Psychotherapy for adults
See clearly.
Move freely.
You can be managing everything and still not be all right.
Telehealth across Massachusetts / Currently accepting new clients
Psychotherapy
Presence without pressure.
Therapy offers a place to slow down and look at what’s actually going on. What once felt confusing or overwhelming often begins to make more sense. The parts of yourself that have been quiet, or set aside to keep things moving, get a chance to be heard.
Over time, something shifts. You stop bracing so hard. You trust yourself more, and need to control less. You find you can be kinder to yourself, which quietly makes you kinder to everyone else. Life feels less like something to manage and more like something you’re actually in. Fewer things frighten you. You feel more like yourself, more of the time.
Anything that is human is mentionable, and anything that is mentionable can be more manageable.
Fred RogersWhat we work with
Most people come to me with anxiety, anger, overthinking, or a change they haven’t caught up to yet. Those four are rarely as separate as they seem. You name one and the rest usually turn up behind it.
The patterns that trouble us are usually old. They made sense once, and they were how we got through something. Now they shape reactions that don’t quite fit who we’re becoming. They hold on. They can also loosen.
Knowing where a pattern came from isn’t enough. You practice noticing it. For a long time that only happens after the fact, which doesn’t feel like progress. One day you notice it before it runs. Then it’s a choice.
Mike’s open and non-judgmental approach allows him to connect easily with people, and I have personally witnessed him act as a catalyst for many making significant life changes.Christine Palmieri, former supervisor
About
My path into this work started with film. What drew me was people in their real moments, the hard ones, the ones that matter. Then in 2004 I spent a year on a suicide hotline, and what I’d been chasing as a filmmaker changed. I didn’t want to capture those moments anymore. I wanted to help people find their way through them. That’s still what I’m here for.
I’m a Licensed Mental Health Counselor with over two decades of experience across private practice, outpatient care, community programs, and interdisciplinary teams. I’ve also held supervisory and leadership roles, supporting clinicians and programs in developing ethical practice. The way I work is quiet and practical, and owes a good deal to Taoism, Buddhism, Stoicism, and existential psychology. I pay close attention, I don’t rush, and I keep a working set of tools that I’m still adding to.
The curious paradox is that when I accept myself just as I am, then I can change.
Carl RogersFees and insurance
A limited number of reduced-fee spaces are reserved for people who may benefit from this work but for whom the full fee would be difficult. There’s no application and nothing to prove. Don’t let cost be the reason you never reach out.
I’m in network with Blue Cross Blue Shield directly. Through Headway, I’m also in network with Aetna, Carelon Behavioral Health, and Cigna. Headway confirms your coverage and what you’ll pay before the first session. For anything else, I can provide a superbill for out-of-network reimbursement.
Common questions
How do I know if it’s time?
There’s no threshold to meet. Most people come when working it out alone has stopped getting anywhere, and plenty of them have never done this before. Some are in the thick of something and some look fine from outside. Either is a reason to start.
What is a session like?
Mostly you talk and I listen closely, then say what I notice. Some sessions wander and turn out to be about something else. Others stay on one thing until it opens up. You’ll usually leave with something to try. There’s no script and nothing to get through.
How often do we meet?
I suggest weekly for the first four to six sessions, which is about how long it takes to know whether this is a fit. After that you set your own pace. If you’d rather have a standing time, I can hold one.
How long do people stay?
Some come for one specific thing and stop when it’s handled. Others stay longer because it keeps being useful. Both are normal, and it doesn’t have to be settled now.
Will you give me advice?
I’ll offer things to try, and say what I think. None of it decides for you. That part was always yours.
Contact
When you’re ready, I’m here.
Start with a free fifteen-minute conversation. We talk about what you’re looking for and whether I’m the right person for it. If you want to go ahead, sessions are Tuesday through Saturday, 8am to 2pm, and you book them yourself online.