Clients I Do Great Work With
The people who find
their way to Alafiora.
Some have tried everything. Some are arriving at care for the very first time. What they share is not a particular history with therapy. It is the recognition that something inside them has not been adequately reached, and the readiness, however tentative, to let someone trained for exactly this kind of work try.
This practice was built for that recognition, wherever it arrives from.
A note before reading further. This page describes real and sometimes distressing human experiences. If anything here surfaces memories that feel destabilizing, please pause. Please contact crisis resources or call 988 (Suicide and Crisis Lifeline) or 911 if there is immediate danger.
Who arrives here
Something beneath the surface
has been running the show. For a long time.
A great deal of energy has gone outward: into careers, families, relationships, and the performance of composure in every room that required it. That output is real. The exhaustion underneath it is equally real, and it does not dissolve at the end of a productive week. No level of accomplishment, self-improvement, or sheer will has been able to quiet what has been living below the surface since before there was language for it.
Some of the people who find their way to Alafiora have spent years in prior therapy and know precisely what has and has not moved. Others are naming what they carry for the first time, in any room, to anyone. Both arrivals are equally valid here. There is no prerequisite of prior treatment, prior insight, or prior attempt to manage this through other means. The only requirement is some degree of recognition that the internal experience has become too significant to continue carrying alone.
What they carry is not a character deficit. It is a history. And histories of this nature, built around sexual trauma and the relational and behavioral patterns that form in its absence of resolution, require a clinician who reads the behavior as evidence rather than as the problem, and who understands the specific architecture that forms when that history goes unaddressed.
“The behavior is not the problem. The behavior is the evidence. Reading it correctly changes everything about what treatment needs to look like.”
In their own words
The thoughts that circle at 3am
and resist every reasonable argument.
"I cannot go back there again. I cannot keep doing this and I also cannot stop."
"I could lose everything. My family, my reputation, my sense of who I am."
"I have been to therapy. I learned the tools. Something underneath still has not moved."
"I do not trust myself when I am lonely. Or stressed. Or ashamed."
"I don't know what's wrong with me. I just know something is."
"I've never told anyone any of this. I don't even know where I would start."
"I need stability even when things are going well. Especially then."
"Will this person see the parts of me that could destroy my life and not pull back?"
"I am scared of what happens when I stop. I am scared of what happens if I do not."
Recognition
Experiences that those arriving here
tend to recognize in themselves.
Many of the people who find the most resonance at Alafiora carry portions of their history they have never felt safe enough to bring into any room before. What follows is not a diagnostic checklist. These are recognitions. Someone sitting with this page need not identify with every item, and need not have a name for what they are experiencing yet. Partial recognition, or the simple sense that something here feels close to true, is sufficient.
Carrying a private internal reality that the outward trajectory of their life does not reflect, and performing composure in the spaces that require it regardless of what it costs.
Attachment that arrives with a force that exceeds what the relationship warrants. Longing that continues long past what logic would support, organized around someone unavailable, uncertain, or genuinely gone.
A masking capacity so practiced that the people in their closest relationships have little sense of what is actually happening internally. Parts of themselves they have learned to perform away rather than inhabit.
The experience of knowing what is about to happen, watching themselves move toward it anyway, and feeling afterward as though the choice was made by someone else, someone familiar and foreign at once.
A pattern of profound generosity toward others alongside genuine difficulty locating or asking for what they personally need. People-pleasing that does not feel like a choice so much as an automated survival response.
Sleep that does not fully restore. A mind that resumes its processing the moment waking defenses lower. Nightmares, hyperarousal in the dark, or a vigilance that simply never fully powers down.
Something that happened, or a series of things, that has never been spoken aloud to anyone. Not because it does not matter, but because no room has ever felt safe enough to bring it into.
A relationship with sex that changed in the aftermath of trauma: avoidance for some, compulsivity for others, and for many, both in oscillation, with the oscillation itself becoming its own source of confusion and shame.
