Tirzah Jacob

Making Sense of Your Experiences

Over nearly three decades of working with clients, I've come to appreciate how resilient people really are. I've learned that meaningful change often begins when we better understand what has shaped the way we think, feel and behave. Therapy can offer a place to make sense of those influences, recognize patterns that may no longer be working and develop new ways of approaching life that feel more effective and sustainable.

Many of the clients I work with are gaining a deeper understanding of how early relationships and experiences continue to affect the way they see themselves, relate to others and respond to challenges in the present. Some have spent years feeling on edge, different, misunderstood or unsure of themselves. Others find that the ways they have learned to cope or connect with others are no longer serving them well, leaving them feeling disconnected, stuck or unsure of what comes next. Therapy can help create greater clarity around these experiences and what you'd like to be different going forward.

Understanding How You’re Wired

A significant focus of my practice is working with adults with ADHD and other forms of neurodivergence, including those diagnosed later in life. For many, discovering they have ADHD in adulthood brings both relief and grief, as years of experiences begin to make sense through a different lens. With that understanding, many begin to see their past experiences, struggles and strengths in a new light.

Together, we can explore what helps you function at your best, build on your strengths, quiet self-doubt and help you feel more at ease and confident in yourself.

How I Approach Therapy

I believe therapy should be tailored to the individual. No two people bring the same history, strengths, needs or way of seeing the world. My approach is warm, collaborative and practical, with plenty of room for curiosity, reflection and real-life problem solving. We’ll work together in a way that feels intentional, useful and genuinely suited to you.

No matter what brings you here, my hope is that therapy helps you understand yourself with greater clarity, self-compassion and confidence.

Please feel free to reach out for a no-cost consultation: (503) 407-9232 ~ [email protected]