He is an active member of Swarthmore Monthly Meeting. He works with adults, from college age through older adulthood, although he occasionally sees a late adolescent. He does individual and couples therapy. Most of the people he sees have interpersonal or family problems, depression, anxiety, or are recovering from alcohol abuse. James welcomes persons who have concerns relating to their religious values. While he uses a variety of therapy strategies, he tends to be more highly interactive than many therapists.