Jacob believes that the relationship between a therapist and a client is of the utmost importance, and that cultivating an environment of safety, understanding, and acceptance is the foundation upon which any therapeutic work must be built. He prides himself on balancing being direct and authentic with clients while maintaining a wholly empathetic stance. He feels that therapy is in part about the therapist and client identifying patterns of behavior, thought, and feeling that once served the client in certain contexts, but no longer do, as well as using the therapeutic space to experiment with new ways of being.

Jacob holds that living under racial capitalism is inherently traumatizing, and that therapy should reflect this reality. With a background in systems work, Jacob is keenly aware of the many structural factors that contribute to someone's mental wellbeing, and, to this end, strives to support people in pursuing growth and change both internally and externally. Jacob has particular interest and experience working with trans, nonbinary and/or queer individuals on the autism spectrum, as well as supporting folks in accessing trans-affirming medical care as well as gender-affirming surgeries.