Services

I offer psychotherapy for individuals and couples in a private practice setting.

Areas of Focus

My practice is focused on complex trauma and its relational consequences, including personality difficulties, attachment disruptions, and repeating patterns in relationships. I am open to working with a range of presentations, but this is where my clinical interest and training are most concentrated.

Complex trauma and CPTSD — the long-term effects of chronic relational harm, neglect, or emotional unavailability in childhood or adolescence. Unlike single-incident trauma, complex trauma tends to shape personality and identity in pervasive ways, affecting self-perception, affect regulation, and the capacity for trust and intimacy.

Repeating relationship patterns — relationships that follow familiar, painful arcs despite efforts to change them; difficulty sustaining closeness; cycles of idealization and disappointment; patterns organized around avoidance, compliance, or control.

Personality and identity difficulties — unstable or fragmented sense of self, intense or unpredictable emotional states, chronic feelings of emptiness or disconnection, difficulty maintaining stable relationships over time.

Attachment difficulties — anxious, avoidant, or disorganized relational patterns; difficulty depending on others; discomfort with vulnerability or closeness.

Addiction and substance use — patterns of substance use that have become difficult to manage or understand, particularly where use is entangled with trauma, relational difficulty, or the need to regulate emotional states that feel otherwise unmanageable.

Fees & Insurance

  • Individual sessions: $150

  • Couples sessions: $200

  • Insurance: In-network with Anthem (commercial plans)

  • Superbills available for clients with out-of-network benefits

  • Payment: Card, check, or electronic transfer accepted

Weekly standing appointments are the norm. I do not maintain a waitlist — if I have no current availability, I will say so.

To inquire about availability, use the contact form below.

Dakota Barrett, LCSW: Psychodynamic Psychotherapy in Lexington, KY, for relational difficulties and trauma