Who This Is For
I work with individual clinicians, group practice owners, supervisors, and program leaders who want ACT to become a natural expression of how they think rather than a set of exercises they reach for.
You may know the model well and have attended workshops, and still notice sessions drifting into technique, uncertainty about what to target, or notes that do not reflect your reasoning. Often the effort to get it right has become part of the problem.
You may also be wondering how to build a practice, a team, or a supervision culture that reflects the same functional values you bring to clients.
This work is not supervision and it is not another training. It is a working relationship built around your cases and your practice.
The Goal
The aim is for functional reasoning to become something you do naturally, so that you can notice what a behavior is doing, choose a process worth targeting, and respond in a way that fits the person in front of you.
Over time your notes, your sessions, and your practice decisions begin to reflect the same way of seeing.
How We Work
Consultation is built around your work rather than a fixed curriculum. We might meet weekly, and we might meet monthly or around a specific project. The approach is set up to fit you.
You might bring a client you feel stuck with, a recording, a note that is hard to write, or a question about how your team works together. We might also look at how services, referrals, scheduling, and business decisions can reflect the same functional values. The structure follows what you need at that point.
Consultation can happen individually, in a small group of colleagues, or with a practice or clinical team, through phone calls and video conferencing. Contact between sessions is agreed at the start.
What You Can Expect
As your consultant, I will:
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Help you map the functional pattern in a case, including what the behavior accomplishes in the short term and what it costs over time
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Clarify which process is worth targeting first and why
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Explore what to evoke, model, or reinforce in the moment, and what to notice in yourself while you do it
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Review notes and documentation so they show your reasoning, including the Functional Process Note when it fits
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Look at team, supervision, and practice questions through the same functional lens
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Keep the work practical and honest, with a next step you can use in your next session
My Approach
I work from Functional Contextualism, which asks what a behavior does in a particular context rather than what it looks like on the surface. Relational Frame Theory helps us see how language and thought shape what clients and clinicians notice, avoid, and pursue.
Acceptance and Commitment Therapy then gives us practical processes for responding differently: contacting the present moment, making room for difficult experience, stepping back from rigid thinking, clarifying what matters, and taking committed action.
The work draws on Head, Hands, and Heart. Head is a grounded understanding of the science beneath the model. Hands is practical use in the room, within real time limits and real documentation. Heart is the presence and embodiment that shape how you show up with clients.
I bring more than twenty years in behavioral health, including years of teaching and public speaking, as founder and clinical director of Rhode Island ACT, director of RIACT, and an ACBS Peer Reviewed ACT Trainer. Every clinician and every client is an N of 1, so the work is adapted to your setting, your population, and your style.
Format & Commitment
I work with a limited number of clinicians and teams at a time. We agree on a defined period at the start, commonly [length, confirm], and review progress together along the way so the work stays aimed at what you came for.
Consultation Versus Supervision
Consultation is a collaborative professional relationship focused on your development and your practice. It differs from supervision, which carries oversight responsibilities and can be tied to licensure. You remain responsible for your clinical work, and we protect confidentiality by using anonymized material unless appropriate consent is in place. If supervision fits your needs better, I will say so, and you can learn more on the Supervision page.