My integrative clinical orientation and therapeutic approach

My clinical orientation is rooted in interpersonal neurobiology, a framework that emphasizes the interconnectedness of the brain, mind, and relationships. It recognizes that our experiences—particularly within relationships—shape our neural pathways and influence our emotional and behavioral patterns. This understanding guides how I conceptualize client challenges and tailor interventions to promote healing and growth. Interpersonal neurobiology helps us understand how trauma, attachment, and even everyday interactions influence our neural circuitry, providing a scientific basis for the therapeutic process.

Within this framework, I utilize several interrelated, evidence-based interventions to support individuals and couples through their unique challenges. These include mindfulness, attachment theory, Dialectical Behavior Therapy (DBT), trauma-informed care, and Acceptance and Commitment Therapy (ACT). 

These interventions are not isolated techniques, but rather are interconnected components of a holistic approach towards healing and growth. Mindfulness allows us to observe and regulate our internal states, crucial for managing anxiety and stress during life transitions. Attachment theory helps us understand our relational patterns, foundational for couples therapy and navigating men's relationship challenges. DBT provides practical skills for managing strong emotions and relationships, vital for addiction recovery and addressing anger issues. Trauma-informed care facilitates healing from past wounds, particularly for combat veterans and those with a history of behavioral addictions. ACT guides us towards a values-driven life, empowering growth through major life transitions and helping men find authentic purpose.

Together, they promote neural integration, emotional regulation, and healthier relationships, fostering lasting positive change. Explore the accompanying sections to learn more about how an integrated approach can support your work in therapy.

  • By cultivating present-moment awareness, clients learn to observe thoughts, feelings, and sensations without judgment. This practice directly impacts neural pathways for stress, emotional reactivity, and self-referential processing—crucial for managing anxiety, anger, and cravings in addiction recovery. Furthermore, mindfulness helps clients pause, reflect, and choose responses over automatic reactions. This enhanced awareness facilitates healthier neural connections, enabling men to respond thoughtfully in relationships and empowering individuals through major life transitions.

  • Attachment theory illuminates how early relational experiences shape our attachment styles and deeply influence our current relationships. Understanding these patterns is crucial for couples seeking deeper intimacy, individuals struggling with persistent relationship challenges, and men who may find it difficult to form secure bonds. By exploring attachment, clients gain insight into the root causes of their relational difficulties, fostering healthier connections and promoting secure attachment. This process empowers individuals to develop strategies for building more fulfilling relationships, transforming old patterns that might contribute to anxiety, disconnection, or even problematic behaviors like addiction during life transitions.

  • DBT provides practical tools for managing intense emotions and improving relationships. As the clinical head of a DBT program, I utilized these skills to directly impact the brain's emotional regulation centers, fostering neural integration and promoting new, healthier coping mechanisms. DBT is especially effective for individuals struggling with high emotional reactivity, addiction recovery (including substance, sex, and behavioral addictions), and navigating interpersonal conflict in relationships. These skills empower clients to reduce impulsive behaviors, tolerate distress, and build greater resilience, enhancing their ability to build healthier connections and navigate major life transitions with more calm.

  • Trauma-informed interventions recognize the profound impact of traumatic experiences on the brain and body, prioritizing safety, trust, and empowerment to heal past wounds. This approach is vital for combat veterans, and those struggling with addiction or problematic behaviors, where trauma often underlies current challenges. Cognitive Processing Therapy (CPT) uses narrative to facilitate controlled exposure to traumatic memories, helping clients process and integrate these experiences. This empowers them to gain control over their stories, reducing avoidance, promoting cognitive restructuring, and modifying unhelpful thoughts. This directly impacts neural pathways, reducing symptoms of PTSD, including anxiety and anger, often arising in men’s therapy.

  • ACT helps clients clarify their values and commit to living a meaningful life, even amidst difficult thoughts and feelings. This is especially powerful for men navigating life transitions or those in addiction recovery, who often grapple with uncomfortable internal experiences. By promoting psychological flexibility, ACT fosters resilience and well-being. It encourages clients to engage in valued actions, strengthening neural pathways for positive experiences and promoting a sense of purpose and fulfillment—vital for couples seeking deeper connection and individuals addressing problematic behaviors like sex addiction

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Contact Mark

Feel free to contact me with questions or to book a free 15-minute phone consultation to see if we might be a good fit to work together. Your message is confidential. I make every effort to respond within 24 business hours.

Blossoming berries on branch in snow. Healing, growth, resilience in hardship.