Two ways to meet
The room, or the screen. Both are real therapy.
I see clients two ways, and neither is the lesser version of the other. In person, my office is at MindSpa Integrative Wellness Center, 5632 Bee Ridge Road in Sarasota, with easy parking and a quiet, private waiting area. It is a calm, discreet space rather than a clinical one, which matters more than usual given what people come here to talk about. Some people need that: the drive over as a way of arriving, the door closing, an hour that belongs to one thing only and cannot be interrupted by a knock or a notification.
Others do their best work from home, and I mean that seriously rather than as a consolation. Talking about desire, shame, a body that is not behaving, or a betrayal you have not said out loud is sometimes easier from your own sofa, in your own clothes, with your own door locked. Couples who would struggle to coordinate childcare and a commute on the same weeknight can often manage a screen. And there are people for whom being seen walking into a therapist's office in a small community is itself a barrier worth removing.
You are not locked into whichever you choose first. Plenty of clients begin in the office and move to video when work gets busy or a season changes, or start on video and come in once the subject matter gets heavier. If you are not sure which suits you, that is a good thing to talk through at the consultation, and there is no wrong answer.
Where I can practice
It depends on where you are sitting, not where you are from.
This is the part people most often get wrong, so it is worth being plain about. Therapists are licensed by individual states, and a license governs where the client is physically located at the time of the session. I am licensed in Florida and in Connecticut. That means if you are physically in Florida or Connecticut when we meet, we can work together, whether that is in my Sarasota office or by secure video from Tampa, Orlando, Jacksonville, Naples, the Panhandle, Hartford, New Haven, or a town too small to appear on this page.
It also means the reverse. Where you grew up, where your mail goes, and where your family lives make no difference; where you are sitting during the hour does. In a region like this one, that is not a technicality. Sarasota fills and empties with the seasons, and a great many people here spend part of the year somewhere north. If you are here from December to April and in another state the rest of the year, tell me at the consultation, because we should plan the shape of the work around your actual calendar rather than discover the problem in October. Sometimes the answer is a focused stretch of work while you are in state. Sometimes it is a referral to someone licensed where you spend the other half of the year, and I would rather help you find that person than leave you stranded mid-course.
The same applies to travel within the year. A work trip to Georgia or a fortnight in Europe is a session we would move rather than one we could quietly hold anyway, and I will be straightforward with you about that rather than bend a rule that exists to protect you.
Why local still matters
What I actually see across this stretch of coast.
You could argue that for video work geography is irrelevant, and for the therapy itself that is broadly true. But the lives people bring in are shaped by where they live, and this region has a particular texture. A large retired and semi-retired population means a steady stream of couples navigating what intimacy becomes after prostate treatment, after menopause, after a cardiac event, or after a long illness rearranges a marriage in ways nobody warned them about. Long marriages arrive here having quietly stopped talking about sex two decades ago, and are surprised to learn how ordinary that is and how much can still change.
There is also a steady flow of people newly arrived: a relocation for work, a move to be near grandchildren, a retirement that turned out to be lonelier than the brochure suggested. Moving is hard on couples in ways that are rarely acknowledged, and a relationship that functioned on shared routine can wobble badly once the routine is gone. And in the smaller, closer communities, on the keys and in the towns where everyone's business travels, discretion is not a preference but a precondition for coming at all. That is one of the reasons I offer video as a full equal to the office rather than a fallback.
None of this means your particular town has its own kind of therapy. It means that when you describe your life, you are unlikely to have to explain the context first. Pick your community above if you would like detail specific to it, or skip the list entirely; the work is the same wherever you join from.
If your town is not listed
Ask. The list is where I most often work, not a boundary.
The communities above are simply the ones clients most commonly come from, and the list is not a rule about who I can see. If you are anywhere in Florida or Connecticut, we can almost certainly work together by video. If you are outside both states, say so and I will tell you honestly rather than take you through an intake that cannot go anywhere, and where I can, I will point you toward a certified colleague licensed where you are.
The simplest way to find out is a free, unhurried consultation: a short, confidential conversation with no cost and no obligation, in which you can ask whatever is on your mind and decide afterwards whether the fit feels right. You can also read about what I help with, see what a first session is actually like on the client resources page, or just send a message. A single sentence is a perfectly good place to begin.