Indianapolis Therapist

David Kearby, LCSW, BCD



After we have scheduled a time to meet, we will spend the first few session (3-6 sessions) assessing your needs, symptoms, and goals. Additionally, this time will be critical in determining if you and I are a good fit. Just as all people are different, no two therapists or patients are the same. Therapy depends on developing a strong therapeutic alliance and it is critical we spend time assessing whether or not we will work well together. Once the initial assessment is complete and we have decided to continue working together, we will develop a treatment plan that will direct the time we spend together. The treatment plan is based on the symptoms and problems you present with as well as the goals you have for therapy. Effective therapy needs a rough outline, similar to a road map, that will help us stay on track and target your goals for treatment. These first few sessions are critical for treatment. We will also decide how frequently you and I will meet. While some patients have simple problems they wish to address and might only come in every other week, other patients may need more frequent sessions, typically 1-2 times per week. Together we will decide the best approach for you.


Once the assessment is complete and we have developed a treatment plan, therapy will be tailored to your particular needs and personality. Each patient is unique and my style varies with each patient I work with. While I am integrative in the therapeutic techniques I use, I rely heavily on psychodynamic principles, cognitive and behavioral approaches, mindfulness techniques, and relational psychotherapy. To learn more about my approach to psychotherapy, read more about my therapeutic approach.

Many patients wonder how long treatment will last. The simple answer is, it depends. As I mentioned above, some patients have more simplistic problems they wish to work out that may take little as a couple of months to work through while others may have more complex issues that could take a year or more to make progress. Each person is different and there really is no way to know how long it will take for you to get the full benefit of therapy. As I say to my patients all the time, therapy is not a "quick fix." There are no quick fixes when psychological and emotional issues are being dealt with. Regardless of what you may see on television shows, movies, and commercials promoting medications that promise to diminish your symptoms quickly, in my experience the problems people come to see me about have generally taken years to develop and cannot be expected to be worked through in a short time-frame. It has taken years for you to develop into the person you are and we cannot expect to change long-standing problems and patterns in a few weeks. 



My patients will tell you I am authentic, genuine, caring, and direct. I don't beat around the bush and I will take the necessary to get to know you and understand your goals. I place a strong emphasis on the relationship between myself and my patients and strive to create a non-judgmental and safe space where we can discuss and work through whatever issues you may be experiencing. While treatment may be guided by a plan with goals and objectives, each session is your session and you can bring anything in, at any time - nothing is off limits! Our sessions are designed to be flexible and the pace is set by you. Imagine therapy as a journey through the woods. We may have a general direction we are headed in but we do not know what we will encounter along the way. Therefore, it is important to take things slowly and to deal with issues when they arise. My goal is to create a unique therapy experience for a unique you!