Nicole Goudreau-Green (She/Her)

I have worked with the adolescent population over 15 years, with symptoms range from irritability and worry to self-injury, aggression, suicidal ideation, substance use and restriction. I have been intensively trained in Dialectal Behavior Therapy, equipping me to provide concrete strategies and hope for you and your teen. I’ve also participated in post-graduate training in Family Therapy that provides me a framework to support the whole teen in their environment.

In my practice with families and couples, I utilize aspects of Dialectical Behavior Therapy to support development of communication and emotion regulation skills. I also incorporate advanced training I received through the Ackerman Family Institute that draws from a number of Family Treatment Models, including a relational model that looks at relationships outside of the family (old and new, with people and systems) that impact family dynamics.

Harm Reduction is just that, reducing harm in the use of substances. While there is value in abstinence models of treatment and many find success with this model, it doesn't work for everyone. I was trained in Harm Reduction Therapy a few years ago and find it has been helpful in embracing a de-stigmatizing and "curiously compassionate" approach to substance use for individuals and families.

While individual therapy does not directly include the family, you metaphorically enter the room with them. Family and social systems influence our values, beliefs and experiences through life. I have post-graduate training in family therapy to helps me consider external forces impacting your mental health. Navigating our everyday lives has become more complex and family therapy theories helps me in understanding ways to support you in approaching them.

Dialectical Behavior Therapy provides me with tangible skills to support you in addressing mental health symptoms, improving effective communication and developing healthy relationships. I use this modality to varying degrees in my work with individuals and families, depending on what is indicated and preferred.

We’ll work together to help you quiet overwhelming thoughts, reduce exhaustion and irritability, and improve your sleep. My approach draws from Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT) and Psychodynamics. I start by getting to know you and what's been causing you difficulty. We’ll practice techniques in session, talk about what’s contributing to anxiety, and identify helpful and unhelpful patterns to support you in achieving long term relief.

When I work with women who have experienced trauma, we start by exploring your story. The whole you. Not just the trauma. We’ll explore your strengths and skills and I’ll introduce new strategies to help you manage emotions that will come up as we work together. We’ll explore beliefs you hold about the trauma, your world, yourself and people around you; and I’ll support you in experiencing painful emotions that will allow for healing.

The relationship in therapy is one of the most powerful tools. Having open dialogue, opportunity for real, honest discussion of what's happening in the therapeutic relationship is important and healing. Using a psychodynamic approach allows for the process to evolve naturally.