An experienced psychotherapist, I believe in a holistic, individualized approach. Everyone functions in the context of his or her current environment and history. The starting point is what you hope to achieve through therapy. From there we look at how you've been approaching your challenge(s) until now and move forward with whatever tools, skills, and understanding you are likely to find helpful.Most challenges are about relationships, whether the symptom is anxiety, depression, substance abuse, or something else. So the whole picture is important. You can get more of a sense of my approach at www.marcianaomiberger.com.