- Stress and anxiety
- DBT and psychodynamic
- Life purpose focus
About B
Payson focuses on practical conversation and steady questioning to uncover patterns that keep people stuck. She listens for how attachment, abandonment fears, or codependent behaviors show up in daily life. Together with clients she looks at communication problems, guilt or shame, and sexuality issues that complicate decisions about work or relationships.
Her approach draws on Dialectical Behavior Therapy and psychodynamic ideas. That means sessions can include building behavioral skills for emotion regulation alongside talking about past relationship patterns that affect present choices. People who have experienced post-traumatic stress or other mood concerns can bring those issues into regular sessions.
Payson aims to help clients clarify values and next steps without promising a specific outcome. She encourages small experiments outside sessions to test changes and notices what works for each person. Practical steps and reflective conversation are mixed to help people move forward at a pace that fits their life.
To start, interested people complete a short matching questionnaire and schedule a first session. Cost varies with location and sessions use a subscription that can be canceled at any time.
License and NPI on record
- LICSW
- Massachusetts · 128366
- NPI
- 1114692043
As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
3+ years
Credentials
Massachusetts
Languages
English
How her approaches translate to online work
Psychodynamic therapy focuses on patterns from past relationships and how they affect present feelings and choices. In sessions she will talk about recurring themes, attachment concerns, and how old wounds influence current behavior, which can help clarify why certain decisions feel hard.Dialectical Behavior Therapy (DBT) offers concrete skills for managing emotions, tolerating distress, and improving communication. Practically, this can mean short exercises, emotion-regulation tools, or role-play in session to practice new ways of responding to stress and relationship conflict.
Finding the best approach is part of the collaborative work. She will help you test whether skills-focused work or deeper exploration fits your current needs, and adjust the balance as therapy progresses. Clients and the therapist decide together on goals and next steps.
Session formats are not detailed in the biography, so confirm current options before booking. Many people find online sessions easier to fit into a day, allow for shorter check-ins, or make it simpler to keep continuity after life changes. Online work still supports learning DBT skills and exploring psychodynamic themes while fitting therapy into everyday routines.
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship issues, trauma and abuse, and life purpose questions. Additional focus areas include attachment, codependency, guilt and shame, and sexuality.
How does she approach feeling stuck?
She uses a mix of Dialectical Behavior Therapy and psychodynamic approaches. That combines skill-building for emotions with exploration of past relationship patterns that influence current choices.
What is her clinical experience?
She has three years of professional work experience. That time has included supporting people with post-traumatic stress and mood-related concerns.
What are her credentials and location?
She holds an MA and is a Licensed Independent Clinical Social Worker (LICSW) in Massachusetts.
Does she work in languages other than English?
Sessions are offered in English.
Can international clients work with her?
She is not accepting international clients at this time.
How are sessions arranged and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up process.
How do I begin if I want to try sessions?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Good to know
Therapists listed here offer talking therapy online. It is not career, financial or medical advice, and no therapist can promise a particular result.
If you are thinking about harming yourself, or you are in danger, contact a crisis line or emergency services. The numbers are at the foot of this page.