James Fitzgerald Therapy, PLLC

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James Fitzgerald Therapy, PLLC Licensed Clinical Mental Health Counselor (LCMHC) Positive Psychology & Character Strengths Approach Some plans have high deductibles.

Credentials:
* VT roster of psychotherapists by the Allied Board of Mental Health Professionals.
* VT (AAP) Apprentice Addiction Professional by the Office of Professional Regulation. * PESI Certified tele-health provider.
* NBCC (NCC) National Certified Counselor by National Board of Certified Counselors.
* UVM (MS) Master's of Science in Clinical Mental Health Counseling
* CSJ (BA) Bachelor of Arts Degree in Psychology

Payment for services:
I bill insurance electronically and accept:
* Blue Cross/Blue Shield, Cigna, MVP, and Medicaid. I file the claim on your behalf, and after I am issued an explanation of benefits, I email you an invoice or send request for payment through Venmo. It is therefore important that you provide me consent for electronic communication before the first session. Important note:
Some commercial insurance plans have limited coverage of outpatient mental health care or substance use counseling. Every insurance company contracts different rates of reimbursement with providers. Please verify your insurance before your first session. Please call your insurance company before your first session to inquire about covered services. Clients are responsible for paying any out of pocket costs, unmet deductibles, and copay amounts before the next scheduled service unless other arrangements are made. Payment types accepted:
Credit/Debit, HSA/FSA, Venmo, Square, and PayPal. Fees:
$75 - $120
I offer a sliding scale fee. Initial consultations are $0 cost. Modalities:
Individual, Couples, Family, Groups

Hours of availability:
Monday: 9:00 am - 6:00 pm
Tuesday: 9:00 am - 8:00 pm
Wednesday: 9:00 am - 8:00 pm
Thursday: 9:00 am - 8:00 pm
Friday: 9:00 am - 6:00 pm
Saturday: 9:00 am - 6:00 pm (upon request)

I blend the following Philosophies, Theories, and Interventions into an eclectic, cohesive, integral, and integrative approach:
* Neuroscience (Neuroplasticity)
* Positive Psychology
* Virtue Ethics and Moral Discipline
* Person Centered, Trauma Informed, Environmentally and Culturally Sensitive
* Character Strengths Theory
* Internal Family Systems Theory
* Cognitive Behavioral Theory
* Dialectical Behavior Theory
* Motivational Enhancement Theory
* Polyvagal Theory

Testing images for advertising the new program hosted on my professional websites, and the Kajabi and Quenza apps.
09/22/2026

Testing images for advertising the new program hosted on my professional websites, and the Kajabi and Quenza apps.

09/10/2026

🌿 **Create a Personal Health & Wellness Plan That Fits Your Life**

**Strengthening Your Conscious Self** is a self-development and health and wellness program designed to help you better understand yourself, identify the areas of life you want to strengthen, and create a practical personal wellness plan based on your own goals, values, needs, and priorities.

Through the **Quenza app and website**, participants can access guided lessons, reflection activities, journals, mindfulness practices, questionnaires, worksheets, videos, and step-by-step health and wellness planning tools.

Clients may also use **TherapyPortal**, my secure client account portal, for coaching-related forms, assessments, worksheets, appointments, documents, and other resources.

The program can help you explore areas such as mental and emotional health, physical health, relationships, habits, work, finances, personal growth, spirituality, environment, and daily routines.

The goal is not perfection or changing everything at once. It is to build greater **self-awareness, intentional choice, healthy routines, and meaningful progress**—one realistic step at a time.

🌱 **Strengthening Your Conscious Self**
Understand yourself. Strengthen your life. Build a wellness plan that works for you.

Disclaimer: this is not an offer for coaching or counseling services, it is an offer for self-directed experiential learning.



07/22/2026

An ethical question for reflection:

When we benefit from social, economic, political, or technological systems that cause preventable suffering, what responsibility do we have to help change those systems—even when change requires us to surrender some comfort, convenience, wealth, power, or privilege?

Individual responsibility matters, but individuals do not live outside systems. Our health, opportunities, choices, and behavior are shaped by families, communities, institutions, economic conditions, technology, culture, and public policy. Compassion cannot mean merely feeling concerned about suffering while continuing to protect the conditions that produce it.

