01 · Who Dr. works with

Dr. works with stress, Anxiety, trauma and abuse and depression

Dr. lists 14 specialisms and 9 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Dr.'s own words

What Dr. says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a clinical psychologist, licensed in California since 2001. I have extensive experience in helping people who have chronic pain and other chronic medical conditions. I use a combination of cognitive-behavioral therapy and acceptance and commitment therapy. I am also certified in CBT for insomnia. I am interested in the role that nutrition and diet play in health and have certifications in this area (though I am not a dietitian or nutritionist). I enjoy working with individuals and groups.

While many people think of CBT and being matter-of-fact and rooted only in the present, it is much more than that, allowing for exploration of past issues in a safe environment while working on present concerns and issues. It does often include homework, and I do give homework assignments. My many years of experience have taught me that I make a living from others' misfortunates, accidents, and tragedies. This realization makes me caring and compassionate. All too often, those with chronic pain and chronic medical conditions feel that they are not believed when they report their physical problems and pain levels. My goal is to provide a safe, caring , and accepting environment for people to discuss their concerns.

I have recently developed an interest in also providing help to people who have been traumatized by paranormal experiences.

Dr. Kathleen Ayers, on the BetterHelp listing · read 9 Oct 2026

03 · How Dr. works

The 3 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'s - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Dr. runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

04 · What happens next

From this page to a first session

Dr. practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Dr.'s own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Dr. at this point.

2. Naming Dr. specifically

   BetterHelp matches algorithmically by default, so asking for Dr. is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Dr..

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Dr.

Built from what Dr. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dr.'s - Dr. has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 32 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

Psychologist

Licensed in

California

Licence

CA Psychologist 18954

Licence number

18954

Licence expires

31 Aug 2028

NPI

1588643217

Years in practice

32

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'s name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Dr.. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.