Jessica Nakashian (she/her, they/them)

Acceptance and Commitment Therapy (ACT)

ACT helps you build a life guided by your values rather than letting difficult thoughts and feelings dictate your choices. We work on making room for uncomfortable emotions, developing psychological flexibility, and taking meaningful action even when life feels uncertain. The goal is not to eliminate every difficult feeling, but to help you respond to challenges in ways that align with who you want to be.

Cognitive Behavioral (CBT)

CBT explores how thoughts, feelings, and behaviors influence one another. Together, we identify patterns that contribute to anxiety, self-doubt, or feeling stuck and develop practical strategies for changing them. Our work may include examining unhelpful assumptions, practicing new behaviors, and building skills you can use in everyday life.

Dialectical Behavior Therapy (DBT)

DBT-informed strategies can help you navigate intense emotions, tolerate distress, and communicate more effectively. We focus on recognizing emotional patterns, developing practical coping skills, and finding ways to respond thoughtfully rather than react automatically. These tools can be especially helpful when emotions feel overwhelming or relationships become difficult to navigate.

Family Systems

Our relationships and family environments can shape how we understand ourselves and navigate the world. A family systems approach explores relational patterns, communication, boundaries, and the roles people develop within their families. We can work to understand how these dynamics affect your current experiences and identify opportunities for healthier interactions, greater independence, and meaningful change.

ADHD

ADHD affects more than attention. It can influence motivation, emotional regulation, relationships, and self-esteem. I help clients understand how their brains work, develop practical strategies that fit their needs, and navigate the frustration or self-doubt that can arise when traditional approaches do not work. Together, we can build skills and a more compassionate understanding of yourself.

PTSD

Trauma can shape how we understand ourselves, navigate relationships, and respond to situations that feel unsafe. You may struggle with trust, feel constantly on edge, or notice patterns you do not fully understand. I offer trauma-informed support to help you understand how past experiences affect the present, develop coping skills, and build a future that feels more manageable and aligned with who you want to be.

Anxiety

Anxiety can make uncertainty feel overwhelming, turn everyday decisions into exhausting tasks, and leave you anticipating what might go wrong. Therapy can help you understand your patterns, develop practical tools for managing distress, and build confidence in navigating uncertainty. Together, we can work toward making decisions and engaging in relationships based on what matters to you rather than what anxiety tells you to avoid.

LGBTQ Issues

Exploring your identity, navigating relationships, and finding belonging can be complicated, especially when others' expectations do not align with your experience. I offer affirming support for LGBTQ+ clients navigating identity development, family dynamics, relationships, and the effects of stigma or rejection. You do not need to have everything figured out. Therapy can help you better understand yourself and build a life where you feel comfortable being who you are.