You know something's off. Let's figure out what — and what to do about it.
Maybe it's been building for a while — the stress, the frustration, the feeling that you're just going through the motions. Maybe something specific happened and you're not sure how to move forward. Or maybe you can't even pinpoint what's wrong; you just know things aren't working the way they used to.
That's exactly where therapy starts.
At 413 Theraworks, we work with adults who are ready to stop circling the same patterns and start doing something about it. We're not going to hand you a worksheet and send you on your way. We're going to have real conversations about what's actually going on — and help you build the tools to change it.
What We Help With
The worry that won't shut off, the racing thoughts, the constant feeling of being on edge. We help you get to the root of it — not just manage the symptoms.
Anxiety & Stress
Feeling stuck, numb, disconnected, or like you're just going through the motions. We'll work together to understand what's underneath and find a way forward.
Depression & Low Motivation
Overwhelmed, underappreciated, running on fumes. Whether it's your boss, your workload, or the creeping realization that something needs to change — we can help you sort through it.
Workplace Stress & Burnout
Conflict, communication breakdowns, trust, boundaries — whether it's with a partner, family, friends, or coworkers. We help you figure out your part and what you can actually control.
Relationship Issues
Life Transitions
Self-Esteem & Identity
Anger & Emotional Regulation
Trauma & PTSD
ADHD
Career changes, divorce, parenthood, loss, relocation, retirement — big shifts that leave you feeling unmoored, even when they're the right call.
Struggling with confidence, people-pleasing, perfectionism, or figuring out who you actually are outside of what everyone else expects. We help you reconnect with your own values and voice.
When your reactions feel bigger than the situation, or you're holding everything in until you can't anymore. We'll work on understanding your triggers and building healthier responses.
Past experiences don't always stay in the past. If you're dealing with triggers, hypervigilance, avoidance, trust issues, or reactions that feel bigger than what's happening now, trauma therapy can help you understand what your nervous system is still responding to.
Difficulty starting tasks, losing track of time, feeling chronically overwhelmed, emotional intensity, or constantly wondering why things that seem easy for other people feel so hard. We help you understand your ADHD patterns and build strategies that actually work for your brain.
What to Expect
We practice talk therapy — and we believe it works because we've seen it work. Our approach is collaborative, direct, and grounded in evidence-based methods. That means we're not going to sit in silence and nod at you for 54 minutes. We'll challenge you when it's helpful, support you when it's hard, and always be straight with you about what we're seeing.
Every client is different, so there's no one-size-fits-all plan. In your first session, we'll get to know you and what brought you in. From there, you and your therapist will set goals together — your goals, not ours — and build a plan that actually fits your life.
Sessions are 54 minutes, and most clients start weekly. Some move to biweekly as they progress. We'll figure out the right cadence together.
How We Meet
In-Person & Telehealth | We see clients in person at our office in North Adams, MA, and via telehealth throughout Massachusetts, Vermont, and New York. Same therapist, same quality — you choose the format that works for your life.
In-office availability | Weekdays, daytime, late afternoons, and limited evenings
Telehealth availability | Weekdays, daytime hours, late afternoons, and limited evenings
Cost & Insurance
We want to be upfront about what therapy costs so there are no surprises.
Self-pay rates | Initial session (intake): $175 Follow-up sessions (45 minutes): $135
We also accept select commercial insurance plans. Check our insurance page for a current list of accepted insurers, or reach out, and we'll help you understand your coverage before your first session.