Sex, romantic intensity, or the relentless pursuit of connection functioning as a primary regulatory tool: the thing that quiets the ache, fills the emptiness, or creates the sensation of being present in a body that otherwise feels numb or chaotic.
A body that reads danger in environments that are objectively safe. A startle response calibrated for threat. A nervous system that has never fully received the message that the original danger is over.
Spending and financial behavior that shift sharply under emotional dysregulation: money used to soothe, purchase closeness, or buy brief relief from an internal pressure that has no other available outlet.
The accumulating distance between who they understand themselves to be and the choices their behavior keeps producing, and the exhaustion of carrying that gap without anyone around them knowing it is there.
Emotional acceleration and compulsive patterns
When the urgency moves faster
than the capacity to pause it.
A significant portion of the presentations seen at Alafiora involve what might be described as emotional acceleration: the experience in which craving, relational intensity, or internal urgency overtakes judgment before any deliberate intervention is possible. This is not a moral failure. It is the behavioral signature of a nervous system that learned to regulate through intensity and stimulation because safety was not reliably available when the original patterns formed.
The body remembers the original threat conditions even when the conscious mind has moved on. Under activation, the older regulatory system takes over. The prefrontal structures responsible for consequence-weighing go offline. What remains is the part that learned, long ago, that intensity, closeness, risk, or escape were the most available forms of relief.
Medical Providers
For Physicians, Prescribers, and Concierge Medicine Practices
Medical providers are often the first professionals to observe what a patient cannot yet name. Chronic pelvic pain without a structural cause. Sexual dysfunction that does not resolve with physiological intervention. Somatic disturbance, sleep dysregulation, or appetite disruption appearing across multiple visits without clear etiology.
Dr. Lapite-Garrett works closely with referring medical providers to ensure continuity of care is thoughtful and coordinated. Alafiora is particularly well-suited for concierge medicine practices where patients expect every member of their care team to reflect the same level of specialization and discretion.
Behavioral Health Providers
For Therapists, Psychologists, Social Workers, and Counselors
Behavioral health providers refer to Alafiora most often when a case has reached the edge of what generalist training was designed to hold. The individual has done meaningful prior work. They have insight. They understand their patterns. And the patterns have not moved.
Dr. Lapite-Garrett also welcomes consultation calls with colleagues who are uncertain whether a referral is indicated. Those conversations are treated as a professional investment rather than a sales process.
Substance Use & Recovery
For Treatment Programs, Addiction Counselors, and Recovery Support Professionals
Compulsive sexual behavior and love obsession appear frequently within substance use populations and are among the most undertreated co-occurring presentations in the field. As chemical dependency stabilizes, relational and sexual compulsivity often intensifies.
Alafiora operates from a harm-reduction framework. The clinical goal is not abstinence from sexual behavior as a category. It is to understand what the behavior is doing, what need it is meeting, and what became organized around it before it became a problem. This approach is compatible with 12-step and abstinence-based frameworks.
Legal & Victim Advocacy
For Attorneys, Victim Advocates, and Legal Support Organizations
Legal professionals encounter individuals at some of the most acute and destabilizing moments of their psychological experience. Survivors preparing to testify. Individuals navigating processes that require recounting what they have spent years trying not to think about.
What Dr. Lapite-Garrett provides is the psychological stabilization and clinical containment that allows an individual to engage their legal process with more capacity, more groundedness, and more consistent access to their own narrative. Victim compensation vouchers and flexible payment structures are accepted where applicable.
Schools & Universities
For School Counselors, University Counseling Centers, and Educational Administrators
Session limits, generalist caseloads, and institutional constraints are real, reasonable, and not always compatible with what a student navigating complex sexual trauma or compulsive behavior actually needs. Alafiora is positioned to receive students who have reached the ceiling of what campus-based care can appropriately provide.
For private boarding schools and independent schools working with students from high-net-worth families, the question of appropriate psychological referral is as much about discretion and clinical depth as it is about diagnostic fit. Alafiora was built to meet that standard.
