Take a moment to consider what brings you here. People enter therapy for many reasons, and one can easily begin to feel like a problem to be fixed; however, Dr. Skale believes there is value in coming to understand that your current struggles are the result of your best efforts to navigate through life. From this place of mindful acceptance, you can make sense of how your problems developed and begin to work through them. However you came to be reading these words, recognize that you have taken the first step on the road toward health and wellbeing.Dr. Skale practices psychodynamic therapy with adults facing depression, anxiety, addiction, anger, relationship problems, and personality issues. His approach emphasizes trust, working in the “here-and-now,” and making sense of one’s life story. Humor is also essential to therapeutic work, as therapy should mirror real life—half serious, half fun. Dr. Skale also incorporates elements of mindfulness into both individual and group therapy and encourages his clients to develop a meditative practice independent of psychotherapeutic work. Finally, Dr. Skale works behaviorally to help his clients find specific ways to live differently and progress toward their goals.Message to clients“How we do anything is how we do everything.” We move through life in a distinct way that was shaped before we can remember, reinforces itself in our everyday lives, and inevitably leads us to encounter the same kind of difficulties despite ours best efforts to change. Do anxiety and depression color your everyday experience? Is it difficult to feel like you are enough? Have you struggled to find and maintain satisfying relationships? I can help you answer these and other questions through courageous self-exploration in the context of a trusting therapy relationship. You must come to understand and accept the ways you perpetuate the problems you face. Only by seeking this understanding and taking responsibility for your life can you empower yourself to change.