Dr. Brian Wise

Most people who reach out to me have been carrying something they have not felt ready to say out loud yet. I work with adults across a wide range of experiences, including LGBTQIA+ identity and community, men's concerns, women's concerns, panic disorders, and the emotional weight of living with chronic conditions. As an AASECT Certified Sex Therapist, I also specialize in supporting people around intimacy, sexuality, and relationships with genuine openness and care. Throughout our work together, I strive to honor your values, culture, and lived experience so that you feel respected and understood from the very first conversation.

I work with clients in a practical and integrative way, drawing on counseling, learning, and developmental theory as well as biological factors when warranted.

Your past is important; we will discuss it when it helps us understand what you are facing now, but we will not live in it; rather, we will visit when appropriate. I will help you move away from repeatedly revisiting old hurts and staying stuck in an endless cycle of ineffective living. Our main focus is your actions today—how you respond, communicate, make choices, and connect with others.

My style is direct. You can expect honest feedback, thoughtful questions, and practical tasks between sessions. Consistency matters. Just as medical treatment often requires regular follow-up and sticking to a plan, counseling requires steady effort and participation. Sporadic appointments, lengthy unplanned gaps, and limited follow-through can slow progress. We will establish a realistic schedule that supports your needs, with opportunities to practice what you learn between sessions.

If you are looking for a direct, action-focused partnership to make meaningful changes now, I welcome your call. As I often say, “The real therapy begins when you leave my office and put what you’ve learned into action.” Lasting change means applying that work in your daily choices, conversations, relationships, and responses to challenges.

You can take back effective control of your life and stop choosing your misery.

Our first session begins the assessment phase of our work together. We will discuss what brings you to counseling, your current concerns, relevant history, relationships, and what you hope to change. Taking a whole-person approach, we will also consider your physical health and, if meaningful to you, your spiritual beliefs, values, and sense of purpose.

You can share at your own pace. I will ask focused questions, explain how I work, and welcome your questions to determine whether my approach fits your needs. Together, we will begin identifying goals and developing a realistic plan for our work, including the frequency of sessions and steps you can practice between appointments.