How I Work

My work with each individual begins with an initial consultation.  This open-ended conversation typically involves one to three meetings when we sit down together and talk.  We will focus our attention on what prompted you to seek psychotherapy at this time, including your current life circumstances, relevant aspects of your personal history, and what you seek for your future.  This conversation will also give you a sense of me and what it would be like to work together.  As part of this process, I will offer my impressions and recommendations for treatment, which may involve our continuing to work together or a recommendation to pursue treatment with someone else if that better serves your needs.  There are many forms of psychotherapy and many types of people who do it, so it is very important to choose the kind of therapy and therapist that is a good fit for you.

I offer treatment in the following modalities:

  • Integrative Psychotherapy (Exploratory, Psychodynamic Psychotherapy)
  • Psychoanalysis
  • Internal Family Systems Therapy
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Treatment Consultation

I work with a diverse group of adults and adolescents, and specialize in working with the following:

  • Depression
  • Anxiety
  • Trauma
  • Loss and Life Transitions
  • Relational Difficulties
  • College/University Students

My practice is devoted to creating a reflective space where individuals can make fuller contact with who they are and actively stretch beyond the limits of what they can do alone.  The changes my patients seek to make vary widely yet typically involve several levels. Improvements are often sought with respect to painful thoughts, feelings, actions, and inactions.  For some, these are familiar and longstanding burdens that one carries; for others these involve unsettling experiences of one’s self that have only recently emerged.  Sometimes help is needed to sort out a complex situation that is pulling someone in different directions at the same time.  My patients often struggle with less obvious yet longstanding patterns in their experience that don’t lend themselves so easily to words yet constrict their experience of living.  These include aspects of yourself that you may want to change but that you are also very attached to because they have long been a meaningful part of who you are.  I am committed to cultivating a thoughtful and respectful atmosphere in which we make space for various aspects of you to emerge, and to use this ongoing contact with your inner life to deepen understanding and foster a healthier relationship towards your self that serves as a foundation for healing, growth, and the achievement of a more meaningful and fullfilling life.

 



550 Cochituate Road East Wing, Fourth Floor
Framingham, MA 01701

davidranierephd@gmail.com
(617) 441-9222

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