Internal Family Systems therapy

I am so excited to share that I have now completed Internal Family Systems Level One training. This therapy approach creates space for the client to develop an empowering internal relationship as they care for parts of themselves. In addition to CBT and other therapy approaches, I now have the depth of training to provide IFS therapy as well.

If you are interested in learning more about this approach, please feel free to ask me in your next session or email me at

Celebrating 5 Years in Business

Five years ago today, I opened the doors to Perspectives for the first time. My office was a little smaller, and my schedule a little more open. I had spent months preparing the office to open and years preparing my clinical skills before taking the step to become a small business owner.

Here we are at June 1st, 2020. I’m currently working from home due to the COVID-19 pandemic, and my heart goes out to all those who are struggling in these times due to the virus and due to the burden of systemic racism in our country. These are tough times. I miss being in the physical office, but am so grateful to be able to connect with my clients via telehealth. And I look forward to sharing space in the office at 46 Prince Street again someday soon.

As I think back to my opening day and all that has happened since, I’m aware that although I’m a solo practitioner, this work is anything but solo. The work itself is grounded in connection.

I’m grateful for all the individuals who have walked into my office, brave enough to bear the vulnerability of therapy and to trust me to sit alongside them. I’m grateful for my colleagues who work alongside me, inspiring me with the good work they do and elevating us all. We are a community of helpers. I’m grateful for my supervisors and mentors, and my business coach, who give me something to aspire to while simultaneously cultivating the capacity for success. And I’m grateful for my dear friends and family who share my heart and make it possible for me to do the work.

There are a lot of things that go into maintaining a business. Along with the therapy itself, I am continuously looking forward to see what needs I can meet in our community, and reflecting back on what has worked so far.

Five years into business, Perspectives Mental Health Counseling, PLLC, is just getting started.

When to go to therapy?

How do you know when it’s time to start or return to therapy?

In a first session, I often will ask a client how they knew it was time to come in. Sometimes people are coming in at the encouragement of a friend or family member; sometimes they know they need an outside perspective to explore an issue; sometimes it is clear that anxiety, depression or other symptoms are getting in the way of day-to-day life.

For therapists, it is easy to know when we need to go to therapy. When our own stuff starts coming up for us in the midst of counseling others, or if it’s at all getting in the way of facilitating psychotherapy, we know we need to talk to colleagues or get our own therapy. It’s like how doctors need to be healthy in order to treat their patients; counselors need to be emotionally healthy in order to treat our clients.

For everyone else, it can be harder to answer this question. Generally, I encourage someone to come to counseling when they have issues that are getting in the way of living their life the way they want to. (This could be due to any number of things: a stress response that is out of proportion to the stressor; difficulty sleeping; low mood; overwhelming thoughts; relationship difficulties; adjusting to a traumatic medical diagnosis or event).

When you feel you need a safe person to talk to, to process recent events or explore a part of your identity, it’s a good time to come to therapy. When you need to voice the loss you’ve experienced or the secrets that weigh on you, it’s a good time to come to therapy. When you feel ready to build on the strengths you’ve got and develop additional coping skills to face the challenges or burdens of your life, it’s a good time to come to therapy.

I always tell my clients that therapy is about balancing challenge and support. So, when you feel you need extra support in your life and you are ready to be challenged to grow – that is the time to come to therapy!

The Helper’s Humanity

Together with Amy Andrews, MFA, LMHC, Johanna will be running a series of workshops on the humanity of the helper. Each workshop will use a different aspect of creative writing to explore your sense of humanity as a helping professional. Johanna and Amy will lead various exercises to deepen your curiosity and validate your vulnerability as a human and as a helper. Each exercise will involve personal time for writing as well as group discussion for processing.

The goals of the workshop are to provide creative writing tools for self-care and personal exploration, and to validate all the aspects of your humanity!

The first workshop is coming up in a few weeks on September 22nd. Each workshop will run from 8am-12pm, and coffee and light snacks will be provided. Spots are limited, so sign up soon!

Workshops are open to all, but are geared towards those individuals currently working in the helping professions (medical, mental health, religion and spirituality, teaching, etc).

Sign up for one retreat or for all four: $75 per retreat or $250 for all four.

To sign up, email Johanna at or Amy at Please feel free to reach out with any questions you may have, as well.

Johanna and Amy are incredibly excited to collaborate on this project and can’t wait for the first workshop, titled “Developing identity through character.”


Well-adjusted and in therapy

Not long ago, a friend of mine (not a therapist) mentioned her thoughts on therapy. When I mentioned that some of my own friends are in therapy, she said, “Wow, they must be really well-adjusted.”

I love that statement. Not “there’s something wrong with them” or “what do they need to fix.” The underlying sentiment was that these people are well-adjusted because they know when they need help and they seek it out.

The language we use is powerful. When I tell someone I’m a therapist and they say with a laugh, “oh, my friend here might need to see you!”, they are implying that a) they would not need to see a therapist themselves and b) there must be something wrong with the other person that they would need a therapist. My response is often, “I think we all need a little therapy sometimes.”

People often think the job of a therapist is to label you as “crazy” or “not crazy.” Let me tell you, that is not my job. My job is to support you and to challenge you.

When my friend made that statement, I liked that she assumed going to therapy was a positive thing. Not a sign of weakness or trouble, but something truly positive that people can do for themselves.

There are often negative life events or situations that lead to individuals coming to therapy, but having the strength to be vulnerable in seeking out and accepting help is a powerful and positive action.

Hello, Prince Street!

