The approach

Most therapy still asks one question: what's wrong with you? I ask a different one: what conditions are you growing in?

That's the biopsychosocial model, one of the frameworks most of us trained on. In practice, across the profession, it's narrowed to mostly bio and psycho: symptoms and cognition, worked with inside a medical model that's built to diagnose and correct.

My approach sits closer to the humanistic end of the field. The conditions someone is living inside, work, relationships, community, culture, the specific moment they're living through, aren't background detail.

Often they're the actual problem.

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That's true across most of what brings people to therapy, not just for people who identify as sensitive. Sensitivity is simply one clear illustration of it: a nervous system that thrives or struggles depending on what's around it. The same logic holds more broadly. The question is rarely just what's happening inside you. It's what conditions you're being asked to function in, and whether those conditions were built with someone like you in mind.

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That doesn't mean labels and medication are never right. Sometimes they're exactly right, and withholding them causes harm. But I'm cautious about reaching for a diagnosis before asking a more basic question: is this a disorder, or is this a person outgrowing a pot that was never sized for them?

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And when the outer conditions genuinely can't move, not yet, not quickly, the work turns inward: to what you believe, how you talk to yourself, what your body needs, what still has meaning when the circumstances won't. Both directions matter. Neither one gets to stand in for the other.