Anne Pugh

I work with adults and older adults who are managing the emotional side of changes that are existentially world-rocking- that can create a sense of immediate or ongoing crisis- whether it is a change in life situation, something looming that is physically demanding, a chronic diagnosis, a health scare, the postpartum period, or just the slow accumulation of caring for a body that may or may not be cooperating. Depression, grief, and anxiety in these contexts are common, but can also often be invisible to the people around you. I'm not here to push gratitude or silver linings. I'm here to help you process what's actually happening and build something more sustainable on the other side, with caring support along the way.

I love talking with people and being included in helping craft. honor, examine, and improve their lives and relationships My work draws from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and health psychology, meaning I'm trained in how the mind and body interact, not just the emotional piece in isolation. I tailor each session to you: some clients want concrete tools and strategies; others need space to process and be heard. Most need both, depending on the week. I don't use a one-size script. I pay close attention to what's working, what isn't, and where the real leverage is for you specifically.

I like to start with expectations and ground rules to create a safe space for both of us. I like to discuss conversational styles, situations where I might need to break confidentiality. I also like to discuss what outcomes are desired and at what pace you are comfortable with. I am fine with unstructured conversation and thoughts, following you where your heart and thoughts take you. I also am aware that we don't live in a vacuum- social, family, body pressures all matter in a therapy setting.