From a psychological and Buddhist perspective, awareness creates responsibility. Once we recognize suffering and understand some of its causes, deliberate inaction becomes a choice rather than a neutral position.

Where should we draw the ethical boundary between individual liberty and collective responsibility? What do we truly owe one another?

06/18/2026

There are many parts of me
A system of multiplicity
Parts of me get upset, anxious, angry, afraid, sad
With people, jobs, circumstances, survival mode
With life events and daily living experiences
With the news of the hour, day, week, month, year
Producing, contributing, consuming, grinding away at life
Different parts show up around different people, family, and relationships
Different parts show up around different circumstances, events, experiences
Different parts show up during different interactions, disagreements, conflict
Parts can become labels from others
Labels hurt, labels stigmatize, labels dehumanize
Labels don’t educate
Labels weaken empathy, connection, compassion
Addict, Manic, Depressive, Bipolar, Crazy, Sc**zo, Borderline, Narcissist, Loner, Odd, Quirky,
Lazy, Dumb, Dreamer, Eccentric, Absent-Minded, Distractible, Hyperactive, Behavioral Problem,
Emotional, Irrational, Toxic, Judgmental, Avoidant, Anxious, Neurotic, Disagreeable, Aggressive,
Shaming, Blaming, Criticizing, Controlling, Manipulating, Anti-social, Invalidating, Gaslighting,
Passive Aggressive, Codependent, Needy, Clingy, and on, and on
The labels don’t tell the whole story
In a calm, clear, state of wise mind
My pure conscious self sits in the center and knows,
My proactive decisions and actions are protective
My emotional reactions and avoidance are defensive
How I respond to my thoughts, sensations, and emotions is entirely up to me
How I show up in the world is my choice
My ultimate peace and happiness is a decision I make in every moment
Because although I never knew it,
My internal conscious mind,
The observation of my experience,
My psyche, my personality
My current state of mind
Is made up of many parts or subpersonalities
Parts of myself are like a family
Every part has their own
Sensations, emotions, thoughts, motivations, agenda
Memory, beliefs, expectations, perceptions, presence, and behaviors
Some of the parts protect me (the self) from other parts
Some of the parts protect young, wounded, and vulnerable parts of me from the world
Parts of me sometimes take over my conscious mind
Parts of me sometimes are blended with me (the self)
It becomes difficult to know what part is activated or in charge
At any given moment
Some Parts are tired, overwhelmed, overstimulated, exhausted
From protecting me (the self)
From protecting the wounded vulnerable parts of me
Parts that were hurt
Suffering in the pain, shame, guilt, loneliness, grief, sadness
Hidden away from the outside world
Exiled
Some parts do their job of protecting me and the wounded vulnerable parts
With no thanks and no reward
With contempt and criticism from other parts of me
If the protector parts don’t do their job
The wounded vulnerable parts feelings
Will overwhelm me (the self)
Although the intent is to keep me safe
The roles they play and the way they do their job
Isn’t always graceful, helpful, considerate, calm, compassionate, or connected
Isn’t always healthy, cooperative, creative, confident, or courageous
Procrastination, distraction, numbing, avoiding, blaming, shaming
Manipulation, over-control, gaslighting, invalidating
Persistent drive for autonomy, sensitive to rejection, reactive to emotions
To name just a few of the roles
So, one day I just decided to start a conversation with my parts
I was already doing it anyway
Speaking from my parts, speaking as my parts, and speaking about my parts
This was normal and comfortable
What if I could feel toward my parts, talk to my parts, and speak for my parts
And so I began
A long journey that day
First, I learned mindfulness, meditation
I learned distress tolerance, and emotion regulation
Then, I learned how to identify parts
Through sensations, images, thoughts, memories, emotions, inner sense, behaviors
Or maybe through shapes, colors, elements
I learned how to access parts
I learned how to feel the parts, sense the parts, or visualize the parts
I learned how to separate my “self” from the parts
I learned how to speak to the parts, and for the parts, not from the parts
To my protector parts, I said
“Thank you so much”
“Your job is very important, and seems exhausting”
“I truly appreciate why you do what you do for me”
And I meant it
I asked the upset protective parts
