Context matters. It is not the whole story.
Your reason for coming may be a relationship, burnout, a difficult decision, a history that has started showing up in the present, or a life that looks fine from the outside and feels hard to live inside. Identity and context help us understand what that problem is made of.
What this changes in therapy.
Questions about executive function, sensory strain, body size, family obligation, gender, sexuality, culture, faith, disability, money, or a medical system belong in the clinical picture when they are relevant. We can be precise about where a problem lives: in you, between people, in a system, or in the irritating overlap of all three.