Individual Work

Your life may be working.
But something in you isn't.

Individual psychotherapy for high-capacity adults who want to understand and change the patterns beneath the problem.

Licensed Therapist Private Pay Virtual Extended Sessions

Your first session is complimentary. It is a full clinical session, not a sales consultation.

Looking for help together? Explore Couples Work →
You may recognize yourself here

The problem is often not that you don't understand yourself.

Many of the people I work with are insightful, capable, responsible, and accustomed to figuring things out. The frustration is that knowing the pattern has not necessarily stopped the pattern.

01

I understand the pattern. I still keep repeating it.

02

I don't trust myself unless someone else agrees with me.

03

I keep abandoning myself to keep the relationship.

04

Everyone can depend on me. I don't know how to stop carrying everything.

05

I can say no eventually, but usually only after I am exhausted or resentful.

06

My life looks successful, but I don't feel like myself inside it.

07

Something that happened a long time ago is still shaping what happens now.

08

The old version of my life no longer fits, but I don't know what comes next.

A Deeper Look

Different problems.
Similar architecture.

You may arrive because of a relationship, panic, burnout, grief, a career decision, perfectionism, or a crisis of faith. Underneath those experiences, we are often looking for the system that keeps recreating the same outcome.

What does your nervous system expect?
What do you believe you must do to remain safe, loved, or accepted?
What role have you learned to play?
What happens inside you when you choose differently?
Beneath the Presenting Problem
You learned how to function. Now the question is whether you can live without abandoning yourself.

The strategies that create a capable adult often make sense when you understand where they came from.

Being useful may have helped you belong. Achievement may have created safety. Staying agreeable may have protected relationships. Reading the room may have helped you avoid conflict. Controlling emotion may have helped you keep going.

Those strategies usually developed for a reason. The question is whether they are still serving the life you are trying to build.

A pattern becomes costly when a strategy built for one chapter of your life begins governing the next one.

What We May Work On

We work with the whole system, not only the symptom.

Therapy may begin with anxiety, a relationship, grief, burnout, a decision, or a major transition. The work often reaches further.

01
Relationships & Attachment
Reassurance seeking, overgiving, fear of abandonment, emotional distance, betrayal, recurring relationship patterns, and learning to remain yourself while deeply connected to another person.
02
Identity & Self-Trust
Learning what you want, trusting your own perception, reducing self-abandonment, making decisions without excessive external validation, and separating who you are from what you produce.
03
Past Experiences & the Nervous System
Developmental trauma, attachment injuries, betrayal, panic, shutdown, hypervigilance, painful memories, and responses that continue long after the original experience has passed.
04
Boundaries & Over-Responsibility
Caretaking, rescuing, difficulty saying no, guilt when disappointing others, chronic responsibility, and relationships built around usefulness.
05
Performance & Pressure
Perfectionism, impostor feelings, fear of evaluation, high-functioning anxiety, panic under pressure, and the experience of competence disappearing precisely when it matters most.
06
Grief & Major Transitions
Divorce, loss, career shifts, parenthood, leadership transitions, relocation, success that no longer feels satisfying, and the space between an old identity and whatever comes next.
07
Meaning, Faith & Purpose
Questions of calling, identity, faith, church experiences, spiritual conflict, purpose, and what a meaningful life looks like when old answers no longer feel sufficient.
90–120
Minutes · Most Individual Sessions
More Time to Actually Get Somewhere

The work does not have to stop just as we reach the thing that matters.

Most therapy is organized around a traditional 50-minute hour. Individual sessions at Simply Midori are generally closer to 90–120 minutes.

That gives us room to settle in, understand what is happening beneath the immediate problem, work with what emerges, and bring the session to a meaningful stopping point rather than automatically ending because the clock reaches 50 minutes.

90–120 minutes Typical session length
$300 Individual session
How I Think About Change

Insight matters.
But insight alone is rarely enough.

Individual work is integrative. We look at what is happening across the nervous system, emotion, beliefs and meaning, identity, relationships, and behavior, then work at the level where the pattern is actually being maintained.

01

Stabilize

Help the nervous system become regulated enough that change is possible.

02

See the Pattern

Identify what keeps happening, when it activates, and what function it serves.

03

Process

Work with unresolved emotion, painful experiences, attachment injuries, and protective responses.

04

Reconstruct

Change the beliefs, meanings, roles, and identities that keep the old system intact.

05

Practice

Install change through different choices, relationships, boundaries, and repetition.

Faith & Spirituality

Faith does not have to be separated from the rest of you.

You will never be asked to choose between taking your psychology seriously and taking your faith seriously.

For clients who want it included, therapy can make room for Christian faith, spiritual questions, church experiences, calling, doubt, grief, forgiveness, identity, and the ways religious beliefs have shaped relationships and the self.

Faith is never assumed or imposed.

For some clients, spirituality becomes an important part of the work. For others, it does not enter the room at all.

How Individual Work Works

Begin by understanding what is actually happening.

The first session gives us space to understand what brought you in, begin identifying the deeper pattern, and determine what kind of work is most likely to help.

You do not need to arrive with the perfect explanation for what is wrong. Figuring that out is part of the work.

Initial Session
Complimentary
Typical Session Length
Approximately 90–120 minutes
Individual Psychotherapy
$300 per session
Format
Secure virtual sessions
Payment
Private pay · HSA/FSA accepted
Insurance
Superbills available for possible out-of-network reimbursement
Location
Telehealth available where legally permitted
Your Therapist

Joshua Doumani

Joshua works with adults whose outward capability can make it easy for others to miss the complexity of what is happening underneath.

His approach integrates evidence-based psychotherapy with trauma-informed and attachment-focused work, behavioral science, identity, the nervous system, meaning, and the realities of leadership, relationships, achievement, and major life transitions.

The goal is not simply to help you function better inside the same pattern. It is to understand what the pattern has been protecting, resolve what continues to drive it, and create enough internal freedom to respond differently when the old system gets activated.

Joshua Doumani, MA, LCPC
Licensed Therapist
Common Questions

Before we begin.

How long are individual sessions?
Most individual sessions are approximately 90–120 minutes. The extended format gives us more room to understand what is happening, work beyond the surface of the presenting problem, and reach a meaningful stopping point within the session.
What happens in the complimentary first session?
The first session is a full clinical session, not a sales call. We will explore what brought you in, begin making sense of the larger pattern, and determine whether working together makes sense. There is no obligation to continue.
Do you work with couples?
Yes. Couples work is offered separately from individual psychotherapy so that each type of work has a clear focus. Explore Couples Work →
Can faith be part of therapy?
Yes, when you want it to be. Christian faith, spiritual questions, church experiences, calling, doubt, and other matters of faith can be integrated into the work without replacing psychological or clinical treatment. Faith is never assumed or imposed.
Do you accept insurance?
Simply Midori is a private-pay practice. HSA and FSA payments are accepted, and superbills can be provided for clients who wish to seek possible out-of-network reimbursement from their insurance company.
Begin Here

You do not need to know exactly what the problem is before we begin.

The first session is designed to help us understand what is happening, what may be underneath it, and whether working together makes sense.

Request an Initial Session →

Your initial session is complimentary.

Looking for couples work? Explore Couples Work →