Clinical work is not a lesser version of performance work.

Clinical work is the right container when symptoms, relationships, identity, or repeated patterns need more protection, more time, and more depth than consulting or coaching can provide.

My therapeutic approach

I do not treat symptoms in isolation. I work with the structures that produce them: habits, relational patterns, identity, and the ways a person has learned to function under pressure. Depression, anxiety, burnout, and performance blocks are not only problems to eliminate. They are signals that something needs attention.

My approach is eclectic, with a strong psychoanalytic and relational base. I draw from cognitive-behavioral and mindfulness-based methods when structure and skills are needed, and from psychoanalytic psychotherapy when deeper patterns require exploration. The work is directed by what the client needs, not by allegiance to one model.

Some clients need structured skills work. Others need room to examine patterns they have never had language for. Most need both. The goal is not peak performance alone, but sustained performance supported by a life that remains integrated and meaningful.

When this may be the better fit

When the issue is no longer only performance.

When anxiety, mood, burnout, identity conflict, grief, shame, or relational patterns 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.

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.