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    <loc>https://www.mikemombrealmft.com/home</loc>
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    <lastmod>2025-02-04</lastmod>
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      <image:title>Home - Psychotherapy Services</image:title>
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      <image:title>Home - Peak Performance Coaching</image:title>
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    <loc>https://www.mikemombrealmft.com/psychotherapy</loc>
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    <lastmod>2021-10-26</lastmod>
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      <image:title>Psychotherapy - Psychotherapy Services</image:title>
      <image:caption>Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park.</image:caption>
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    <loc>https://www.mikemombrealmft.com/contact</loc>
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    <lastmod>2020-06-25</lastmod>
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    <loc>https://www.mikemombrealmft.com/about</loc>
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    <lastmod>2021-10-27</lastmod>
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      <image:title>About Me - About Me</image:title>
      <image:caption>I am a Licensed Marriage &amp; Family Therapist with over 25 years of experience working with adults, couples and adolescents. In addition to my counseling practice, my experience has included: Director of Employee Assistance &amp; Organizational Health for the San Francisco Giants EAP Counselor at Cisco Systems’ LifeConnections Health Center for Optum Behavioral Health In my role with the San Francisco Giants from 2014 - 2019, I was responsible for overseeing the well-being of the Major and Minor League players and staff with a focus on addressing issues that had the potential of interfering with optimal performance on the field. In my position at Cisco Systems from 2009 - 2014, I had the opportunity to support employees and their families in collaboration with the medical staff to provide an integrated approach to emotional health.</image:caption>
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    <loc>https://www.mikemombrealmft.com/my-approach</loc>
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      <image:title>My Approach - My Approach</image:title>
      <image:caption>Stress &amp; Life Balance In my clinical and coaching work, I have found that the accelerating pace of change fueled by advances in technology, with all its advantages, has created significant levels of stress that impact our capacity to manage the demands of work, relationships and performance. Stress is a normal part of life that challenges us to learn and grow; a healthy process when it is within our capacity to respond effectively and return to a relaxed state. However, when we are overwhelmed, acute stress interferes with our ability to concentrate, learn and maintain our emotional equilibrium. In extreme cases, chronic stress elevates blood pressure, increasing the risk of heart attacks and strokes. Common features of acute and chronic stress are interrupted sleep, excessive worrying, agitated mood, headaches, feelings of irritability and gastrointestinal distress. To address issues of acute and chronic stress, I teach a variety relaxation skills to support clients by increasing self-awareness, improving concentration, reducing sleep problems and improving overall health and well-being.</image:caption>
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    <loc>https://www.mikemombrealmft.com/peak-performance-coaching</loc>
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    <lastmod>2021-10-27</lastmod>
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      <image:title>Peak Performance Coaching - Peak Performance Coaching</image:title>
      <image:caption>My work with athletes and executives is holistically designed to integrate performance success and emotional well-being. Peak Performance is not limited to performance excellence; it includes tools to achieve emotional health and pave the way for success in all present and future endeavors. There are many stories about peak performers who have struggled with anxiety and depression despite their achievements in competitive athletics and the business world. My approach involves getting to know the unique personalities and aspirations of each client. In my work with athletes, coaches and executives I have found that aspects of life that may appear to be unrelated to performance, such as a history of stress and relationship challenges can result in isolation, anxiety and depression. Integrating the goals of performance excellence and emotional health is the foundation for sustaining long term success. Testimonial: "Mike is a world-class professional. He has extraordinary insight regarding the variables that optimize human and organizational performance. Mike will inspire you and provide you with the tools you need to become the very best you can be." Jim Afremow, best-selling author of The Champion’s Mind, The Champion’s Comeback and The Young Champion’s Mind. “Mike developed a vision for helping our players perform at their best by eliminating off the field issues and distractions. Focusing on the person as a whole allowed the best in each player to perform at their best.” Bobby Evans, Long time Executive for the San Francisco Giants</image:caption>
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