Brian McLanahan (he/they)

Somatic Therapy (Body Centered)

Your body registers stress, anxiety, and overwhelm long before your mind catches up. Somatic work teaches you to notice those signals and respond before they take over. I help clients tune into tension, breath, and nervous system activation, then use that awareness to regulate, settle, and reset. For adults who live in a constant state of overload, learning to read and calm the body is often what finally makes change possible.

Experiential

Insight alone rarely changes how you feel. Experiential work brings what you’re struggling with into the room so you can work with it directly instead of just talking about it. Through guided exercises, role-play, and in-the-moment exploration, clients build awareness that sticks and practice new responses as they happen. It’s active, engaging work, and it’s especially effective for adults who’ve already tried talk therapy and felt stuck.

Eclectic

No single approach works for everyone, and I don’t force clients into one. I draw from somatic, experiential, mindfulness-based, and insight-oriented work, choosing what fits your needs, goals, and the way your mind works. Some sessions focus on the body, others on patterns and meaning, others on practical change. That flexibility lets therapy meet you where you are and shift as you grow, instead of following a script that was never built for you.

Mindfulness-based

Mindfulness isn’t about emptying your mind or sitting perfectly still. It’s the skill of noticing what’s happening inside you without getting swept away by it. I teach practical, flexible mindfulness that fits real life, including busy minds that don’t do well with long meditations. Clients learn to catch spiraling thoughts, stay present with difficult emotions, and create space between a trigger and their response. That space is where change begins.

ADHD

Adult ADHD rarely looks like the hyperactive kid in class. It looks like time blindness, emotional overwhelm, rejection sensitivity, and a lifetime of compensating with anxiety and last-minute adrenaline. I understand ADHD personal and professionally, as a clinician who has studied it in depth and someone who has lived it. I help adults stop fighting their brains and build build awareness and regulation that make routines stick.

Autism

Adult autism is often hidden behind years of masking: rehearsed conversations, constant self-monitoring, and the crash that follows a day of holding it together. I understand the subtle ways autism shows up in adults, including sensory overload, social exhaustion, and the need for predictability. I help autistic adults reduce masking, protect their energy, and create a life that fits how they actually experience the world.

Anxiety

Anxiety at its worst is debilitating, and it rarely travels alone. It drives poor sleep, irritability, avoidance, and exhaustion. Learning to recognize it in your body is vital to changing its impact on your daily life. I help clients catch anxiety early, understand what’s fueling it, and interrupt the cycle before it takes over. I also know how often anxiety sits on top of ADHD or autism, and I treat it with that in mind.

Depression

Depression builds quietly. Energy drains, motivation disappears, and getting through the day starts to take everything you have. For many adults, it grows out of years of struggling without understanding why. I look at what’s actually driving it, whether that’s life stress, burnout, or a brain that’s been working against the grain for too long. Then we rebuild momentum with changes that are realistic and sustainable.

Panic

Panic hits fast and convinces your body you’re in danger: racing heart, tight chest, shaking, the certainty that something is terribly wrong. Then the fear of the next attack starts shrinking your life. I help clients understand what their nervous system is doing, recognize the early signals in their body, and ride out the surge instead of fighting it. Panic loses its power once you stop fearing it, and that is the work we do together.