Can you, will you, soften?
Can you, will you, step aside?
Can I help you with your job?
Can you trust me to help you?
I asked the protective parts
What is wrong?
What is happening?
What are you afraid of?
What are you hoping to accomplish?
What do you need at this moment?
Vulnerable parts of me were feeling
Neglected, Rejected, Disrespected, Humiliated
Exploited, Abused, Alone, Lost
Fearful, Grieving losses, Pain and suffering
The vulnerable parts of me believed
We will be all alone and afraid
We are a bad person
We are not able to love
We are not able to be loved
We are not good enough
We are not living up to our fullest potential
All the parts of me are not “bad parts”
Protector parts of me have a positive intent
Either playing offense proactively, or playing defense reactively
My doing and thinking parts are protective
My avoiding and numbing parts are protective
My fighting, righteous, and reactive parts are protective
They all have roles to play, responsibilities in my system, jobs to do
Sometimes proactive, sometimes reactive
They watch over the wounded and vulnerable parts of me holding burdens
Vulnerability, Suffering, Memory, Trauma, Pain
Shame, Guilt, Insecurity, Inadequacy, Invalidated
Neglect, Rejection, Abandonment, Invisibility
So many stories, so many memories
It gets overwhelming sometimes
I asked the protectors, can I talk to the wounded parts, the vulnerable parts
Can I talk to the younger parts, the hidden children?
If I talk to them and find out what they need
And how they can be transformed
We can work together with them, give them what they need
And live with those parts in harmony, thriving, resilient
Some concerned parts appeared
They said, “we’re not so sure about this” and “you’re not allowed to go there.”
So, I asked the new worried and anxious parts,
What are you concerned about?
They said, “It won’t work. It will make it worse. We will feel terrible. Overwhelmed”
We agreed to try it anyway
Assurances were made, they would monitor the process closely
And step in if they felt the system were not safe
I was attuned, compassionate, considerate, calm, and confident
With curiosity,
I asked the wounded parts holding onto attachments and burdens
What burdens do you carry?
What beliefs do you hold that no longer serve you?
What pain have you endured?
How long have you suffered?
I am sorry you carried this alone
With awareness and insight
The mindful, core presence of my pure conscious self says,
Mindfulness and meditation will bring us into wise mind, and a flow state
In this state of wise mind, self leadership position, I asked the parts
Can I help you so you are not so tired?
Can I help the parts who are hurting?
Do you trust me to do the work?
I let these parts know
That I truly appreciate their efforts and positive intent for me
I finally understand
In a trusted and healing mode
I said to the younger, vulnerable, burdened, exiled parts
Show me your pain and suffering
Show me your memories
Share your core beliefs, thoughts, emotions
Let me bring you into the present moment
Can you share that pain with me that you’ve been carrying?
Let me comfort you and care for you
Let us process the pain together, correctly this time
They said,
Where have you been?
We needed you
I said,
I wasn’t able to protect you then
I lacked the strength, resilience, and resolve
I didn’t have enough awareness and presence
But I can love you and protect you now
I have strength, confidence, courage
In a supportive and compassionate way
I said to the burdened parts
When you are ready, you can let all that pain go
The vulnerable parts said yes please
We are so tired and alone
We engaged in healing and restorative ceremonies
Corrective experiences of reconsolidating the memories
The vulnerable parts, concerned parts, and protective parts chose which way to heal
After each ceremony of healing or corrective experience
The parts of me were able to
Exist in my mind in a place of their choosing
Remind me of the past without overwhelming the whole system
Protect me as I maintain healthy boundaries, with assertiveness
Watch over me while I make my way in the world
Develop new, healthy beliefs, about us, others, and the world
Embody new qualities and new character strengths
Align with our values and practice committed actions
Now I remain,
compassionate, connected, calm, clear, curious, creative, courageous, and confident.
Cooperative, considerate, empathic, passionate, playful, persistent, and present
I exist in a state of wise mind with self in the lead
Namaste
Love and light
My fellow travelers
We, the system

