Dr. Henry James Perkins is a therapist who specializes in helping people make changes in their lives. He believes that the relationship that people establish with him is the vehicle in which the various tools, strategies, and interventions of therapy are delivered and made useful. He also believes that it is not unusual for people to hold ambivalent feelings about making life changes; in short, to hold 'two minds' about addressing a significant life issue. Therefore, an early aim of his work with clients is the joint creation of an alliance and space in which to explore the pros and cons of making a significant life adjustment. In his role as the coordinator of a university based stress management clinic, he has over twenty years of providing brief solution focused interventions designed to decrease stress. His work with couples is informed by a neurobiological perspective with a focus on conditions that promote thriving and relationship satisfaction. This starts with identifying dysfunctional patterns of emotion regulation and communication. He employs strategies aimed at fostering emotional safety, normalizing tension, and building repair mechanisms.