Clinical work for symptoms, relationships, and patterns that need deeper attention.
Clinical work is for people whose symptoms, relationships, identity, or repeated patterns need clinical attention, not coaching.
Clinical work is available in New York and New Jersey.
The Therapeutic Approach
Symptoms are not the starting point. The structures underneath them are: habits, relational patterns, identity, and the ways a person has learned to function under pressure.
Depression, anxiety, burnout, and performance blocks are not just things to get rid of. They are signals. Something is asking for attention.
Because my training moves through physiology, performance, and psychoanalytic clinical work, I listen for more than the story alone. I am interested in what the body is carrying, what the person can consciously name, and what keeps repeating outside awareness.
My approach is psychoanalytic and relational at its base. I also use cognitive-behavioral, mindfulness-based, and skills-based methods when structure is needed.
The work is guided by the person in front of me.
Some people need tools. Some need language for patterns they have carried for years. Most need both.
The goal is not peak performance alone. It is a life that can hold performance without being organized entirely around it.
When Clinical Work May Be The Better Fit
When the issue is no longer only performance.
When anxiety, mood, burnout, identity conflict, grief, shame, or relationships are shaping the work.
When responsibility, visibility, or isolation has started to carry emotional weight.
When insight exists, but the pattern keeps returning.
When coaching would move too quickly past what needs to be understood.
What The Work Looks Like
We begin with what brings you in, but we do not stay only at the surface of the problem. A symptom, conflict, block, or relationship pattern is treated as information about how you have had to adapt.
Some sessions are structured and direct. Some require more space. The work follows what the material requires: physiology, feeling, memory, relationship, meaning, and the patterns that organize experience before they become conscious.
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 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.
If you are experiencing a mental health emergency, please contact 988 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.
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