Dr. Alison McGrath Howard
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How can I help you?

As a licensed clinical psychologist, and certified group psychotherapist, I offer several different paths for my patients to do deep personal and interpersonal work.

Individual therapy

Psychodynamic psychotherapy is a depth-oriented form of therapy that focuses on how unconscious patterns, early relationships and past experiences shape present thoughts, emotions, and behaviors. Rather than emphasizing symptom management alone, the work is directed toward understanding the meanings embedded in one's experiences.
From a relational perspective, I give attention to how my patients experience and respond to me as their therapist as these moments often reveal longstanding ways of organizing relationships. This allows for increased self-awareness, emotional insight, and the opportunity to experience new ways of relating. Over time, my patients often develop a stronger, more coherent sense of self, improved relationships, and greater emotional flexibility. 
I am an integrationist, and practice from a multi-dimensional point of view. Therapy needs to be tailored to the unique needs of every person, and my training and background allows for a range of options when addressing your presenting concerns.

Group therapy

Psychoanalysis

Psychoanalysis is an intensive, depth-oriented form of treatment that offers a unique opportunity for profound and lasting psychological change. Typically meeting multiple times per week, it creates the conditions for deeply ingrained patters - often outside of conscious awareness - to emerge and be understood. 
At the heart of psychoanalysis is the close examination of the therapeutic relationship, where longstanding ways of relating, feeling and defending against emotional experience unfold in real time. Through careful attention to these patterns, along with dreams, memories, and subtle shifts in experience, patients come to recognize and work through the unconscious meaning that shape their lives. This process allows for structural change - not just symptom relief. Over time, people often feel a greater sense of freedom, authenticity, and emotional depth, as well as more satisfying and flexible relationships.
Psychoanalysis is well suited for those who are curious about themselves at a deeper level and are seeking a transformative, rather than primarily problem-focused, therapeutic experience. Weekly therapy can also bring about significant changes, but in multiple times per week treatment, change occurs more quickly and we are able to create a spaciousness that helps the process of change. Psychoanalysis has evolved significantly since it was introduced by Sigmund Freud. Although many of Freud's ideas are still relevant today, contemporary theory and technique have enhanced the practice into what it is today. My approach integrates aspects of all psychoanalytic genres, but I consider myself an Intersubjective-Relational analyst.

Couples therapy

Couples therapy focuses on the relational patterns that develop between partners - often outside of awareness - that shape conflict, distance, and emotional disconnection. Rather than concentrating only on communication strategies or problem solving, the work aims to understand the underlying dynamics each partner brings into the relationship. 
From a relational perspective, difficulties in the couple are not located in one person, but in the interactional patterns that emerge between them. These patters are explored in the session as they unfold, including how each partner experiences, responds to, and anticipates the other. 
This process requires a willingness from both partners to reflect on their own contributions to the relationship, rather than focusing solely on the other. It often involves tolerating discomfort, hearing perspectives that may feel difficult, and staying engaged in moments of tension rather than withdrawing or escalating.
Couples therapy is not about assigning blame or quickly resolving conflict. It is a process of developing greater awareness, emotional honesty, and the capacity to engage one another more directly and authentically. Over time, this can lead to a more flexible, resilient, and meaningful connection.
Group therapy is a powerful and dynamic form of treatment in which people meet together, with a trained therapist, to explore their thoughts, feelings and relational patterns in a shared space. Rather than focusing solely on one-to-one interactions, group therapy offers the opportunity to experience and understand oneself in relation to others in the here and now. 
Within the group, familiar interpersonal patterns naturally emerge - how one connects, withdraws, asserts, or responds to other. These patters are explored in real time, allowing for greater self-awareness and immediate feedback from both therapist and fellow group members, This process can be especially effective in addressing difficulties with relationships, communication, self-esteem, and emotional expression.
In this setting, members are asked to engage openly with their own experience and with one another. The work includes giving and receiving feedback, tolerating difference, and reflecting on how one both influences and is influenced by the group. This can be a demanding process. It requires a willingness to participate, to be seen by others, and to consider perspectives that may feel unfamiliar or challenging. Over time, the group can become a meaningful space for developing more direct, flexible, and authentic ways of relating.
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