It's amazing: talking in therapy is such a simple act, with powerful results. What keeps getting in the way of satisfaction--in relationships, in work? The patient and I form a sort of detective team to investigate this question. When self-defeating patterns of thinking and behavior come into conscious awareness, it becomes possible to make informed decisions, to act in ways that make life better. Therapy is serious, but it can be something to enjoy and look forward to. Depression and anxiety, isolation, anger, loneliness--all are states that we can address in treatment, with understanding, patience and respect.