~ James Fitzgerald, LCMHC

06/10/2026

Hello everyone, I am currently sitting on a PESI Zoom webinar: "Ethics and Risk Management in Behavioral Health: What Every Clinician Needs to Know About Mental Health and the Law (Online Course)" taught by Attorney Robert Landau and Dr. Frederic Reamer. They are covering alot of information in 6.25 hours. Including risks associated with existing, new, and emerging technology. Let's go!!

06/07/2026

We like to believe that when we make a decision, we are guided by logic, consistent principles, and refined judgment. We assume that if we are experts in our fields—doctors, judges, loan officers, or managers—we will arrive at the same conclusion when presented with the same facts. But Daniel Kahneman, the Nobel laureate who revolutionized our understanding of human irrationality, proves that we are dead wrong. In Noise: A Flaw in Human Judgment, he pulls back the veil on a silent, chaotic force that is sabotaging our organizations and our lives. It isn't just "bias" that throws us off course; it is "noise"—the random, inexplicable variability in our judgments that makes the same person, in the same role, decide differently on a Tuesday than they did on a Monday. This book is the ultimate audit of your own mind. If you want to understand why your decision-making is more fragile than you think and how to build systems that actually protect you from your own inconsistency, this is the most important book you will read this year.

7 Lessons for Mastering Decision-Making

1. Noise is the Unseen Enemy of Justice and Accuracy. Kahneman makes a sharp distinction between "bias" and "noise." Bias is a consistent error—a predictable tilt in one direction. Noise, however, is random, scattered, and unpredictable. It is the reason two doctors might give two different diagnoses for the same patient, or why a judge’s sentencing depends on how hungry they are or what the weather is like outside. The lesson is that if you want to improve your outcomes, you have to stop obsessing only over "being right" and start obsessing over "being consistent."

2. The Illusion of Decision Reliability. Most of us feel like we are reliable judges of reality. Kahneman dismantles this by showing that even experts are subject to massive levels of "intra-judge noise"—the variation in a single person's decisions over time. You are not the same person every day, and your judgments change based on your mood, your fatigue, and your environment. Acknowledging that you are not a stable, objective machine is the first step toward creating safeguards against your own inconsistency.

3. Pattern Matching Leads to Randomness. Our brains are hardwired for pattern matching. When we look at a complex situation, we often jump to a conclusion based on a superficial resemblance to past experiences. This is often where noise creeps in; we see what we *expect* to see rather than what is actually there. To combat this, you must learn to "de-bias" by forcing yourself to look at the facts in isolation, stripping away the irrelevant "noise" that your brain is trying to interpret as a meaningful pattern.

4. The Value of Decision Hygiene. Just as we practice medical hygiene to prevent infection, we need "decision hygiene" to prevent noise. This involves creating systematic protocols for how we make choices. For example, rather than making a snap judgment, wait to look at all the available evidence before forming an opinion. By breaking the decision process into smaller, independent steps, you prevent the initial impression from tainting your entire judgment.

5. Avoid "Premature Intuition". Intuition is powerful, but it is also a massive source of noise. When we act on our "gut feeling" too early, we are essentially reacting to the noise of our current environment. Kahneman suggests that the most effective way to improve judgment is to delay intuition until all information is collected. Don't trust your gut at the start of the process; let it be the final filter after you have systematically analyzed the objective facts.

6. The "Mediating Assessments" Protocol. A key strategy in reducing noise is to break down a complex judgment into multiple, independent components. If you are hiring someone or evaluating a business risk, don't just ask "Is this a good candidate?" Instead, create a scoring system for specific traits (e.g., technical skill, communication, cultural fit). By evaluating each piece of the puzzle separately before aggregating the results, you prevent your brain from letting a "halo effect" (where one positive trait blinds you to other negatives) create noise in your decision.

7. Structure Beats Expertise. Perhaps the most humbling lesson is that simple, structured rules—or even basic algorithms—frequently outperform the "expert judgment" of even the most experienced professionals. Humans are noisy, but machines and structured frameworks are consistent. If you want to make better decisions, stop relying on your "years of experience" as the ultimate authority. Instead, build a simple structure or checklist that forces you to adhere to consistent criteria. When you remove the human element of randomness, the quality of your decisions skyrockets.

Book/Audiobook: https://amzn.to/4o7TEOY

You can access the audiobook when you register on the Audible platform using the l!nk above.

Address

86 Lake Street, Suite 311
South Burlington, VT
05401

Opening Hours

Monday 9am - 4pm
Tuesday 9am - 7pm
Wednesday 9am - 7pm
Thursday 9am - 7pm
Friday 9am - 7pm
Saturday 9am - 4pm

Telephone

+18028551209

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