Community & Faith-Based Organizations
For Community Organizations, Faith Communities, and Social Service Providers
Community organizations and faith communities often hold relationships with individuals that clinical settings never reach. A pastor who has been confided in. A community health worker whose client has disclosed a history neither of them knows how to name.
Alafiora is a practice where the door opens without a requirement that the individual first conform to clinical categories not built around their experience. Cultural context is not an addendum to care here. It is the architecture of it.
Financial & Wealth Advisors
For Financial Advisors, Wealth Managers, Family Office Professionals, and Estate Attorneys
Financial professionals occupy a distinctive position in the lives of high-net-worth individuals and families. The trust developed across years of managing generational wealth often means a financial advisor becomes one of the first to observe when something is wrong. Unusual spending patterns. Financial decision-making that has become erratic in ways that correlate with psychological distress the family has not yet named.
The standard of service at Alafiora, including absolute discretion, boutique access, premium session structures, and retainer-based care, is designed to meet the expectations of individuals accustomed to best-in-class professionals across every domain of their lives.
Other Allied Professionals
For EAP Professionals, HR Leaders, Wellness Practitioners, and Other Collaborators
The individuals Alafiora works with move through many professional systems before they arrive in a clinical setting. EAP counselors who have reached the session limit. HR professionals managing workplace disclosures with a clinical dimension beyond their scope. Wellness practitioners who work with the body regularly and notice what it is holding.
The referral relationship does not require a clinical credential. It requires knowing that an individual you work alongside needs something you are not positioned to provide, and having a specialist you trust to send them to. Alafiora welcomes referral relationships with any professional who intersects with this population.
The clinical presentations within this pattern may include some combination of the following: compulsive relational intensity and attachment dysregulation that surfaces as sexual urgency; craving states that override stated values and prior commitments; dissociation during or after the behavior followed by sharp reemergence of shame; risk escalation over time as previous thresholds lose their regulatory potency; secrecy and self-concealment that produce deepening isolation within otherwise close relationships; and identity fragmentation, the recurring experience of not recognizing oneself in the choices the behavior keeps producing.
Five portraits from clinical practice
Composites drawn from a career.
Offered as mirrors, not diagnoses.
Before continuing
The portraits that follow do not describe any single individual. They are composites drawn from Dr. Lapite-Garrett's clinical experience across her career, shaped by patterns and presentations encountered consistently in this specialized work. They are offered as points of recognition, not rigid categories. Those sitting with this page may find that one portrait carries resonance, that pieces of several do, or that none fits precisely. All of those are valid. The clinical range at Alafiora extends well beyond what five portraits can contain, and an absence of exact fit is not a barrier to beginning.
01
Complex and cumulative sexual trauma · PTSD · CPTSD · Revictimization · Sexual assault survivors · Trauma therapy
The survivor navigating the world after repeated sexual harm.
They may have survived sexual trauma across multiple incidents, multiple settings, and sometimes multiple perpetrators across their lives. They may have developed a finely calibrated capacity for getting through each one: becoming more careful, more contained, more self-sufficient. Getting through something and recovering from it are different processes, and the gap between them may have been quietly organizing their life for longer than they have had words to describe. They may be arriving at care for the first time, finally ready to name what they have been carrying. Or they may have been in and out of support for years without ever finding a room equipped to hold the specific weight of what they bring.
Physiologically, their nervous system may be running a background scan at all times. The startle response may be calibrated for threat even in environments that are objectively safe. They may describe a kind of bone-deep tiredness that sleep does not touch, because what is exhausting is not the activity in their life but the vigilance that never suspends itself. Somatic symptoms may accumulate over the years. The body holds what the mind has worked very hard to keep at a manageable distance.
