Adjustment counseling in Duluth, MN
Support for medical transitions and functional changes, and grief and loss therapy for adapting after an injury or a medical event. Counseling focused on adapting to loss and change, in person or online in Minnesota.
2008
In clinical practice since
10 years
On an inpatient rehabilitation team
15 minutes
A free first call
3 days
Typical reply, or less
Adjustment and grief
Adapting to loss and change
Navigating significant life transitions, especially those following medical or neurological events, can feel overwhelming. The event itself is treated. The transition that follows often is not: returning home, returning to work or deciding not to, a body or a mind that works differently, plans that need rewriting, and people around you who are adjusting too. If you or your family are facing that, you don’t have to go through it alone.
Adjustment counseling is therapy for that stretch. It gives the change room to be looked at, and it treats the grief that comes with it as a normal response to a real loss, whether the loss is a function, a role, a plan or a sense of yourself. It is for adults adapting after a brain injury, a stroke or a spinal cord injury, adults managing cognitive change after chemotherapy or with Parkinson’s disease, and adults adapting to changes after other medical events.
My approach integrates compassionate adjustment counseling focused on adapting to loss and change with evidence-based techniques for the cognitive changes that can come alongside it. I believe in a collaborative partnership and strive to create a supportive and understanding environment where growth is possible, helping you and your family build resilience and work toward meaningful adaptation and well-being.
The transitions
Changes people bring to this room
Each is a medical fact and a personal change at the same time. Counseling is where the personal side gets its time.
How this works
From the first call to ongoing sessions
The therapy track of my process: a free call, a 60-minute diagnostic assessment with a plan and clear goals, then sessions tailored to that plan.
15 minutes · free
A phone call
You share what brings you in, I explain how I can help, and together we decide whether my expertise fits your goals.
60 minutes
Diagnostic assessment
Your concerns, history and current functioning, and a treatment plan with clear goals. A diagnosis is identified together only if you plan to use insurance.
Weekly or biweekly
Ongoing sessions
Tailored to your plan and progress: understanding the challenges, building coping strategies, fostering growth.
What is adjustment counseling?
Support for medical transitions and functional changes, and grief and loss therapy for adapting after an injury. It focuses on adapting to loss and change: making sense of what happened, grieving what was lost, and building toward meaningful adaptation and well-being.
Do I need a mental health diagnosis to start?
No. As a private-pay practice I do not require a diagnosis for you to receive care. If you plan to use out-of-network insurance benefits, most insurers require one for reimbursement.
Is grief therapy only for a death?
No. Grief can follow many losses: a function, a job, a role in the family, a planned future. After an injury or a medical event those losses are real, and they deserve care.
How often would we meet?
Sessions are 53 to 60 minutes, often weekly or biweekly, and the frequency and duration adjust as needed. We set the plan together in the diagnostic assessment.
What does a session cost?
An individual therapy session is $250; the initial diagnostic assessment, up to 60 minutes, is $325. You are entitled to a Good Faith Estimate at the start of care. HSA and FSA cards are accepted, and I provide a superbill for possible out-of-network reimbursement.
Also at PsyDuluth
The rest of what I do
Adjustment counseling
You don’t have to work it out alone.
A free 15-minute call to talk about what has changed, whether my skills match your need, and what sessions would cost. There is nothing to prepare.
A free 15-minute phone call, no commitment
Whether adjustment counseling fits where you are
What sessions cost, and whether insurance will help