Andrea Witham Andrea Witham

Rooted in the Work: A Note from the Founder

It all begins with an idea.

When I first decided to offer therapy as part of my PMHNP practice, one of the biggest questions I had—and one I hear often from other nurse practitioners—was:

“What trainings should I do?”

CBT? DBT? EMDR? ACT?

These are amazing modalities, no doubt. But what they all have in common—and what I’ve found to be the most transformative in my own work—hasn’t been just collecting more tools. It’s been deeply understanding the framework of therapy itself.

Think of it like this: the therapeutic alliance is the trunk of the tree. Every training, technique, and modality? They’re the branches. Without a strong trunk, it doesn’t matter how many branches you add—they won’t hold.

Through formal classes, peer consultation, and way too many books to count, I’ve come to believe that learning how therapy works—how to build trust, work with transference, attune to the process—is what truly helps us grow as psychotherapists.

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