Telehealth Psychotherapy in Michigan

Premo Psychological Services is a private practice specializing in recovery from antagonistic, narcissistic, and stressful relationships, including symptoms of trauma, anxiety, and depression

Why Premo Psychological Services?

Providing Individual Psychotherapy for Adults

Serving those seeking treatment for antagonistic relationship recovery, adult children of emotionally immature parents, other complex and relational trauma, and the treatment of anxiety and depression.

If you reside in Michigan and have a good internet connection, online therapy is often easier for a busy schedule. Sessions can occur in the comfort of your own home or workplace. No commute, especially on cold or snowy winter days!

Empowerment & Safety

Dr. Premo accepts and encourages clients to be their most authentic selves, and is committed to being a safe place for those who identify as neurodivergent, and members of the LGBTQIA+ community

Meet Dr. Premo

Dr. Julie Premo, PhD, LP is a licensed clinical psychologist with over 15 years of education, training, and experience. Learn more about who she is and how she may be qualified to help.

Dr. Premo is a certified narcissistic abuse recovery clinician.

Treatment at a Glance

Relational Trauma and Stress

  • Antagonistic/Narcissistic Relationship Abuse Recovery
  • Adult Children of Emotionally Immature Parents
  • Insecure Adult Attachment

Generalized Anxiety, Perfectionism, & OCD

  • Excessive Worry & Intrusive Thoughts
  • Obsessions & Compulsions

Transition to Adulthood

  • Transition to College, Work/Career, Parenting Stress
  • Navigating Friendships & Relationships

Feeling Anxious and Exhausted?

Are you feeling paralyzed by your own thoughts and worries? Maybe you find yourself worrying about anything and everything. My clients report frequent worries about the future, about their relationships, finances, jobs, school, or the rapidly changing economic and political climate.  

Many people respond with a frantic effort to control their lives and prevent the “worst case scenario” from happening, sometimes by maintaining an impossible standard (perfectionism). Or, they do their very best to avoid any possible triggers or circumstances that “snag” their anxious thoughts and feelings—leading to procrastination, shame, and more exhaustion. Others are confused and bewildered by intrusive thoughts, often accompanied by a strong desire to change their environment—or minds—with rituals and compulsions.

While these attempts could relieve distress at first, it always comes back. It takes a lot of energy to try to control things we cannot, and avoid things that overwhelm us. Even if it helps us feel better in the short-term, these efforts are not a promising long-term solution.

But the stakes are high! You may struggle to concentrate, even on things you once enjoyed. Your mood may be consistently down, or wildly fluctuating. It may be hard for you to fall or stay asleep. Your body may be holding a lot of this stress in the form of muscle tension, migraines, nausea, or in other chronically painful ways. All of this is exhausting, and often has a profound impact on our ability to function at home, work, or school.

Maybe most of your life you’ve just been told “don’t worry about it” as if it were that easy! I know it is not. Part of this journey is connecting to who you really are and finding ways to live authentically. You can’t help move people away from what not to do, without also guiding them to healthier, more authentic ways of doing and living. I help my clients identify more effective ways to use their time and energy in responding to these symptoms using evidence-based therapies, going beyond standard protocols by humanizing and personalizing treatment.

Feeling Overwhelmed in Relationships?

Maybe you are feeling particularly stuck—dissatisfied, disappointed, frustrated, or in despair—in one or more important, current or past relationships in your life: family, a friend, a partner, a work colleague. Or more generally, you’ve noticed that forming or maintaining relationships as an adult seems harder, overwhelming, or confusing for you, and you may not be sure why.

You may notice your mind reeling—obsessing—trying to reconcile how someone who can be so loving or caring can also be so disrespectful or invalidating of your feelings and needs. Perhaps you question and wonder what you have done to have deserve any of this. Maybe you are feeling emotionally and physically drained, you are blaming yourself and constantly apologizing, walking on eggshells, bending over backward to keep the peace and survive in a wildly inconsistent and unpredictable relationship.

Maybe these experiences happened in the past, within your family of origin, when you were young. Maybe you have had friendships or relationships with people who you grew to trust and love, who let you down by how they treated you. For many, attempts to set boundaries with others has been terrifying, disappointing, and leading at best to inconsistent results, and at worst, complete dismissal of your concerns and needs.

It can be hard to admit to ourselves when our relationships with people we love or care about become a significant source of stress. But it isn’t something to dismiss—an alarming amount of research has connected relationship stress to a wide range of both mental and physical health conditions, including anxiety, depression, PTSD, substance use, eating disorders, as well as chronic and life-threatening diseases. And vitally, you could feel these relationships have changed who you feel you really are, that you are looking back and missing a part or whole of yourself and grieving who that person was.

To cope with such despair and maintain a feeling of connection, many feel they have to “normalize,” “rationalize” or “justify” how they are treated in order to survive or feel safe. In some cases, turning to another friend or family member doesn’t help, because they “don’t see” what it is like to live like you are, and that it “can’t be so bad.” But it DOES feel that bad. We also live in a world with so many expectations about what relationships should be. Societal pressures, and financial, practical, and emotional connections could make it feel impossible for you to change how you are relating to this person. And even if you know on some level that change is needed, it does not mean you want it or are ready.

Many who come to me with these concerns have been diagnosed with mental health conditions, and have never been able to explore how their relational environment is significantly impacting their symptoms. Even after they have moved on from that relationship, they may still struggle.

I help clients create a new “relational framework” of understanding, through education stemming from cutting-edge research and clinical work focused on helping individuals experiencing the side effects of the full spectrum of “antagonistic” relationships—ranging from emotional immaturity to narcissism.

From there, I work to grow acceptance of their situation, and empower clients to make authentic decisions about their lives, based on their own values and unique circumstances. I help them reconnect to the selves they may feel they have lost, and integrate that with everything they have learned to move forward emotionally.

In other words, the goal is to move beyond surviving, to thriving.

Fee Disclaimer

Dr. Premo is private pay and out-of-network with all insurance companies. She can provide documentation for you to try and seek reimbursement if you have these benefits. Please reach out for more information or guidance on learning more about out-of network benefits.

Dr. Premo understands affordability can be a barrier to receiving care, and offers limited reduced fee sessions.

Please refer to Services and Fees for current session rates and reduced fee availability.

You deserve a better quality of life…

Therapy is an Investment in Yourself

So many people are feeling stuck, stagnant, confused, and hopeless. Therapy can help you learn more about your values, wants, needs, and desires, and how to live authentically.