A private psychotherapy practice.
Psychotherapy in New York & Québec · Coaching worldwide · Online.
The Practice · Psychotherapy
A boutique practice for lives that ask a great deal of the person living them
A bespoke practice — integral rather than eclectic, collaborative at every step — spanning prevention, treatment, maintenance, and optimization, and, for those drawn further, the disciplined exploration of consciousness and human development.
Special focus
For people whose work follows them home — executives, physicians, founders, creatives, athletes — where performance pressure meets identity, relationships, and risk, and the usual advice has already been tried.
Standard-of-care treatment
Integrative and evidence-based — trauma-informed and client-centred, grounded in neuroscience and psychodynamic understanding, drawing on the third-wave cognitive and behavioural therapies, mindfulness, and a positive psychology built on signature strengths — woven with Eastern and Western philosophical traditions, and tailored, without exception, to the individual.
Focused symptom treatment
Presenting concerns are as varied as the lives that bring them, and rarely arrive alone. What they tend to share is stakes, complexity, and someone accustomed to carrying more than they show. I treat what is presented as the outer layer of deeper processes; uncovering those often resolves the concern that brought you in.
Psychedelic integration
Grounded in direct research experience and harm-reduction practice begun in 1996 in legal European contexts. Read about this work →
Novel approaches
An openness to what else might serve the work — nature-based and green-space therapeutic modalities; technology, where it helps, such as apps for health monitoring, balanced living, or feedback-assisted meditation; and, where fitting, gentle, non-pharmaceutical or molecular supplementation. Psychoeducation on psychopharmacology (non-prescribing) as well.
Optimization & coaching
Structured work across life domains — for those who already function well and want to function deliberately.
Organizations
Organizational psychology consultation and training in evidence-based practices.
How care begins:
- A thorough biopsychosocial assessment — the whole person, not a symptom list
- Collaborative treatment planning
- You in the driver's seat; me as guide
The practice is affirming by default — of the full spectrum of sexuality, gender, and relationship structure; of 2SLGBTQIA+, multicultural, and neurodivergent identities; and of spirituality in its many forms, among others. Most of this is already familiar terrain; where it isn't, I come to it without judgment, and hold space for it to unfold on its own terms.
A note on availability
New engagements are few, and taken where the fit is right — often where the stakes are high, the situation layered, and the person ready to work. Whether that describes you is something neither of us knows yet; you are welcome to write and find out.
A note on modalities
The practice is conducted online. In-person work exists on a case-by-case basis; occasionally, and when it fits, I may suggest something other than a conventional session — a walk outdoors, or another approach entirely. That is reserved for the situations that call for it.
Expansion
Clinical evaluation of AI systems
Alongside the practice, I contribute clinical judgment to the evaluation of AI systems in mental-health contexts — reviewing how language models respond to people in distress, against the same standard of care a clinician would be held to. Available selectively for evaluation and advisory engagements. Inquire →
The work itself
My presence is warm, conversational, and at times humorous — when levity serves the work. Humor, used well, dissolves defenses faster than interpretation does.
I am not a blank slate. I am who I am, you are who you are, and we each arrive with our quirks and foibles — that is not the problem to be solved.
Psychotherapy here is a mutual project — a working alliance in the fullest sense, in which we each learn from the other. The therapeutic frame functions as an interpersonal laboratory: a bounded, confidential space where relational patterns can be observed as they occur, and traced to their origins.
Because safety is explicit and judgment absent by design, the session becomes a place to take calibrated interpersonal risks — to try what has felt untriable, to say what has gone unsaid. What emerges in that laboratory generalizes: new insight and new behavior extend outward into your relationships beyond the room.
At times the work borders on coaching, even advice — offered sparingly, and only once it has been earned.
And one promise, made carefully: I offer no quick fix. I offer the reasonable expectation — grounded in decades of practice and in the evidence base itself — of durable change, commensurate with the effort you bring. Hope, here, is not a slogan. It is a clinical position.
Who you’d be working with
I should say something about what I’m actually like, since you’re deciding whether to spend difficult hours with me. I’m warm, I’m direct, and I laugh easily — sessions with me sound less like a clinical interview and more like a good conversation that keeps turning out to matter. I’ve been told this website is quieter than I am. That’s true. The website has to hold still; I don’t.
Twenty-five years in, I’ve kept the habit the old clinicians had of reading everything — neuroscience and scripture, treatment manuals and poetry — because people don’t arrive divided into disciplines, and I’ve never seen the point of working as if they do. I take both the measurable and the meaningful seriously, and I don’t confuse the two.
What you’ll get from me is honesty with warmth in it. I won’t perform neutrality when I have something useful to say, and I won’t pretend the work is easy when it isn’t.
And underneath all of it, one conviction: whatever you’re carrying, it’s workable. Most things are less fatal than they feel at three in the morning. That isn’t dismissiveness — it’s the most liberating orientation I know, and it took me half a lifetime to earn it.
One standard
The measure is always the same: what does this situation call for, and does the response rise to meet it.
In the therapy room, the goal is engagement in service of harm reduction — meeting people where they are, keeping them in the conversation, and moving toward safety without pushing them out the door with a cold referral.
The same yardstick guides a smaller, secondary line of work: the clinical evaluation of AI systems in mental-health contexts, judged as a clinician would be judged.
Background
Clinical practice across Montréal and New York, licensed in Québec since 2004 and in New York State — with doctoral training in clinical psychology, neuroscience, and psychoneuroendocrinology (PhD, Concordia; BSc, McGill), research leadership at Columbia University / New York State Psychiatric Institute, and roughly eight years directing federally funded treatment and research programs (NIH, SAMHSA).
Get in touch
For psychotherapy, the intake form is the first step — brief, and it begins the process without a call. For AI evaluation, organizational work, or anything else, a short private note is the direct line.
Begin the intake →Practice details
- Format
- Online · psychotherapy NY & QC · coaching worldwide
- Fees
- Discussed upon request
- In person
- Montréal · New York · by arrangement
- Licensure
- New York · Québec
- Languages
- English · Français · עברית