Integrated, Whole-Person Care

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Meaningful treatment begins with understanding the person, not simply assigning a label. While diagnostic tools and psychological testing offer clarity to guide treatment, they are utilized thoughtfully—not to define you, but to honor what you have carried and illuminate the path forward.

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Mental health care is frequently compartmentalized, separating therapy, medication, and consultation. My practice offers a unified framework, synthesizing psychoanalytic depth, neuropsychoanalytic insight, psychological assessment, and clinical psychopharmacology into a single, coordinated relationship. The ultimate aim transcends mere symptom relief. Together, we cultivate profound self-understanding, emotional integration, and a more compassionate relationship with yourself.

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Psychoanalytic Depth

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Many individuals navigate life by doing what is necessary to survive: Staying self-reliant, pressing forward, or sealing off painful feelings. While these adaptations were once vital, what remains unintegrated often persists in the present as anxiety, depression, relational friction, or emotional exhaustion.

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Psychoanalytic treatment provides a steady, discerning space to examine these patterns. The focus is not on dwelling in the past, but on recognizing how earlier experiences quietly shape your current choices and connections—allowing new, authentic ways of living to emerge.

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Medication Management & Pharmacogenomics

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When medication is indicated, it is approached collaboratively within the full context of your history, medical background, and personal goals. It is never treated as a standalone fix, but rather woven into the broader therapeutic work to foster emotional steadiness, mental clarity, and enhanced daily functioning. To further refine this process, GeneSight® pharmacogenomic testing is available when appropriate, offering an additional layer of biological insight into how your body metabolizes certain medications while remaining anchored in clinical judgment.

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Substance Use & Recovery

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Substance use is not a moral failing; more often, it is an intricate attempt to manage trauma, grief, anxiety, or emotional pain. My approach to treatment approaches substance use with curiosity and compassion, exploring both the behavior itself and the deeper emotional currents sustaining it. When clinically indicated, medication-assisted treatment or pharmacotherapy is thoughtfully integrated. The objective is not simply abstinence, but recovery defined by dignity, emotional honesty, and freedom from pain-driven patterns.

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Stress, Anxiety, Depression & Burnout

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Chronic stress and burnout frequently masquerade as high functioning, masking an internal landscape that feels depleted and disconnected. These states are not signs of personal weakness. They indicate that you have carried too much for too long. 

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Treatment uncovers what has become unsustainable and decodes what your symptoms are attempting to communicate, fostering genuine steadiness, emotional freedom, and a sustainable rhythm of life.

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A Boutique Practice: Uncompromising Continuity

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True psychological work requires sustained attention, memory, and the depth of being genuinely known over time. By intentionally maintaining a low-volume practice, your story, history, and goals are carried forward seamlessly from session to session. This boutique model also ensures greater responsiveness, offering timely access for established patients when clinical needs arise.

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Do I Really Have to Lie on a Couch? 

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People often ask whether psychoanalysis requires lying on the couch. The short answer is "no."

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The couch is a familiar symbol of psychoanalysis, but contemporary psychoanalytic treatment is flexible. What matters most is not the furniture, but the quality of the therapeutic space: a place where you can speak freely, reflect deeply, and feel steady enough to explore your inner life.

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Freud’s famous couch has a much more human story. The couch was a gift from one of his patients, Madame Benvenisti, around 1890. She intended to make her lengthy analytic sessions more comfortable. Over time, Freud began sitting behind patients as they reclined. This arrangement became associated with free association, or saying what comes to mind with less editing or self-censorship. However, Freud also had a more personal reason--- he found it difficult to be looked at continuously throughout the clinical day!

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In my practice, the couch is available, but never required. You may sit, recline, rest your feet on the hassock, or choose the arrangement that feels most comfortable and supportive. ​Psychoanalysis is not about performing an old ritual. It is about creating the conditions for honest reflection, emotional depth, and meaningful change.