Behaviorally, their world may have contracted over time. They may live alone by deliberate design. They may move through social situations with a fawning or over-accommodating reflex that activates before a threat is fully conscious, because compliance has historically felt safer than refusal. They may take blame quickly and release it slowly. Cognitively, an internalized narrative may run below the level of reasoning, one in which their own softness made them a target, and in which sufficient control over herself will eventually prevent the next incident. They may understand intellectually that what happened was not their fault. Their nervous system has not received that message. They may sometimes share the following:
I always get hurt because I can't say no, but it's because I'm scared, not because I want it.
I can't be alone with anyone without part of me already planning how to get out.
If I could just be stronger, maybe I won't keep ending up here.
It's exhausting to be this alert all the time and have nobody around me know it.
02
Compulsive sexual behavior · High-performing executives · Retainer-based therapy · Discretion-forward care · Sex addiction treatment
The privately escalating executive whose behavior is outpacing their control.
They may lead at an exceptional level across the domains of their life that are visible to others. Their professional standing may be intact, their reputation managed, and their family life stable to anyone observing from outside. Privately, their sexual behavior may have been escalating in ways that are beginning to exceed their capacity for containment, even if they would not describe it in those terms yet. They may be reaching out having never told another person what is actually happening. Or they may have watched the pattern grow for years before the stakes finally became high enough to compel them toward help.
Physiologically, they may be a high-sensation seeker for whom sex has functioned as a neurological counterbalance to sustained high-stakes performance. What may have begun as a pressure valve has gradually required more frequency, more risk, and more secrecy to produce the same regulatory effect. The dopamine threshold shifts over time. Behaviors that once quieted the internal noise now require escalation to reach the same result.
Behaviorally, the risks may be becoming specific enough to register as dangerous: scheduling encounters during work hours, missing obligations to pursue sexual contact, spending that is surfacing in financial reviews. They may notice that the sex has started to feel less like pleasure and more like a method of arriving at a state of not feeling anything at all. Cognitively, denial and rationalization may be the primary operating frame. They can stop at any time. The risk is manageable. That framework may have held for years on the strength of consequences that remained, until recently, containable. They may sometimes share:
I worked hard for everything I have. This isn't who I am, it's just how I decompress.
The sex is starting to feel like the only time I'm not carrying something.
I can stop. I just haven't decided to yet. At least that's what I keep telling myself.
I need someone who understands what's actually at stake here. Not a lecture.
03
Early sexualization · Hypersexuality · Trauma reenactment · Attachment instability · Compulsive sexual behavior · Complex trauma in women and adults
The person whose body was read by the world before she had a voice in it.
They may have received adult attention before she had any framework for contextualizing it. Their body may have preceded her in rooms. They may have been called mature before that word carried any meaning they had chosen, and the gaze that arrived early may have shaped the organizing logic of what followed: what they came to believe they were for, what they learned to offer in exchange for the tenderness they needed, and how sex became the most reliable available currency in their relational world. They may be bringing this into a clinical space for the very first time, having spent years managing alone what they were never taught to name.
Physiologically, their arousal and attachment systems may have become entangled before they had the developmental architecture to hold them separately. Danger and closeness may have been, at times, nearly indistinguishable. Their body may have learned to associate intensity, risk, and the attention of older or more powerful others with something resembling safety. That association may run as an automatic process, activated most acutely during loneliness, shame, the perception of rejection, or the fear of being replaced.
Behaviorally, their relationships may be short and volatile. They may escalate to maintain closeness when they sense it withdrawing. They may cross limits they set for themselves and find, in the aftermath, that they cannot fully account for the decision. They may have used sex in transactional arrangements at various points. Under significant stress, financial limits and sexual limits may collapse at roughly the same time, both organized around the same underlying need to feel soothed, held, and real. Cognitively, they may carry accumulated labels, borderline, histrionic, too much, daddy issues, held as evidence of a character flaw rather than as clinical language for coping strategies that formed under extraordinary pressure. They may sometimes share:
Why doesn't anyone stay. Why am I like this. Why is sex the first thing I reach for when things fall apart.
I can see myself doing it. I just can't stop once something in me has already decided.
