Two things are true. The science of therapy matters and the art of therapy is what makes it medicine. The arrival of AI may be the most useful pressure the field has had in decades. It may actually force a conversation about what therapy is actually for, and what part of the work cannot be replicated by a model.

The ick is one of the most reliable tools we have. It has never had to work in an environment designed to outsmart it.

Sexual shame happens when you grow up in an environment where curiosity is shut down, bodies aren’t talked about kindly, or desire is only validated for some - not for all. Most people got the message: this isn’t something we should talk about. But what if it’s not a problem?

Sometimes the hardest person to set a boundary with… is yourself.

Especially if you’re used to being the flexible one. The easygoing one. The one who can roll with it. Most of us don’t override our boundaries on purpose. We do it quietly. Automatically. Because it feels safer, more familiar, or just easier than risking tension.

Many couples come in to my office with a common complaint: one person wants more sex… and the other doesn’t.

When desire starts to feel out of sync feelings of rejection or blame arise. But, no one is broken and it’s almost never about love or attraction fading away. More often, it’s a reflection of what’s happening around and inside the relationship - not what’s missing between you. Desire doesn’t exist in a vacuum. It’s deeply influenced by what’s going on in your life, in your nervous system, and in the space between you.

This one's for the good dads. The ones who aren't waiting to be asked. Who know the pediatrician's name, the shoe size, and which kid won't eat the crust. The ones who never once called watching their own children "babysitting."

A lot of people think boundaries are what you say to other people. But in many ways it’s actually what you believe about yourself. Because it’s really hard to hold a boundary if you’re not sure you’re allowed to or deserve to have one in the first place.

New parents hear this advice all the time: “You just need to make time for each other. Go on more dates!”

But for most couples in the early parenting years, that’s about as helpful as saying “just sleep more.”

It’s not that dates are bad advice. Date night’s are great. But they aren’t the be all end all of staying connected with your partner. Plus, in many situations, that advice can be impractical, oversimplified, or offered without any understanding of what’s actually going on beneath the surface.

We’re told sex is supposed to peak in our twenties… That it should be wild, spontaneous, full of chemistry, and effortless. That passion fades, desire dwindles, and real intimacy just can’t survive the demands of aging, stress, or long-term relationships. But that’s not true for a lot of people. And it’s not what I hear in my office.

Hearing a boundary from your partner can feel… uncomfortable.

Even if they say it kindly. Even if you know it’s not an attack. Even if you want to be supportive. It’s still easy to feel like you’ve done something wrong… or like they’re pulling away.

But boundaries aren’t a rejection. They’re actually an attempt to stay connected in a way that feels safe, respectful, and real.

It’s not romantic or exciting. But if you want to protect your relationship - protect your sleep.

When you're exhausted, everything feels harder. You’re quicker to snap… slower to understand… less able to stay patient or generous. And so is your partner.

After kids, intimacy shifts. Date nights become chaotic. Long talks turn into trying to remember how to have a conversation with another grownup. But connection can show up in small and unexpected ways.

Let’s clear something up: A boundary is not a rule for someone else to follow. It’s not an ultimatum. And it’s not about punishing or changing your partner’s behavior. A real boundary is something you choose to do to protect your own well-being, energy, or values. It’s not dependent on how someone else acts and it’s something you can uphold, even if the other person never changes.

Not everyone feels “in the mood” right away… and that’s completely normal.

There’s this widespread idea that sexual desire should just show up out of nowhere, like flipping on a light switch. But for many people, that’s simply not how it works. And when we don’t talk about that openly, it’s easy to internalize the belief that something in us, or in our relationship, is broken.

But what if I told you that your sex drive doesn’t tell the whole story?

Halloween is right around the corner, and with it comes the annual debate: “Aren’t you a little too old to be trick-or-treating?” But why are we so quick to cut off teenagers from the magic of Halloween? Who decided that there’s an age cutoff for fun? When teens are constantly encouraged to grow up fast, holding onto a little piece of childhood isn’t just OK—it's beneficial, even essential.

You want to save and they want to spend. You want public school and they want private. And you're asking yourself, 'Are these normal disagreements or are we fundamentally incompatible?

One day during a session with my therapist I said, “It’s like I’m a light on a dimmer. I’m not completely dark, but I’m dimmed and it’s hard to see things brightly.” I was a mom to a toddler and infant and was experiencing a profound and relentless disconnection from myself. I loved my family. I loved the life I had created. I was successful, had purpose, and had joy. Yet I was also sad and mourning a version of myself that was no longer allowed to exist. I was, in many ways, a stranger to myself and longed to reclaim my essence - who I was outside of “mom.”

Yes, a marriage can survive without sex. But 'survive' is a low bar. The real question is whether both of you are okay with the way things are, and whether you've actually talked about it.

Today is my youngest's last day of preschool. I'm relieved. I'm ready. And I also cried in the car this morning. This is what motherhood transitions do to you.

School's out and your feed is already full beach bucket lists, color-coded summer schedules, and "You only get 18 summers!" plastered over a golden-hour photo of kids running through a sprinkler. And you’re standing there loading the dishwasher, answering work emails, and wondering what the hell everyone's going to eat for lunch every day for the next ten weeks. How are you supposed to turn this summer into something memory-making and meaningful? Every. Single. Day.