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Perhaps the bravest thing we ever do is to tell our own story.


Brenè Brown

Therapy

Thresholds

I often see people arrive in therapy at a threshold—when the life they've been living is shifting, and the path ahead feels uncertain. These are the moments when anxiety, depression, or exhaustion emerge, or when the story we've carried about who we are no longer fits.  


We all carry narratives—personal, cultural, and inherited—about what different seasons of life are *supposed* to look like. When our lived experience diverges from those expectations, it can shape how we see ourselves and the possibilities before us.  


Therapy offers a thoughtful place to pause, reflect, and explore these stories. Through meaningful conversation, new language and perspectives can emerge—

supporting more grounded and life-giving ways of moving forward.


The thresholds below are familiar starting points for this good work together.

College Transitions

College Transitions

College Transitions

The move into college—and eventually the transition out of it—often brings both excitement and uncertainty. Independence, academic pressures, evolving friendships, and new responsibilities can shape the process of discovering who you are beyond familiar environments. Therapy offers a place to pause, reflect on these experiences, and shape a stronger sense of identity.

Early Adulthood

College Transitions

College Transitions

Years both extraordinary and complex. Questions about direction, relationships, and vocation often come into sharper focus during early adulthood. Decisions around career paths, partnerships, and personal values can feel both expansive and overwhelming. In therapy, these questions can be explored with curiosity and intention as you begin defining a life that feels authentically your own.

Midlife Changes

College Transitions

Midlife Changes

For many women, midlife becomes a rich time of reflection and recalibration. Shifts in family roles, career paths, and personal priorities often unfold alongside the physical and emotional changes associated with perimenopause and menopause. Therapy offers a thoughtful space to consider how this season may invite new meaning, greater nourishment, and clearer direction.

Legacy Years

Health Challenges

Midlife Changes

Later chapters of life often invite deeper reflection on meaning, connection, and legacy. Retirement, changes in health, evolving family roles, and the loss of loved ones can reshape daily rhythms and one’s sense of identity. Therapy provides a compassionate place to honor the wisdom of these years while navigating the transitions they bring.

Health Challenges

Health Challenges

Health Challenges

Physical health challenges can influence emotional life in profound ways. Injury or pain, chronic illness, hormonal shifts, or medical uncertainty often affect daily rhythms, relationships, and identity. Within therapy, these experiences can be explored with care and compassion while cultivating resilience and meaningful ways of living alongside change.

Loss / Grief

Health Challenges

Health Challenges

Loss touches every life, though each person’s experience of grief is unique. Whether through death, relationship changes, or significant life transitions, grief often reshapes how we understand ourselves and the world around us. Therapy offers a steady space to honor that process while gently discovering ways to carry both love and loss forward.

Integrative Therapy

Integrative therapy recognizes that emotional health does not exist apart from the body. 


Many of the most meaningful transformations I’ve witnessed in therapy have unfolded alongside attentive medical care—when clients are also supported by healthcare providers who are tending to broader aspects of their health. I remain attentive to the ways physiology, along with emerging research on the gut microbiome and psychobiome, can influence mood and emotional life. 


When helpful, I welcome collaboration with other healthcare practitioners—psychiatrists, medical providers, nutritionists, and additional specialists whose care supports the whole person. Together, this kind of integrative approach honors the connection between physical and emotional health and offers a more comprehensive path toward well-being.

Copyright © 2026 

Shannon West MS LMFT, PS

DBA SHE Telehealth

All Rights Reserved

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