Catherine 'Katie' Sayles

People often reach out when something in their life feels heavy, unsettled, or difficult to make sense of. You may be navigating grief, caregiving, a major life transition, or a period of emotional intensity connected to personal, relational, or professional responsibilities that feel hard to carry alone. Grief, Change, and Life Transitions One of my deepest passions is supporting people navigating grief, caregiving, and major life transitions. Grief does not just follow death. It can also show up when something meaningful, familiar, or identity shaping comes to an end, even when that ending brings relief, hope, excitement, or a renewed sense of freedom. Grief is not defined by other people’s expectations, timelines, or opinions about where you should be. It is an internal experience shaped by your history, your relationships, and the meaning of what was lost, and it deserves to be honored at your own pace and at whatever intensity your emotions show up. Grief can include physical and emotional pain, sadness, and anger, as well as moments of calm, joy, relief, or hope. These experiences can and do exist together, honoring the depth of your love and loss. Dialectical Behavior Therapy I also work with individuals who are seeking support for emotion regulation, interpersonal difficulties and behavioral patterns that feel difficult to change, whether or not they identify their experience as grief. I am intensively trained in and practice comprehensive Dialectical Behavior Therapy with appropriate clients. When clinically indicated, this includes individual therapy, coaching calls outside of sessions, a DBT skills group, and weekly therapist consultation as part of the full DBT model. How I Work Therapy with me is structured, supportive, and collaborative, with an individualized focus shaped by your needs and what we identify together. Our work will center on helping you feel more steady as you move through what you are facing, without rushing you or forcing a particular outcome. When helpful, practical skills are available to support emotional regulation, coping, boundaries, and decision making. Nothing is imposed. I work with individuals and families ages 18 and older, and I also provide grief focused art therapy for teens ages 13 and older. If you are looking for therapy that goes beyond talking and offers steady, individualized support through grief, change, or emotional intensity, this space may be a good fit.