I begin with an initial comprehensive evaluation, which may take one or several sessions. I maintain a ‘systems’ perspective, particularly when working with children and adolescents. At any age, I strive to take family, social and academic or work functioning into account. With permission, I contact prior providers, primary care doctors or pediatricians, therapists, schools and family members. I will review any outside records you provide including school reports and neuropsychological testing reports. I then write a detailed and comprehensive assessment and will meet with you to discuss my diagnostic impressions and treatment recommendations. We will then plan your treatment together.
A treatment relationship is a two-way street. At the end of the evaluation process, we will decide together if my practice and philosophy are a good fit for you. If for any reason, you don’t feel comfortable with my recommendations or if I believe you would be better served by someone else who has a particular expertise, I will suggest other potential resources.
Consultations: While my main area of focus is on ongoing individual treatment, I am also able to provide second opinions, guidance for schools, and consultations to primary care doctors, pediatricians or other mental health professionals.
Psychotherapy: I provide individual psychotherapy (with or without medications), couples therapy and family therapy. My style is flexible and I often incorporate therapy techniques from different treatment philosophies. Depending on the treatment needs, I provide psychodynamic therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), play therapy or family therapy. Particularly when working with children and adolescents, my expectation is that one or both parents are involved in the treatment.
Medication management: Choosing to take medication or to give medication to your child can be a very difficult decision, which we will think through together. For many, medications are not needed, and resolution of symptoms can occur with therapy alone. For those who are unable to make the necessary progress in therapy alone or for those who symptoms are getting in the way of functioning, I may recommend a medication. Medications can be important for restoring good mental health, however, I almost never recommend medication in the absence of psychotherapy.
My role is to offer you recommendations based on my clinical experience and based on the medical evidence, which I will discuss with you. I rely on peer-reviewed sources of information to inform my practice and to ensure that I stay up to date and practice responsibly. If I recommend a medication, I will discuss with you the risks, benefits and alternatives and will welcome discussion of questions and concerns.
If I am going to prescribe medications, my preference is to provide the psychotherapy as well, however, if you are already invested in a therapy relationship, I will consider providing “medication only” services. This is done in conjunction with a trusted outside therapist and with ongoing close communication