As of this Saturday, 8/18/18, Perspectives has a fresh new location at 46 Prince Street. Right around the corner from the Memorial Art Gallery, this office has great neighbors, more space, a beautiful view, plenty of parking, and the same great quality therapy.

Please call Johanna with any questions you may have about the new space! (585)406-3012.

July’s Mindfulness Exercise

Mindfulness involves observing and accepting the things around and within us in the present moment, without judgment.  In therapy, Johanna may involve mindfulness skills to build awareness of various issues and to develop coping strategies to reach optimal wellness.   The exercise below is not individualized to your needs as it may be in therapy, but is rather intended as a general exercise that you may find useful.

July’s Mindfulness Exercise:

Last month, we brought awareness to our thoughts. This month, we bring awareness to our emotions!

How aware are you of your emotions? Take a deep breath in, and exhale out slowly. Keep in mind the statement “as long as you are breathing, there is more that’s right with you than wrong with you.” Similarly, there are no wrong emotions – you get to have them all.

Notice what you are experiencing emotionally in this moment. Name the emotion or emotions to yourself. Maybe even write it down on a piece of paper.

Engage in this emotion-naming three times throughout your day today. Notice the fluctuations you experience in emotion and intensity. Notice what you do with the emotion. Is it healthy for you?


Today’s exercise is intended to increase your emotional awareness, both regarding what you are experiencing emotionally as well as what you do with it. As always, if this feels overwhelming, please call Johanna to set up an appointment.


NOTE: This is not intended to replace therapy.  Please contact Johanna at (585)406-3012 if you are interested in engaging in counseling for optimal wellness.

June’s Mindfulness Exercise

Mindfulness involves observing and accepting the things around and within us in the present moment, without judgment.  In therapy, Johanna may involve mindfulness skills to build awareness of various issues and to develop coping strategies to reach optimal wellness.   The exercise below is not individualized to your needs as it may be in therapy, but is rather intended as a general exercise that you may find useful.

June’s Mindfulness Exercise:

This month, we are going to bring our awareness to the endcaps of the day. Pick either the morning or the evening, and every day write down the first thoughts that pop into your head in the morning, or the last thoughts that run through your mind at the end of the day.

We can’t control what first pops into the mind, but we can control what we do with it and the habits we shape around our thoughts. After tracking your thoughts for several days, notice if there are patterns to your thinking. Those first or last thoughts of the day – are they what you’d want to have in your mind?

If they are, carry on. If they are not, take a moment to reflect on what kinds of thoughts you would like to have at the start or end of your day. Write down on a piece of paper or post-it what you’d like them to be, and place them next to your bed. Every day, before you close your eyes to end the day (or get out of bed to start the day), review the piece of paper.

In doing so, you are bringing mindfulness to your thoughts and training your mind to take the thought paths you would most prefer!


NOTE: This is not intended to replace therapy.  Please contact Johanna at (585)406-3012 if you are interested in engaging in counseling for optimal wellness.

Awkward and Strong

At a yoga class recently, I was reminded in the midst of a holding a very difficult pose that what we need we carry with us. The instructor went on to discuss how we have the ability to cope with difficult situations. Deep stuff, right?

This doesn’t mean I held the pose. I certainly didn’t look the picture of the strength and grace I aspire to be. I was awkward, and shaky, and exited out of the pose before the teacher told me to do so. I may have even rolled my eyes a bit at the instructor’s words.

But it made me think. Not necessarily to agree with the instructor about what we carry internally, and whether it is enough. No, it made me think about how the things we need to grow come from within us, instead of from the material things around us.

I realized that my physical practice of yoga depended on me. Not the room I was in, not the clothes I was wearing, or even the yoga mat beneath my feet. My awkward, strong engagement in physical movement using my own body… that depended on me.

The instructor was right. I didn’t have the tools to bend and contort into a crazy pose, but I did have the ability to engage my body in the practice and own my movements. I didn’t need anything but myself to do yoga.

I often say in counseling sessions that you are the only one who is in your body and your mind 24/7. (It’s a great thing – and sometimes a very difficult thing!). That self is all you need to challenge yourself to grow.

And in my office, all we really need is you (the person who is in your body and your mind), and me (the person who will sit with you). Counseling depends on the relationship between myself and you, the client.

It is nice to have chairs to sit in, pictures to look at, and a window to let the light in; but the real work comes from the connection in the therapeutic relationship. That’s all we really need. It may be awkward at times, it may be shaky, and it will be strong. The real work comes from the changing perspective you develop for yourself and take out of the office with you.

What we need to grow we carry within us.

In yoga, the things we need come from physical movement. In counseling, it comes from the counseling relationship. In both cases it is the internal parts of self and relationship that lead to growth.

Good-bye snow bank, Hello recycling bin

After over a month, my recycling bin has emerged from the midst of a snow bank. Sometime in February, I’d set the recycling bin by the curb and a snowstorm buried it overnight. Just this week, the snow melted enough for my blue bin to reappear, equally full of snow as recyclables. I left the bin out by the curb. It was finally ready to be emptied.

When it comes time for spring, I think we’re all a bit like that recycling bin. We may have things we’ve been holding onto that have no more use; we may have been buried (or been hiding!) in a snow bank; we may be emerging from a long winter, standing alone on the grass where there used to be snow.

A new season is heading towards us – spring. With change comes stress, and new growth, and opportunity.

What do you need to empty from your recycling bin? What are your hopes for spring? What might you still be holding onto? What do you need help sorting through?

As always, I’m a phone call away if you find you need another perspective as you dive into your own emotional spring cleaning – (585)406-3012.