Andrew Titus

My path to this work was indirect, and I think that makes me better at it. In my 20s and early 30s I worked in hospitality and HIV prevention—years spent in spaces shaped by intimacy, risk, identity, and how people actually cope when things get hard. At 31 I went back to school for anthropology, which deepened my thinking about power, culture, family, and the stories people build from their experiences. Therapy became the place where all of it came together.

I bring personal experience to this work too. As a gay man who grew up in a high-control religious environment, I know what it takes to question the stories you were handed and build a life that actually fits. That shapes how seriously I take the courage it takes to show up and do this work.

I'm a queer, white, cisgender clinician with Central American roots. I spent the first five years of my career in outpatient psychiatric settings, working with adults navigating anxiety, depression, trauma, identity, and relationship challenges. I moved into private practice to work with more depth and fewer constraints. Diagnosis can be a genuinely useful tool—a way of naming an experience and making sense of it. I'm also interested in what lives beyond the label. I work especially well with LGBTQ+ adults and people carrying the weight of family expectations, shame, religion, or complicated attachment histories. I care about helping people understand what they've been protecting themselves from, make real changes, and bring more of themselves into their lives.

Working with me feels active and collaborative. We start with what's going on right now, then look at how your past, relationships, body, and daily stress are all playing a role. I give honest feedback, use humor when it fits, and shift between open conversation and practical support based on what you need.

A lot of the work lives in the tension between feeling safe and feeling alive—between the habits that once protected you and the life you actually want. I pull from different ways of working depending on the person: helping you manage distress in the moment, making sense of hard experiences, understanding internal conflict, and seeing how the past shows up in the present. It's not one approach applied to everyone. It's a way of working that stays curious, stays flexible, and keeps you at the center. The goal isn't a tidy breakthrough—it's more clarity, more choice, and more room to actually move.

The first session is a chance for us to get a sense of each other. I'll ask about what's going on now, what's brought you here, and what you're hoping might change. You'll have space to ask questions too. It may feel more structured than sessions that follow—sometimes that first conversation brings relief, sometimes it's a lot to hold. Either way is fine; I'm here for both.

There's no rush and no agenda you have to meet. We move at YOUR pace, starting with what's weighing on you and building from there.