Feeling Stuck in Patterns You Can’t Seem to Change?
You may be dealing with something that feels repetitive, frustrating, or difficult to control—despite insight, effort, or past attempts at change. At a certain point, understanding the problem isn't enough. What's needed is a different way of working with it.
What Brings People Here
Specialized treatment for the thoughts, behaviors, and emotional and relational cycles that make change feel impossible.
Compulsive behaviors
Including compulsive sexual behavior—patterns that feel difficult to control despite repeated efforts to stop.
Learn more →Intrusive thoughts & anxiety
Constant worry, panic, OCD, or a mind that feels like it is working against you.
Learn more →Lingering effects of trauma
Persistent reactivity, disconnection, or difficulty feeling safe or grounded in everyday life.
Learn more →Cycles of withdrawal
Avoidance, disconnection, low motivation, and the slow loss of meaning that comes with depression.
Learn more →An Active, Change-Focused, Whole-Person Approach
My work is grounded in mindfulness-based cognitive behavioral therapy and acceptance-based approaches. This is not passive or purely insight-driven therapy. It is structured, intentional, and focused on helping people work directly with thoughts, urges, emotional reactions, and patterns of avoidance.
Insight matters—but lasting change comes from what you do differently.
Together, we will:
- Identify the patterns that keep you stuck by exploring important life experiences, relational dynamics, and day-to-day struggles
- Work directly with thoughts, urges, emotions, and behavioral reactions rather than avoiding or suppressing them
- Reduce avoidance, compulsive responding, and other patterns that reinforce suffering
- Build the capacity to tolerate discomfort, stay grounded, and respond more intentionally
- Develop greater alignment between your actions, values, and the life you want to live
At the center of my work is the belief that meaningful change happens most effectively within a space that is supportive, honest, and nonjudgmental. I aim to bring compassion, empathy, curiosity, and directness into the therapeutic relationship while helping individuals develop greater self-compassion, self-understanding, and accountability.
Accountability does not require shame or harshness.
In therapy, we work toward developing the ability to look clearly at patterns, behaviors, and consequences with honesty and responsibility—while also maintaining compassion for the parts of ourselves that have struggled, adapted, or learned to survive in difficult ways.
I take a whole-person approach to healing that recognizes the connection between mind, body, relationships, culture, and meaning. Therapy is not simply about symptom reduction—it is about creating the conditions for meaningful and sustainable change.
Structured and Intentional
Clear, active therapy focused on patterns and behavior—not vague conversation alone.
A Different Relationship to Your Mind
Many struggles are shaped not only by what you think or feel, but by how you relate to those experiences.
Accountability without shame
Supportive, honest therapy that encourages self-understanding and accountability without judgment or harshness.
Real-World Change
The goal is not just to feel better. The goal is to function differently in your life.
Care Shaped by Culture, Community, and Connection
Dr. Andre Peri is a licensed clinical psychologist in Minnesota and Virginia with more than sixteen years of experience working across community mental health, integrated behavioral health, addiction treatment, trauma recovery, the Indian Health Service (IHS), tribal and urban health systems, the U.S. Department of Veterans Affairs, and private practice settings. He has also provided national consultation for IHS-funded behavioral health initiatives focused on culturally responsive and integrated care.
Dr. Andre specializes in working with anxiety, OCD, trauma, compulsive behaviors, addiction, depression, and patterns that feel difficult to change. His approach integrates mindfulness-based cognitive behavioral therapy, acceptance-based approaches, trauma-informed care, and behavior-focused treatment.
He has received formal training in Exposure and Response Prevention (ERP), Cognitive Processing Therapy (CPT), and task-based treatment models for compulsive sexual behavior developed by Patrick Carnes through Gentle Path at The Meadows.
Influenced by years of work with Native communities, contemplative traditions, and mindfulness practice, Dr. Andre takes a whole-person approach to healing that values culture, community, spirituality, accountability, and meaningful action. His style is active, compassionate, grounded, and direct—helping individuals move beyond insight alone toward lasting and practical change.
Read About the ApproachA Good Fit
- You feel stuck in patterns you cannot seem to change.
- You are ready to actively engage in the process of therapy.
- You are open to trying new ways of responding to difficult experiences.
- You value depth, structure, and accountability.
- You are open to mindfulness-based and action-oriented work.
How Services Work
Private Pay
Services are private pay (self-pay), allowing for fully individualized, confidential care without insurance involvement.
Confidential
Sessions are individualized and confidential. Your privacy is protected throughout our work together.
Virtual Sessions
All services are provided virtually, making quality care accessible from wherever you are.
Schedule a Consultation
If this approach resonates with you, the next step is to schedule a consultation. Together we can explore whether this work is a good fit.