Therapy with a plan.
Concrete goals. Honest feedback. A little humor. Most clients know what they're working on by their third session. That's by design.
You'll know where you're going
By session two or three, you have a treatment plan. Not a rigid script — a real direction. What you're working on, how you'll get there, what “better” looks like.
Warm and direct, not one or the other
Non-judgmental. Challenging. With a sense of humor. Most people don't expect those to coexist. They do.
Specialist-level training
PhD in clinical psychology. Deep training in ERP for OCD, EMDR for trauma, CBT, and ACT — applied to what you're actually dealing with.
If you've tried therapy before
Not all therapy is the same.
If your last therapist was mostly just listening, or therapy felt like it was going nowhere in particular, you're not wrong. Therapy without goals isn't doing its job.
And if you know what the problem is but knowing hasn't fixed anything: insight isn't enough. The emotional shift, the behavioral changes, the different way of moving through the world — those don't come from understanding alone.
About TerraHere's what this looks like
The first session is intake. You start wherever makes sense. I ask questions, learn about you, and by the end I'll share what I'm hearing professionally and where I think we might start.
By session two or three, we have treatment goals. Collaborative, nuanced, built around what you want out of this.
From there, sessions are purposeful. Sometimes structured, sometimes open. We weave in skills and strategies. For more than half my clients, there's between-session work — always agreed on, never required. Therapy should feel helpful. I take that seriously.
Full breakdown, session by sessionWhat I specialize in
Anxiety disorders
Generalized anxiety, social anxiety, panic disorder, health anxiety. CBT and ACT, applied with flexibility to what you're dealing with.
OCD
Exposure and Response Prevention (ERP) is the gold-standard treatment for OCD — contamination OCD, harm OCD, scrupulosity, ROCD, and others. The work is gradual, collaborative, and always agreed on.
Trauma and PTSD
EMDR and trauma-focused CBT. For people whose nervous systems got stuck somewhere they don’t want to be.
Depression
Behavioral activation, CBT, and ACT. Structured work aimed at real shifts in how you feel and function, not just how you understand yourself.
“I meet folks where they are and try to bridge the gap between whatever is bringing them — usually involving pain, fear, distress, uncertainty — with hope.”
Terra Fuhr, PhD
Ready to see if this is a good fit?
The first session is intake. It goes both ways. You're figuring out if I'm right for you, too.
Request a consultation