One hour, one conversation, nothing performed.

I talk. I ask direct questions and I expect direct answers. I will not sit in silence waiting for you to fill it, and I will not soften something that needs to be said plainly.

We pick up where we left off, look at what happened since, and work on the specific thing that is in the way this week. If a session drifts, I will name it.

• You get told what I actually think, not a reflection of your own words.
• We work on one thing properly rather than five things vaguely.
• You leave with something to try, not a summary.
• You can disagree with me out loud. It is often the useful part.

First session is mostly about rapport and fit, not intake paperwork. You should leave it knowing whether you want to come back.

After that, weekly is typical while we build momentum, then we space it out as things hold. There is no fixed package and no set number of sessions, because I have not met your life yet.

Sessions are by video anywhere in Indiana and Illinois.

These issues did not get like this overnight. And you get out of it what you put in.

Not insight for its own sake. Plenty of people understand their patterns in detail and are still living inside them.

The aim is competent action: doing the difficult thing and doing it well. Saying the honest sentence. Holding the boundary. Making the decision instead of rehearsing it.

CBT is the modality. Thoughts drive the response, so we surface the thought, test it, reframe it, and then you go act on it.

The first session is orientation. What most people want to know is what session six looks like, once the novelty is gone and the actual work is underway.

You come in with something specific from the last seven days, usually a moment you did not handle the way you wanted. We slow that moment down to the second and find the thought that fired inside it. You leave with one thing to try, and it is usually smaller than you expect and harder than it sounds.

Between sessions the useful stuff happens. You catch the thought once while it is happening rather than an hour later. That first catch is the turn. Everything after it is repetition and refinement.

It is one continuous hour with one counselor who remembers what you said in March. Nothing to manage, nobody's reaction to monitor, no version of yourself to keep consistent for an audience.

That matters more than people expect. Most men are running a partial account everywhere else, adjusted for the listener. Getting one place where the whole account can be said out loud, without watching a face for damage, is a large part of why this works.

It is also yours to direct. Couples work has two agendas in the room by definition. Here there is one.

One place where the whole account gets said, without watching a face for damage.

This is not a place to be agreed with. If you want an hour a week confirming that everyone else is the problem, we will hit friction early and I will name it.

It is not medication management and it is not a substitute for medical care. If something needs a physician, I will say so plainly.

It is not an emergency service. If you are in crisis, call or text 988, or call 911.

And if you and your wife need the same conversation in the same room, individual work will only get you partway. That is what couples counseling is for, and plenty of people do both.