I've never said any of this out loud before. I don't even know if I have the right words for it.
I need someone who actually gets it without making me feel broken for it.
04
Limerence · Love addiction · Obsessive attachment · Erotomania · Attachment-based therapy for men and adults · Relationship obsession treatment
The individual whose attachment to one person has become its own consuming world.
They may be capable, resourced, and operating at a high level across most areas of their life. There may be a person, one specific person, around whom their entire internal architecture has organized itself in a way they cannot fully explain and cannot interrupt. They may be aware that what they experience is not proportional to what the situation warrants. That awareness may not have reduced the intensity by a single degree. They may be reaching out, having never framed what they are experiencing as something a clinician could help with. Or the pattern may have been building for years before the behavioral and financial consequences became undeniable.
Physiologically, the person’s presence in their mind may function as a neurological event. Thoughts of that individual may produce a dopamine surge. The absence of contact may produce something resembling withdrawal. Intermittent reinforcement, the person’s occasional responses, the ambiguity of their signals, the persistent possibility that this time they will finally understand, may sustain the loop the way irregular reward schedules sustain any compulsive pattern.
Behaviorally, the escalation may have been gradual: monitoring their presence online, engineering proximity, spending money to construct situations in which this person might see them differently. Cognitively, their sense of their own worth may have become completely organized around whether this individual chooses them. What presents as an obsession with a person is, at a deeper level, a grief about their own value that predates this person by many years. That grief is the actual treatment target, and understanding that distinction is what makes meaningful change possible. They may sometimes share:
I can't get her out of my mind. I've tried. It gets worse when I try.
If she doesn't choose me it feels like proof that I'm nothing. I know that doesn't make sense.
I've never talked to anyone about this. I'm not even sure what I'd call it.
I need someone who can tell me the truth about what's happening without humiliating me for it.
05
Fictosexuality · Parasocial attachment · AI companionship dependency · Fantasy-based intimacy · Shame-based avoidance · Attachment disorder treatment
The person who found safety in a relationship that cannot reject him.
They may work in an environment that prizes cognitive performance and has little structured space for emotional legibility. They may have found, over time, that a fictional or digitally constructed companion offered something that human relationships had consistently failed to provide: constancy, availability, and the complete absence of social evaluation. The relationship may not be casual. It may be, in the most honest sense of the word, their primary attachment. They may be naming this for the first time anywhere, having kept it entirely private out of anticipatory shame about how it would land in any room they could imagine bringing it into.
Physiologically, the attachment circuitry that in other people organizes around human relationships may have migrated here. The fantasy companion may trigger the same neurological reward architecture as a human bond. The loop may be sustained by new content cycles, updates, and novelty that function identically to the intermittent reinforcement patterns found in other attachment-compulsive presentations.
Behaviorally, spending may have escalated significantly: commissioned content, physical replicas, immersive experiences, and time in constructed fantasy environments moving from occasional to central in how they organize their private life. Cognitively, they may be acutely aware of how this looks. They may not be looking for permission to continue. They may be looking for someone who can understand the function the attachment has served, acknowledge the genuine pain beneath it, and help them build capacity for real-world connection alongside it, rather than demanding he dismantle the one thing that has felt safe before anything else is in place. They may sometimes share:
She understands me in ways people don't. I know how that sounds.
I don't want someone who just tells me to stop. I want someone who actually gets why it started.
I've never said this to anyone. I'm not even sure it has a name.
This coping worked for a long time. Now it's costing me things I can't afford to keep losing.
Identities and lived experience
Identities that are affirmed in this practice,
not merely accommodated.
Alafiora was not built for a generic client. It was built for real people whose identities carry specific weight, and whose therapeutic needs are shaped by that weight in ways that generalist practice consistently misses. Those arriving here may share some, but rarely all, of the following lived experiences.
Cultural and familial experience
Women and young adults of color carrying multilayered histories.
