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  • Clinical Consultation

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    Supporting Your Professional Development

    I am a seasoned clinician with over 17 years of clinical experience in non-profit, juvenile detention, public health, medical, and private practice settings. For more information about my training and approach, please see my About Dr. Machado page.

    In addition to my extensive clinical experience, I bring over ten years of experience serving as adjunct and core faculty in a number of master’s and doctoral level counseling, clinical social work, and clinical psychology programs in the greater Bay Area. My current academic appointment is as an Associate Professor of Clinical Mental Health Counseling at Sonoma State University, where I teach both didactic, clinical skill development, and fieldwork courses.

    In these academic settings, as well as in my private practice, I have supervised marriage and family therapy trainees/associates, professional clinical counselor trainees, and post-doctoral psychological associates. I have also provided consultation to other licensed clinicians who have sought support around particularly challenging client issues.

    The Person of the Therapist

    We can often find ourselves struggling and uncertain in our clinical work, wondering how best to support our clients to ensure the outcomes they seek. We can find ourselves triggered, experiencing feelings of frustration, or getting burned out as well. These experiences must be examined and understood, both for our clients, and for our own well-being as clinicians and as human beings. When we enter in this field, we are ethically obligated to make space in our lives to explore these feelings, and consultation is designed to provide that space with a compassionate, and caring other who understands the complicated nature of the therapeutic relationship and the complex experience of being a therapist.

    Attachment in Psychotherapy

    We can focus our work on expanding your understanding of attachment theory and its application.

    Depth Psychotherapies

    We can explore Depth-Oriented approaches, including psychodynamic, Jungian, experiential-dynamic, and Existential-Humanistic therapies.

    LGBTQ+ Issues in Therapy

    For those seeking to serve the LGBTQ+ community, I am happy to provide consultation related to the unique issues that arise for individuals who identify as LGBTQ+.

    Sandtray with Children & Adults

    Sandtray therapy is a method of working deeply with the psyche. We can explore your sandtray cases and apply various theoretical lenses to help you maximize use of this powerful method.

    Trauma Recovery

    I have worked extensively with client with histories of both simple and complex forms of trauma. We can explore both practical and theoretical issues that arise in trauma work.

    Personality Disorders

    We can work with the complex issues that often arise while working with clients with personality disorders.

    Integrating New Approaches

    I am particularly drawn to working with early career clinicians who have recently completed their degrees or who have recently become licensed as psychologists, marriage and family therapists, professional clinical counselors, or clinical social workers. The early career experience is significant and having the support of a seasoned mentor can be incredibly helpful.

    Additionally, consultation can support early career clinicians to further expand and hone their skill set. Some clinicians seek consultation to learn more about how to implement particular approaches or to apply particular theoretical frameworks. I welcome clinicians who may be interested in some of the theoretical approaches or modalities on the right.

    Clinical Consultation

    The consultation relationship, not unlike the therapeutic relationship, requires a strong connection between consultee and consultant. Consultation can, at times, feel vulnerable and it is important that you feel safe to open up about your clinical work.

    It can be helpful to have a conversation to see if we might be a good fit for you. I encourage potential consultees to interview a number of potential consultants to see what feels right.

    If you would like to have a conversation about my consultation services, and how consultation may be helpful to you and your practice, please contact me.