Purpose-driven therapy for individuals and couples.
A Threshold for Meaningful Growth
Most of my clients aren’t in crisis.
They’re capable, disciplined,and high-functioning.
Their careers are solid. Their lives are full.
And still, there’s a sense that something could be better,
more sustainable, more aligned, more intentional,
in how they live, relate, and carry responsibility.
Pivot Point is a place to pause, reflect, and refine what comes next.
And if you’re already at a point where things feel like too much,
where the weight of work, life, or a relationship needs more immediate support, there’s space for that here as well.
Experience strategic, purpose-driven therapy
If you’ve tried therapy before and felt unclear about the process, the goals, or the progress, this will feel different.
The work here is collaborative, structured, and transparent.
It’s purpose-driven and adaptive, shaped around what you’re actually working toward.
In sessions, we focus on:
identifying mental and emotional energy drains
understanding internal patterns that affect decisions and relationships
reducing burnout risk
improving clarity, focus, and sustainability
strengthening how you show up for yourself and with others, at work and at home.
Pivot Point is a culturally inclusive, LGBTQ+ affirming, and faith-friendly practice. All work is trauma-informed and grounded in evidence-based practice.
This approach ensures therapy is thoughtful, respectful, and responsive to the full context of your life and relationships.
Your story matters here.
What to Expect
Pivot Point is structured, intentional, and outcome-oriented. The focus is on identifying what is creating resistance in your personal and professional life and addressing it directly.
Here’s how the process works:
Emotional Stabilization & Regulation
High performance requires emotional stability.
We focus on:
Increasing emotional regulation under stress
Reducing reactivity, shutdown, or rumination
Building internal steadiness during high-pressure situations
Strengthening your capacity to respond rather than react
Strategic steps toward building control, clarity, and resilience.
Integration Into Real-World Contexts
Progress is measured by how effectively insights translate outside the session.
We regularly assess:
What’s shifting in your relationships and work life
Where resistance remains
What adjustments are needed to maintain momentum
This is an iterative process designed to support sustained change, not temporary insight.
Pattern Identification
We begin by identifying patterns that are limiting your effectiveness, clarity, or emotional bandwidth.
This includes:
Repeating relational dynamics
Emotional responses that feel disproportionate or disruptive
Avoidance, over-functioning, or burnout cycles
Internal conflict between values, expectations, and behavior
The goal is to make the unconscious visible so it can be worked with rather than managed around.
Strategic Insight & Skill Development
Once patterns are identified and emotional regulation improves, we shift into application.
This may include:
Refining communication and boundary-setting
Navigating leadership, conflict, or decision fatigue
Aligning behavior with long-term goals and values
Developing tools that translate directly into daily life
The work is collaborative and practical, with clear takeaways.
A Professional, Grounded Container
Sessions are structured, focused, and respectful of your time.
You can expect:
Clear direction and thoughtful pacing
A space that is calm, direct, and grounded
An approach that values efficiency without bypassing depth
You don’t need to perform, explain yourself, or have the “right” words. The work is about functionality, alignment, and capacity.
If you’re looking for therapy that is focused, discerning, and oriented toward visible growth, Pivot Point is designed to meet you there.
Meet the Your Therapist
Pivot Point is an intern-therapist practice under the supervision of Natasha Moore, LCSW, founder of A Reason to Smile Counseling.
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Marie is an intern marriage and family therapist who works with individuals and couples at points of transition.
Her approach is collaborative, structured, and intentional. Sessions focus on helping clients gain clarity around the patterns that shape how they think, relate, and respond under pressure, so adjustments lead to meaningful and sustainable change.
Marie works with people who are capable and self-directed, but who recognize that functioning well on the outside doesn’t always translate to ease or alignment on the inside. The work is practical and reflective, supporting both personal growth and healthier relationships.
All care is grounded in evidence-based practice and informed by a trauma-aware lens, with attention to pacing, purpose, and each client’s goals.
Marie draws from evidence-based approaches including Solution-Focused Therapy, Cognitive Behavioral Therapy, Emotionally Focused Therapy, the Gottman Method, and Internal Family Systems, adapting the work to each client’s needs and goals.
See if therapy is the right fit with a free intro session
How it works
Intro Call
A free 20-minute consultation to discuss what you’re looking for, ask questions, and determine whether working together is a good fit.
Find your Fit
Pivot Point works with private-pay clients who prefer to pay out of pocket. Sessions begin at $40 per hour.
Clients who plan to use insurance are referred to A Reason to Smile Counseling.
Individualized Care
Weekly sessions designed with clear direction and intention. The work is tailored to your goals, with tools and reflection that support sustainable change over time.