Areas of Expertise

Communication
Naomi Greenwood is very interactive with clients. Psychotherapy is a team effort and clients have a responsibility to bring up issues that they wish to resolve. Relationship issues can be greatly improved with techniques and strategies for effective and accurate listening, hearing, and understanding. Sessions emphasize the importance and practice of productive communication. Naomi focuses on the importance of empathy, self -respect, respect of the other person(s) and positive use of language. Clients are asked to practice techniques between sessions in order to become more familiar and comfortable with new ways of approaching one another. Discussion of conflicts and methods of conflict resolution often lead to fewer conflicts and easier problem solving.

Sexual Intimacy
Many people are surprised to learn that millions of others have sexual intimacy difficulties. Over the years, Naomi has worked successfully with dozens of individuals and couples struggling with their sexual functioning and intimacy. In addition to improving and clarifying communication issues which may inhibit intimacy, she also teaches specific behavioral techniques to be practiced privately at home and discussed in subsequent sessions.

Some areas of sexual dysfunction which respond well to treatment include: discrepancy of desire, vaginismus (involuntary tightening of the pubocoxygeal muscle in the vagina), dyspareunia (pain with intercourse), premature or delayed ejaculation.

Sexual Abuse
Adult survivors, adults who have been sexually abused as children or adolescents, often find their intimate lives affected by their unresolved feelings about the abuse. Dealing with the past trauma and putting it in the past allows adults to become comfortable and satisfied with their own sexuality and intimacy with a partner. Naomi works with clients to accomplish this through a variety of approaches including cognitive, behavioral and psychodynamic techniques. A major benefit is an enhanced sense of self-esteem and confidence.

Life Transitions
Change is difficult for most people. Some feel unable to move forward or make important life decisions during these times. Transition may be by choice or chance. Either way, there can be stress and anxiety or even depression accompanying it. Transitions may include shifts from childhood to adolescence, leaving home, finding a career, changes in careers, changes in marital status, parenthood and personal losses. Discussing such matters with an objective therapist can ease the transitions and help the client feel more confident and secure. Naomi provides guidance to clarify difficult situations and remove roadblocks to decisions.

Couple and Marital Issues
Therapy sessions are designed to help couples understand one another more clearly and fully. The intention is to move forward and strengthen the relationship rather than rehash the same disagreements. Clashes may be the result of stylistic or personal differences in expectations or world view. Recognizing one’s own expectations and views as well as one’s partner's can make harmonious living more possible. Challenges to relationships, such as affairs, illness, or losses may create tensions, anger, distress, depression or anxiety. It is important for each partner to have a safe place to discuss such matters and find ways to resolve, or at least cope with these emotions. If relationships cannot continue, Naomi is there to help couples come to terms with what makes sense for their particular relationship.

Separation & Divorce
To stay married or to separate and divorce is an extremely difficult, personal decision. There are times when it is very difficult for couples to decide what is in their best interest. Naomi has met with many couples to consider their options and choose the path that makes the most sense for them. Marital counseling can help couples strengthen a relationship.  It can also help couples determine whether a relationship should continue. When it should not, Naomi can help them part in the most civilized, least damaging way, especially if children are involved.  Some of the sessions may then focus on how to approach the children and other family members. Much of this is related to the ages of the children and what the home atmosphere has been like for everyone. Occasionally, couples are at odds, with one partner wishing to preserve the marriage and the other partner choosing to end it. Dealing with such a significant conflict is quite painful. When couples choose to work on the conflict, the process can be less destructive to one another and healthier for the children.

Remarriage
When one or both partners remarry, issues emerge for the extended families and especially for children. Sometimes there is the “blended” family where children from different spouses are expected to live together harmoniously. This can be quite complicated. What helps the most is clear, positive communication between the married partners, the former spouses and between adults and children. Naomi has worked with various configurations of families to clarify and improve communication skills, and to help them deal with strong emotions and changes in family life.

Medical Illness Including Cancer
Illness can be devastating to both the patient and caregivers. Patients can often benefit from learning relaxation techniques and imagery to help manage pain or other difficulties. Sometimes there is a great deal of anticipatory anxiety which can be alleviated through talking and behavioral strategies. Emotional distress, issues of loss of functioning, and imminent death or dying affect not only the patient, but also families and caregivers. Psychotherapy sessions with Naomi are a safe place to talk about a variety of reactions and concerns without burdening anyone. 

Supervision of Clinicians
Naomi is a certified supervisor available to clinicians who must meet supervision requirements for state licensing. She has years of experience supervising other clinicians and social work students. With her many years of experience as a practitioner herself, she is an excellent resource for those consulting about complex cases.

Supervision is available individually or in small groups.