For what consulting and coaching cannot reach.
In plain terms
Clinical work for high-functioning people whose symptoms, patterns, or relationships require more depth than coaching can hold.
Supervised clinical practice in New York and New Jersey.
Some patterns live beneath strategy and skill. They organize execution long before conscious intention catches up. Addressing them requires a different kind of work: slower, deeper, and structured differently from consulting or coaching.
The clinical orientation is informed by neuropsychoanalysis — the integration of psychoanalytic depth work with affective neuroscience. This grounds the work in both the lived experience of emotion, drive, and the nervous system beneath conscious control.
Clinical work is not a lesser version of performance work. It is the right container when the pattern requires more depth, more protection, and more time.
When this may be the better fit
When the issue is no longer only performance.
When anxiety, mood, identity, relationships, grief, shame, or old relational patterns are shaping the work.
When insight exists, but the pattern keeps returning.
When coaching would move too quickly past what needs to be understood.
Scope & Compliance
Clinical therapy is provided only through supervised clinical arrangements and is available only to clients physically located in New York or New Jersey at the time of service.
In New Jersey: clinical services are provided through the NJCC under an approved Plan of Supervision with Dr. Patricia Harte Bratt, Ph.D. Practicing as a Licensed Associate Counselor (LAC · #37AC00846600) in accordance with N.J.A.C. 13:34.
In New York: clinical services are provided through Union Square Practice, an authorized clinical setting, under the qualified supervision of Dr. Jonathan Fader, Ph.D. Practicing under an LMHC Limited Permit (#P140010) in accordance with NY Education Law §7601. This permit is specific to this approved practice setting and supervisor.
If you are experiencing a mental health emergency, please contact 988 (Suicide & Crisis Lifeline) or 911.
If you are wondering whether what you are experiencing is serious enough to bring into clinical work, that question is worth taking seriously.
The work begins with a conversation.