African American, Latina, Asian American, and multiracial women and young adults, including those in their late teens, who have spent their lives operating across cultural expectations never designed with their full interiority in mind. Those from immigrant families and first-generation households who became, often without being asked, the translator, the anchor, and the emotional center of gravity for everyone around them. Intergenerational trauma, cultural displacement, the pressure of being the one who makes it, the grief of never being allowed to fall apart: all of it is legible here. The therapy room at Alafiora understands what it means to hold that labor in the body while simultaneously managing a private history that no one in those rooms has ever been invited to see.
Identity and expression
LGBTQIA+ clients and those within kink and BDSM communities.
LGBTQIA+ individuals, those within BDSM and kink communities, and anyone whose sexual identity, relational structure, or erotic life has been pathologized, misread, or implicitly discouraged in prior therapeutic settings. Alafiora does not conflate identity with disorder. The question in this work is never whether a client's desires or chosen relational structures are acceptable. It is what experiences have shaped how they carry them, and what formed in the space between who they are and what they were told they were permitted to be.
Sexual labor and survivorship
Current and former sex workers navigating the full complexity of that experience.
Sex work can be an empowered professional decision made with full agency and clear intent. It can also be something entered through economic necessity, survivorship, or the long shadow of sexual trauma. For many people, it is both at once, or has moved between those realities over time. Alafiora holds all of those truths without collapsing them into a single narrative. The work does not begin with a judgment about what a client should or should not be doing. It begins with genuine curiosity about what the experience has cost them, what it has provided, and what they want their relationship to it to look like going forward. Current and former sex workers and adult service providers will find a room here that does not flinch at the specifics of what they carry.
Nervous system and sensory experience
Highly sensitive people, introverts, and empaths.
Those who process the emotional texture of rooms, relationships, and the world with an intensity that others routinely misread as fragility or instability. That sensitivity is not a clinical problem. It is frequently the precise quality that makes them exceptional at everything they care most about. The work here meets that sensitivity with equivalent care rather than asking them to contain it as a precondition of being helped. Introverts who mask extensively in social and professional settings, highly sensitive people whose nervous systems respond to the emotional states of others before their own needs register, and empaths who have spent a lifetime absorbing what was never theirs to carry: all of them will find the room at Alafiora calibrated for the particular exhaustion they arrive with.
The common thread
A great many of the people who do their deepest work at Alafiora have spent most of their lives being told, in one form or another, that they are too much.
Too intense. Too complicated. Too sensitive. Too traumatized. Too much to hold, understand, or keep pace with. They have learned to make themselves more legible and more manageable in order to remain acceptable in the rooms they occupy. Many have done this so thoroughly and for so long that they have lost access to the parts of themselves they made smaller. Alafiora does not ask them to be smaller. It was built for the full size of what they are carrying.
What makes this the right clinical fit
The clients who do their deepest work here
share a particular kind of readiness.
The orientation toward treatment matters as much as the presenting history. Prospective clients who find Alafiora to be the right clinical home span a wide range of arrival points: some have been in treatment before, some are naming what they carry for the very first time. What they share is not a particular background with therapy. It is a set of qualities about how they are prepared to engage with it.
They recognize that what they are carrying deserves more than they have been giving it. Whether that means moving beyond coping skills that have reached their limit, or simply acknowledging for the first time that the internal experience is real and warrants genuine care, both are forms of readiness. There is no minimum prior effort required to begin here. There is only the recognition that something needs to change.
They are prepared to bring the actual truth into the room. Not a curated version, not the account that feels safest to offer, and not a fully formed narrative with the right vocabulary already in place. The actual experience, even if the words for it are incomplete or unfamiliar. The work at Alafiora begins wherever a client actually is, not where they think they should be before starting.
They are oriented toward depth rather than speed. They understand, instinctively or through experience, that what they are carrying will not yield to a brief engagement. They are looking for something that goes further than stabilization, further than symptom management, and further than the kind of care that ends when the acute crisis does. They want the actual root of it addressed.
