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Therapist Nathalie Fleitas taking notes during session

Adult therapy

A space to understand yourself and grow in your own direction.

Why adults come to therapy

People come to therapy for all kinds of reasons. Some arrive after years of wondering if something could feel different. Others come because something specific happened. Many come because they're tired of carrying everything alone, and they want a place where they don't have to.

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A few of the most common reasons adults reach out:

❋ ADHD and executive functioning: difficulty with focus, time, and motivation, even on things that matter to you

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❋ Autism and identity: understanding how your brain works, processing a recent or late diagnosis, or figuring out who you are outside of masking

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❋  Anxiety and emotional regulation: persistent worry, overwhelm, shutdowns, or emotions that feel hard to manage or understand.

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❋  Relationships and attachment: patterns that keep repeating, difficulty with boundaries, or wanting to understand how you connect with others.

❋  Life transitions: career changes, loss, moving, ending or beginning relationships, or any season of life that feels harder than expected

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❋  Depression and low mood: disconnection, flatness, or a heaviness that's hard to explain to other people

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❋  Identity, culture, and belonging: navigating who you are across different communities, languages, or expectations

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❋  Grief: for people, relationships, versions of yourself, or the life you thought you'd have

What to expect from our sessions

Therapy with me is collaborative. We figure out what's useful together, and we adjust as we go. If something isn't working, we say so and try something else.

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More about my approach →

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Depending on who you are and what you need, sessions might look like any of these:

Talking & Reflecting

Most sessions start here. Conversation, slowing down, noticing patterns, putting words to things that have been sitting in the background for a while.

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Creating & Building

Some things are easier to express without words. Sandtray therapy uses miniatures and sand to explore what's hard to reach through conversation alone.

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Sandtray for adults ↓

Moving & Being Outside

For some people, things open up when they're in motion. Walking therapy takes the session outside, to a local Miami park, at whatever pace feels right.

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Walking therapy ↓

"This may all sound very serious, and sometimes it is. But therapy can also be fun. Expect to build insights, shed some tears, and share plenty of good laughs along the way."

—Nathalie Fleitas

Walking therapy

Natural park with big oak trees surrounding walking path

What is walking therapy?​

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Walking therapy combines individual talk therapy with movement and time outdoors. Instead of sitting in an office, we meet at a local Miami park and talk while walking at a pace that feels right for you.

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This option is for adult clients (18+) who find that sitting and talking isn't always the easiest way to process what's going on.

​What are the benefits of walking therapy?
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  • Fresh air and a change of scenery can open up new ways of thinking.

  • Being in nature can help ease anxiety and improve mood.

  • Movement can support your nervous system.

  • Walking side by side can offer a sense of gentle accountability and connection, especially for those working through depression.

Sandtray therapy for adults

Sandtray therapy office with mini figures

You don't have to be a child to use the sandtray. For adults, it's a way of working with miniatures and a tray of sand to explore what's hard to reach through words alone. You choose objects, arrange them, and create something. What emerges often surprises people.

 

Sandtray therapy is especially useful for grief, identity, relationships, and the kind of stuck feeling that talking hasn't shifted. You bring your own meaning to what you create. My job is to stay curious and explore it alongside you. Sandtray therapy is available to adult clients as part of individual therapy sessions.

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Learn more about sandtray therapy →

You're welcome here

My practice is grounded in multicultural, feminist, neurodivergent-friendly care. That means clients don't have to leave parts of themselves at the door.

This is an affirming space for:

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❋ LGBTQ+ individuals and families

❋ Trans and nonbinary people

❋ People with visible and invisible disabilities

❋ Neurodivergent people across the lifespan

❋ People navigating racial, ethnic, and cultural identity

❋ People in nontraditional relationship structures, including polyamorous and open relationships

❋ People in kink communities and those who embrace a sex-positive approach to sexuality

❋ People of all body sizes and with different relationships to their bodies

Different identities. Different minds. Different stories. You belong here.

A few things, answered

Ready to take the first step?

My schedule is currently full, but I'd love to hear from you. Send me a message with a little about what you're looking for, and I'll be in touch when space opens up.

For now, I've put together some grounding tools and coping resources that can be helpful. 

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