Kiara Khan

About

The person who usually finds me is holding several things at once and has stopped being able to tell which one is causing the trouble. A change at work, an ageing parent, a household rearranged around a relocation, and a general sense that none of it is quite landing. That pile-up is typical. A transition rarely arrives on its own, and the difficulty is often in the interaction between several changes rather than in any one of them. We separate the strands. Once you can see which one is actually generating the difficulty, the others usually become much more manageable on their own. I spent my training years in community mental health, where people almost never presented with a single tidy problem. Tidy problems are rare in practice. If you are holding several things at once and cannot tell them apart, get in touch. You do not have to arrive knowing which strand is which.