What we work with

For adults whose worry is loudest at night. We look at what your mind does at bedtime and how the day feeds it. Where it fits, we add CBT-I, cognitive behavioral therapy for insomnia: a structured method with a sleep diary and a plan we set together. Dr. Dugan's CBT-I training is through the Society of Behavioral Sleep Medicine.

For adults who feel on edge much of the day. We work with the thoughts that keep worry going and with how the body carries it, using CBT, somatic tracking and acceptance-based work.

For adults who feel flat, heavy or cut off, or who are carrying a loss. We make room for what is there, look at what sits underneath and work at the pace your energy allows.

For adults whose past still echoes. We work with the body as well as with words, and go only as fast as you can manage. The methods used, and where Dr. Dugan trained in each, are explained at your first session.

For adults who keep landing in the same dynamics with partners, family or work. We trace where the patterns began and practice something different. This is individual therapy, not couples therapy.

A new job or the end of one, becoming a parent, losing a parent. When the ground moves, therapy can be a place to grieve what was, look at what is and think about what could be.