Psychotherapy works best when you understand how to use it
Why did we build Create Outcomes?
Therapy can feel unclear: what to expect, how it works, and where it’s going. Create Outcomes brings clarity and structure to the process, combining evidence-based care with your individual needs to make therapy work better for you.
What makes our approach different?
Rather than offering generic advice, we look beyond symptoms and diagnoses to understand you as a whole person. Being outcomes-focused means grounding your care in what matters to you and working toward meaningful progress that lasts beyond therapy.
Real Progress. Meaningful Change.
83%Turning insight into actionAmong clients seeking deeper self-understanding
79%Handling conflict differentlyAmong clients dealing with conflict in their relationships
71%Building healthier boundariesAmong clients working on interpersonal boundaries
What we treat
We review your goals and progress with you regularly, so you always know where your treatment stands.
- Generalized Anxiety Disorder (persistent worry and tension)
- Panic Disorder and sudden panic attacks
- Social Anxiety and relational self-consciousness
- Phobias and performance stress
- Post-Traumatic Stress Disorder (PTSD) and complex or developmental trauma
- Adjustment challenges: career changes, family dynamics and relationship endings
- Chronic burnout and stress management
- Major Depressive Disorder (numbness, low energy or hopelessness)
- Persistent Depressive Disorder (high-functioning depression, or dysthymia)
- Premenstrual Dysphoric Disorder (PMDD) and mood swings
- Adult and adolescent Attention-Deficit/Hyperactivity Disorder (ADHD): attention regulation, procrastination, time blindness
- Autism Spectrum support focused on self-advocacy and neurodiversity-affirming care
- Obsessive-Compulsive Disorder (OCD): intrusive thoughts, mental rituals and checking behaviors
- Body image distress and Body Dysmorphic Disorder
- Disordered eating and perfectionism
- Multiple intersecting challenges at once (for example ADHD and anxiety, or depression and trauma)
- Emotional dysregulation and relational or attachment patterns
Explore some of the modalities we use
Select a modality to read about it
Understand your past to transform your present. We explore the deep-seated patterns, early attachments, and hidden motivations that shape your daily experience.
Psychodynamic therapy helps you identify unconscious behaviors and relationship patterns that are rooted in your past experiences. By making these patterns conscious, you can finally find your own way: in the driver's seat, making decisions that are right for you.
We talk about the past, and we also look at how those patterns are showing up right now. In your sessions you'll have room to practice new ways of being in the world. Your therapist uses the session itself as a practice space, so what you try here carries into your life.
Shift from constant conflict to secure connection. Emotionally Focused Therapy (EFT) is a proven treatment approach for rebuilding trust and intimacy.
Insurance benefits apply to individual therapy only, so all couples therapy is private-pay.
Naming the Conflict Cycle
Most couples get caught in a repetitive "dance" of escalation and withdrawal. We help you externalize the conflict, making the cycle the common enemy rather than your partner. By identifying the triggers and reactions, we begin to slow the fight down and make room for understanding.
Understanding Your Partner's Emotional Survival Strategies
Beneath every criticism or cold shoulder lies a fundamental human need for safety. We look at the attachment styles that shape how you and your partner respond to perceived threats in the relationship. When you can see the noble intent behind the behavior, empathy can take the place of frustration.
Restructuring the Relational Bond
The final stage of EFT is not just about stopping fights. It is about building a "secure base": new, more open conversations that help you stay emotionally reachable for each other. The aim is not only compromise but a deeper connection, one that holds up under life's pressures.
Our EFT couples therapists
We recognize that trauma is defined not just by the events that occur, but by how you experience those events.
Our approach integrates well-researched methods with individualized care, utilizing both psychodynamic and cognitive-behavioral trauma interventions.
How we treat trauma
Before processing trauma, we make sure you feel safe in your daily life and in control of the pace of the work. Depending on your roadblocks, your LifeMap may then draw on:
Changing unhelpful thinking
We help you identify and challenge unhelpful thinking patterns while building stress management skills.
Loosening the beliefs that keep you stuck
We identify and rework the beliefs about what happened that keep you stuck, to ease painful emotions like guilt and shame.
Facing reminders safely
Through repeated exposure to safe reminders of the trauma, we help your fear response change until the distress decreases.
Reprocessing difficult memories
Using bilateral stimulation, such as guided eye movements or tapping, we help your brain reprocess memories so they feel less distressing and securely in the past.
All of us have many parts to who we are, such as a wounded inner child, a harsh critic, or a fierce protector.
Our Parts Work is grounded in object relations theory, which looks at how our earliest relationships shape the way we relate to ourselves and to others. Together, we get to know your parts: where each one came from, and whether it is hurting or helping you today.
Understanding your parts allows you to live more in alignment with the life you want.
Cognitive Behavioral Therapy (CBT) looks at how your thoughts, feelings and actions affect one another.
In CBT, you and your therapist notice the thoughts and habits that tend to keep you stuck, and try out different ways of responding in everyday situations. The work is practical, and can include things to try between sessions.
At Create Outcomes, CBT sits within our psychodynamic approach rather than replacing it. Psychodynamic work helps us understand where a pattern comes from; CBT offers concrete tools for working with it day to day. Your therapist draws on CBT when it suits what you are working on.
What Makes a CO Therapist?
We carefully vet every therapist on our team and are deeply committed to their competencies, supervision, and ongoing training.
Training that never ends
Our clinicians receive extensive training and ongoing development through specialized programs and clinical reading groups.
Always seeking guidance
CO therapists never stop learning. This is embedded in our culture and is done through supervision, case consultation, and peer collaboration.
Examining their own blind spots
Our clinicians continually reflect on biases and blind spots as an essential part of clinical care.
Clear, Shared Progress
Your LifeMap helps you and your therapist track progress together, with a clear view of where you are and where you're headed.
Psychological Assessments
Psychological assessments for teens and adults, ages 16 and older.
Take the first step today.
Whether you already know what you need or are still trying to name it, our team can help you find the right starting point.