Understand your patterns. Change how you respond.

Online therapy for teens and adults navigating anxiety, OCD, and executive functioning challenges—combining insight, processing, and practical strategies for lasting change across your day-to-day life, relationships, and sense of self.

Does this sound familiar?

  • You overthink even small decisions and get stuck trying to get it “right”

  • You avoid or procrastinate—even when something matters to you

  • You feel stuck between high expectations and burnout

  • You get caught in loops of worry, doubt, or “what if” thinking

  • You find yourself checking or seeking reassurance to feel certain

  • You know what to do, but can’t seem to follow through

  • You notice these patterns showing up in your relationships—overthinking, people-pleasing, pulling back, or difficulty setting boundaries

These aren’t random struggles—they’re patterns.

Patterns in how you think, respond, and try to manage uncertainty.

Schedule a brief consultation to talk through what’s been going on.

15 minutes · Ask questions · No pressure to commit

Serving Massachusetts, Washington, + PSYPACT states

A structured, insight-oriented approach to therapy

What working together looks like.

We start by understanding how your specific patterns work—whether that shows up as anxiety, overthinking, perfectionism, or difficulty following through.

From there, we look at how those patterns developed. This includes making space to process past experiences and relationships that have shaped how you think, respond, and relate—so we’re not just managing what’s happening now, but addressing what’s underneath it.

At the same time, we build practical ways to navigate your day-to-day life—tailored to your situation, not one-size-fits-all strategies. The goal is to create change that actually holds, both internally and in how you show up in relationships, transitions, and the expectations you carry.

This work is for people who are thoughtful, capable, and want to better understand themselves—not just manage symptoms, but change the patterns underneath.

Headshot of Dr. Rene, psychologist providing virtual therapy in Massachusetts and PSYPACT states.

Hi, I’m Kirsten.

I’ve worked across different settings and roles—including research, teaching, and assessment—but being a therapist has always been the work I’m most drawn to.

I value building real, collaborative relationships with my clients—ones that feel grounded, honest, and actually useful.

I’m down to earth, easy to talk to, and I use humor when it fits. Therapy with me isn’t just about talking through things—it’s about understanding the patterns underneath what’s happening and figuring out how to respond differently in a way that actually sticks.

My approach blends insight, relational and practical strategies, depending on what you need. Some people come in for short-term support, while others stay longer or return during different phases of life.

I see therapy as a collaborative process—we’re working together, not me “fixing” you. Most people I work with are already trying really hard. My role is to help you understand what’s getting in the way, process the experiences and patterns behind it, and support you in responding differently over time.

If you’re ready to look at what’s underneath these patterns and start working through it, we can begin that work together.

Finding the right therapist can feel overwhelming— especially when you’re used to figuring things out on your own.

You don’t have to figure it all out upfront.

If you’re unsure what to look for—or whether therapy is actually helping—I created a guide to make it easier to evaluate fit.

If you’d rather talk it through, you can schedule a brief consultation.

There’s no pressure to commit — just a chance to ask questions and see if this feels like the right direction.

Not quite ready to start therapy?

That’s okay.

If you’re used to figuring things out on your own, it can feel hard to know where to start — especially when what’s worked before isn’t working the same way anymore.

I’ve created a set of guides that give you practical ways to respond differently.

These aren’t one-size-fits-all systems.

They’re designed to help you recognize what’s happening in your specific situation and experiment with tools that actually fit.

Whenever you’re ready, you can reach out.

Start where it feels right for you.