Laura (she/her) genuinely loves this work and brings authenticity, hope and humor to sessions with individuals and families. She considers it an honor to have the opportunity to walk alongside others in recognizing, accessing, and developing their own resiliency, and in building a rich, full and meaningful life (as they define it!). Laura is mindful of creating a non-judgmental, anti-oppressive, anti-racist, LGBTQIA-affirming space for the clients with whom she works. She views therapy as a collaborative process and values feedback from clients.

Laura’s foundational clinical training is in non-directive Rogerian client-centered therapy from her time as a clinical intern then post-graduate psychotherapy fellow in a group practice in Chicago. This humanistic approach continues to serve as the clinical underpinning of her work with clients. That being said, Laura takes an eclectic approach and aligns with concepts of clinical pragmatism – offering and using what therapeutic intervention works - tailored to each individual. Laura sees therapy as an opportunity to pause, reflect, and take an inventory of how our lives are going, identify what’s working and what isn’t, and make effective change in moving closer to the life we hope for ourselves. Laura brings an attitude of openness, curiosity and compassion with clients. She has benefitted greatly from her own therapy over the years and strives to provide a similarly beneficial experience to those with whom she has the honor of working with.

Laura is trained in, integrates, and draws from a number of therapeutic approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, trauma-informed therapy (TF-ACT and TF-CBT), CBT for psychosis (CBT-p), ACT for psychosis, psychodynamic theory, polyvagal theory, motivational interviewing, harm-reduction, and also employs a neuroscientific lens to reinforce concepts of regulation, zones of optimal functioning and neuroplasticity/opportunity for growth and change. Laura is also trained in child-centered play therapy from when she worked with youth impacted by domestic violence.

Laura completed her graduate degree in clinical social work at The University of Chicago’s School of Social Service Administration. For the past four years, Laura has worked for the University of Minnesota Department of Psychiatry as an individual and family therapist specializing in first-episode psychosis and schizophrenia spectrum disorders. She has a passion for working with individuals and families in processing new diagnoses and identifying ways of being that work for all who are impacted in their own unique ways. Prior to this, Laura has experience providing therapy and support to individuals in life transitions, relationship challenges, identity exploration and development, finding a sense of meaning and purpose, working through grief and loss, coping with the impact of domestic violence and trauma, and effectively coping with life stressors. She has also worked both internationally and stateside in violence recovery services and human rights work. Diagnostically, Laura has experience working with individuals who have been diagnosed with anxiety, depression, PTSD, OCD, disordered eating, substance use disorders, mood disorders, dissociative disorders, and schizophrenia spectrum disorders.

Laura believes an individual is not their diagnosis, and joins alongside clients to explore meaning of diagnosis in a way that is adaptive and feels authentic to them.

Laura believes life and humans can be messy, confusing, amazing, doubtful, inspired, worried, scared, brave, determined, hopeless, hopeful and many more things all at the same time. Laura is inspired by people’s willingness and ability to move into discomfort, try new ways of being and make change in ways that feel valuable to them, and she is grateful for being able to provide support along the way.

When Laura isn’t working she enjoys reading, spending time with family and friends, snuggling her two cats, needlepointing, watching cooking shows, trying to learn to cook herself, playing outside and learning.

Before we get into theory, or how this approach might apply to you, let’s take a detour into language. When used as a prefix in the English language, “meta-”, stemming from the Greek for “after” or “beyond”, means something that goes beyond, to be all-encompassing, or become transcendent. When “Meta” and “Cognitive” are put together, the result essentially means “thinking about thinking.” For example, have you ever had an experience where you’re certain you know the name of something--a person, product, or place--but you can’t recall it? This “tip of the tongue” experience is just one example of how metacognitions work to inform our everyday lives--we’re thinking about how we’re thinking. While most of our meta-processes aren’t so conscious, our metacognitions are in the background actively controlling and influencing our conscious experience of the world,

Metacognitive Therapy (MCT) focuses on targeting and modifying our deeply held beliefs--the thinking about our thinking--that fosters states of perpetual worry, rumination, and/or fixation. For example, if you say to yourself, “worrying about this keeps me safe,” or “I have no control over my thoughts,” you are both observing your own thinkingand having thoughts about thinking. The goal of MCT is simple: identify, challenge, and reduce what they dub, “Cognitive-Attentional Syndrome” (CAS). CAS is an umbrella term that refers to the kinds of beliefs that imply: we need worry, are incapable of stopping worry, and would be better off if we hyperfocus on tackling each individual worry.

You might be thinking to yourself, “Birch Counseling, this is starting to sound a lot like CBT,” (Cognitive Behavioral Therapy). The truth is, you aren’t exactly wrong. In CBT, we are dealing with our thoughts. For example, if we were to use CBT to challenge our social anxiety, we might ask ourselves, “how likely will this outcome be, and will it be as bad as we’re thinking it will be?” Essentially, we identify an irrational thought and we challenge it with a more realistic lens.

In comparison, with MCT, we are dealing with how we think about our thinking. We don’t give a lot of attention to the individual thoughts. Instead, we challenge the thinking around the thoughts themselves by asking ourselves, “should I spend my time worrying if the worry doesn’t make it less likely to happen? And if I already worried about it and made a decision, why am I re-worrying about this when I don’t have any new information?” This process, which encourages us to refuse to engage with unhelpful thinking, is called “Detached Mindfulness.” It works because it isn’t avoidance--it challenges people to view their worry and irrational beliefs as something that is outside of their core, observe the thoughts, stay non-reactive to them, and choose to respond without the preoccupation with worry about worried thinking.

Why does Brian like it? Besides being a philosophical guy interested in all things “meta” (emotions, beliefs, and communication), Brian saw that CBT wasn’t always helpful with anxious, depressed, or addiction-driven thinking. From his perspective, it can be equally harmful to hyper-focus on our worry if we feel utterly incapable of controlling or changing it. He thinks about it like “giving in to a screaming toddler you know is just seeking attention because they want something from you, and you don’t know how to handle the upset anymore. Ultimately, it doesn’t help you, or them, to keep caving in or feeling totally helpless to stop it.” Instead, you can learn how to provide the tantruming child in your brain--the anxiety, depression, or addiction monster’s voice--the reassurance that you know what’s best, have a plan, can essentially “pivot” yourself out of the situation, or rebound if you make a mistake. It deflates the tantrum in your brain. And that’s a powerful tool.

If you think Brian might be a fit for you, or have any additional questions about metacognitive therapy, please feel free to reach out to our team at BizOffice@birchcounseling.com.

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