Elizabeth Gurian

I'm direct, genuinely invested, and not here to just let you vent while nodding along. I've spent six

years working with people who are tired of white-knuckling their way through addiction, anxiety, depression, and bipolar disorder — and what I've learned is that the people who want real change respond best to a therapist who takes them seriously enough to push them. I will meet you where you are, and I will also challenge you to go further than you thought you could. I believe in you before you

believe in yourself. My style is open-minded, honest, and grounded in the understanding that every

person's path looks different — even when the struggle has the same name.

I use a combination of CBT, ACT, motivational interviewing, and interpersonal therapy — but in plain terms, here's what that means in practice: we figure out what's actually driving your patterns (not just what's on the surface), we work on the thoughts and behaviors that keep you stuck, and we build tools you'll actually use between sessions. I have deep experience in addiction recovery and dual

diagnosis, and I take a whole-person approach — your environment, your history, your relationships,

and your goals all matter to me. Recovery isn't one-size-fits-all, and I won't treat it that way.

Expect a real conversation — not a form to fill out or a checklist to rush through. In our first session,

we dig into what brought you here, what you've already tried, and what you actually want your life to look like on the other side of this. I'll be honest with you about what I'm hearing, ask questions that matter, and by the end of the session you'll have a clear sense of my style and a direction for where we'll go together. Many clients tell me they leave the first session feeling like therapy might actually

work this time. That's exactly the goal. Evening appointments available most weekdays — virtual,

accessible, and designed around your real schedule.