Creative people can end distress-without losing creativity! I start with a comprehensive evaluation and "differential diagnosis." I customize treatment to your needs, combining natural techniques, psychopharmacology, brief CBT, arts-based or horticulture therapy, collaboration with other therapists, as needed. We review current concerns, medical, cultural, family, interpersonal, educational, vocational and substance histories, before identifying helpful-or harmful--past treatments, avoiding whatever harmed. I recognize "medical mimics" of mental symptoms, and medication side effects—and recommend natural solutions whenever possible.