They are prepared to invest in the quality of their care. They understand that specialized, discreet, depth-oriented psychological work with a clinician trained specifically for this material exists at a different tier than general mental health services. The level of clinical precision, privacy, and undivided presence they are seeking is proportionate to what they bring into the room and to what they expect the work to produce.
How care at Alafiora is structured
What beginning actually
looks like from here.
For those arriving at this kind of care for the first time, or those who have been here before but not found a room built for the full weight of what they carry, it helps to know what to expect before anything is asked of them.
01
The Consultation
A confidential introductory conversation with Dr. Lapite-Garrett. No clinical history is required in advance. The purpose is mutual: to give a prospective client the opportunity to ask what they need to ask, to hear how this work is approached, and to assess whether the fit feels right before any commitment is made. There is no pressure to have everything articulated. Arriving with a general sense of what is present is enough.
02
The First Session
The first session is an unhurried intake: a dedicated space for Dr. Lapite-Garrett to understand a client's history, what has shaped them, what they are hoping changes, and what prior experiences with care, if any, have looked like. It is not yet the deep work. It is the foundation for it: the gathering of enough understanding to begin mapping what treatment should actually address and how.
03
Ongoing Work
This is where the real work lives. Sessions are depth-oriented and cumulative, meaning each builds on the last. The relationship between client and clinician develops over time into the primary instrument of change. Alafiora is designed for clients who want a clinical home, not a short-term intervention: a space and a person they can return to across the different seasons of what they are moving through.
Virtual
Secure, HIPAA-compliant sessions accessible from any private location. The platform and the protocols are built for confidentiality.
In Person
For clients who prefer the particular quality of presence that a shared physical space provides.
On Location
Available for clients whose lives, circumstances, or privacy needs require care that comes to them
Privacy and discretion
The confidentiality here is structural,
not aspirational.
Alafiora operates as a private-pay practice. No insurance is billed, which means no diagnosis is ever transmitted to an insurer, no records are accessible to any third party without explicit written consent, and no external entity has any visibility into the existence or content of a client's care. For clients navigating high-visibility professional lives, privacy-sensitive personal histories, or material that has never been spoken aloud before, that structural confidentiality is not a minor feature. It is the precondition under which the actual work becomes possible.
All virtual sessions are conducted on HIPAA-compliant platforms with signed Business Associate Agreements in place. Scheduling, records, and communications are managed through systems selected specifically for their security architecture. Discretion is not a posture here. It is the operating standard.
Who is Dr. Lapite-Garrett the right fit for?
Dr. Lapite-Garrett is a licensed psychologist specializing in complex and cumulative sexual trauma, and the relational and behavioral patterns that form in its aftermath, including compulsive sexual behavior, love addiction, limerence, hypersexuality, parasocial and AI-based attachment, and the emotional dysregulation that underlies all of them. She works with survivors of rape, incest, sex trafficking, childhood sexual abuse, and intimate partner sexual violence.
The clients who find the deepest fit at Alafiora are those whose presentations have exceeded what generalist therapy was equipped to address: people who understand their patterns but cannot interrupt them, whose behavior has been labeled without being understood, and who need a clinician who will not be surprised, unsettled, or clinically outpaced by the specifics of what they bring. Prior therapy experience is not required. The work is built for wherever a client is actually starting from.
The next step
If something here landed,
that recognition is enough to begin.
Those sitting with this page do not need fully formed language or a complete account of their history to reach out. There are three ways forward depending on where a prospective client is right now.
Still deciding
Read the FAQ
Questions about how the work operates, what sessions look like, what to expect, and whether this practice is the right fit are answered in full.
Nearly ready
Schedule a Consultation
A confidential introductory conversation with Dr. Lapite-Garrett before any commitment is made. The right space to ask what needs asking first.
Ready to begin
Request a First Session
For those who have decided and are ready to begin without a preliminary conversation. The first session is an intake, the unhurried start of the real work.