My Approach

Integrative, evidence-based, and led by you.

Care isn't one-size-fits-all. I draw on a range of modalities and adapt the mix to your presentation, goals, and preferences — not the other way around.

A flexible toolkit

  • Structured & evidence-based
    Practical, research-backed tools for anxiety, mood, and trauma.
    • Cognitive Behavioral Therapy (CBT)
    • Trauma-Focused CBT
    • Acceptance and Commitment Therapy (ACT)
    • Mindfulness-Based Cognitive Therapy
    • Solution-Focused Brief Therapy
    • Behavioral Therapy
  • Relational & reflective
    Working through identity, relationships, and meaning.
    • Interpersonal Psychotherapy
    • Narrative Therapy
    • Humanistic Therapy
    • Strength-Based Therapy
  • For change & motivation
    Building your own motivation to move forward.
    • Motivational Interviewing

What you can expect from a first session

You don't need to have it figured out. Many clients arrive unsure of what they need or how to describe what they're going through — that's completely okay. We start exactly where you are.

We'll get to know each other. I'll spend time learning your background, your current challenges, and what you're hoping might be different. I'll ask questions, but I'll also give you space to share things in your own way and at your own pace.

We'll build a plan together. From there, we identify patterns, set early goals, and talk through what treatment might look like — with real flexibility in how we shape your care as we go. My goal for that first session is simple: that you leave feeling less alone, more understood, and with a sense that progress is possible.

  • Telehealth
    Telehealth only
    Sessions are held by secure video, across Massachusetts and Oregon.
  • Session length
    Session length
    Standard sessions run 60 minutes.
  • Who I see
    Who I see
    Teens, adults, and elders (65+) — individual sessions only.
Book a session
You don't have to figure it out alone.
Let's take the next step toward clarity and balance.
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© 2026 George Gikera, PMHNP. All rights reserved.