Clinical therapy for adults navigating high-stakes work, complicated family systems, and the antagonistic personalities that show up in both. Depth-oriented, telehealth, out-of-network.
Focus areas
Not every therapist should treat every condition. These are the patterns I know from the inside — clinical training plus repeated exposure in practice.
Whether it's a parent, partner, or boss — the aftermath is similar: hypervigilance, guilt about boundaries, and difficulty trusting your own perception. We work on reality-testing, boundary construction, and dismantling the internalized critic.
Common in physicians, founders, and clinicians. Not depression — something more specific. The gap between what you were trained to do and what the system allows. We address the structural reality, not just your "resilience."
You perform well. Nobody would guess. But the internal experience is constant threat-scanning, catastrophic preparation, and exhaustion from maintaining the facade. We work on what happens when the performance stops.
How I work
The pace and shape of the work get adjusted to the person. The principles below don't.
You are the authority on your life. I bring training, framing, and patient curiosity. We name what's working and revise what isn't, out loud, together.
Symptoms are usually downstream. We trace them — to relationships, to history, to the systems you're in — instead of only managing what surfaces this week.
Clear frame, clear scope, clear endings. No PHI by email, no between-session crisis line, no scope creep into coaching. The container is what makes the work safe.
Licensure & telehealth
Telehealth sessions only; no in-person practice. You must be physically located in NY, ME, FL, or DE at the time of each session. Out-of-network — sessions are paid at time of service; superbills are provided for clients seeking partial reimbursement from PPO plans.
Beyond the practice
Every product started as something I watched fail in a clinical setting. If your organization is navigating a care gap — I build infrastructure, not PowerPoints.
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Recent writing
Short, occasional, low-jargon. Written for people who are working with — or working around — someone difficult.
Schedule a consult
Tell me a little about what's bringing you in and what you've already tried. We'll talk briefly, decide if working together makes sense, and — if it does — schedule a first full session.
No fee for the consult. No commitment. If I'm not the right person, I'll tell you and try to point you somewhere better.
Please don't include protected health information (PHI) in this form. We can go into specifics on the call.