often Complements Medical Care
Many referrals occur when clients:
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Continue to experience trauma symptoms despite medication trials
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Have difficulty tolerating standard trauma therapies
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Show strong insight but persistent physiological reactivity
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Experience shutdown, dissociation, or autonomic instability
This work is often adjunctive to psychiatric or medical care, not a replacement for it.
Treatment Approach (Brief Overview)
My clinical stance emphasizes:
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Nervous-system-led pacing
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Careful stabilization before depth processing
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Attention to orienting, shock, and defensive responses
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Integration over symptom chasing
Modalities may include:
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Deep Brain Reorienting (DBR)
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Ego State Therapy
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Nervous system regulation work
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Brainspotting-informed trauma processing
Approaches are integrated based on client readiness and tolerance.
Coordination & Communication
With a valid release of information, I’m open to:
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Brief coordination of care
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General treatment focus and pacing updates
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Risk-related or safety-relevant communication
I typically avoid sharing detailed trauma content unless clinically necessary.
The goal is clear role boundaries and supportive coordination.
Practice Information
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Private-pay psychotherapy practice
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Adults only
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Superbills available for out-of-network reimbursement
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No prescribing or medication management
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Located in Tucson, Arizona
When to Refer / When Not to Refer
When to Refer
Referral may be appropriate when an adult patient or client:
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Continues to experience trauma-related symptoms despite adequate trials of standard psychotherapy and/or medication
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Shows dissociation, shutdown, collapse, or autonomic instability during trauma processing
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Presents with strong insight but persistent somatic or nervous-system-driven symptoms
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Has a history of developmental, attachment, or early relational trauma
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Becomes overwhelmed or destabilized in exposure-based or directive trauma approaches
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Is medically and psychiatrically stable enough for outpatient, depth-oriented psychotherapy
This work is often adjunctive to psychiatric or medical care and can complement ongoing medication management or primary care treatment.
When Not to Refer
Referral may not be appropriate when an individual:
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Requires inpatient, residential, or intensive outpatient level of care
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Is experiencing acute psychosis, mania, or unmanaged substance dependence
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Is seeking medication management only
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Requires court-mandated treatment or forensic evaluation
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Is unable to maintain basic safety between sessions
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If you’re unsure about fit, a brief consult is often the best next step.
Make a Referral or Consult on Fit
Send to:
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