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The work
beneath
the work.

Depth-oriented clinical work where your story is the starting point — not a symptom to be managed — and the relationship is what does the work.

People who find their way here have usually tried everything else. The hesitation at the critical moment. The relationship that follows the same arc regardless of how clearly they see it. The achievement that arrives and feels like nothing. These aren't performance problems. They're structural — rooted in identity, early emotional learning, and the patterns that shape what feels threatening and what gets avoided. Understanding that structure isn't a detour from the work. It is the work.

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What this is

Clinical therapy is a different relationship than coaching or consulting — slower, deeper, aimed at the structures that shape how you function across your whole life, not just in performance contexts. My clinical orientation is theoretically pluralistic — drawing from modern psychoanalytic thinking, self-psychology, cognitive-behavioral, ACT, and existential approaches. The question is never which school is correct. It is what this person, in this context, actually needs.

The clinical work spans a full range of presentation: adjustment difficulties, identity questions, clinical depression, anxiety disorders, OCD, trauma and PTSD, personality structure, dissociation, and substance use. The presenting problem determines the approach — not a predetermined method applied uniformly. If you're wondering whether what you're experiencing is serious enough to warrant this kind of work, that question is usually the signal that it is.

We work with what surfaces in the room — not just what you report, but how you relate, what you avoid, and what the pattern of the work itself reveals over time. The aim isn't to feel better in the short term. It's to change something that has been operating the same way for a long time — and to understand why it was there in the first place.

Where this work tends to matter

High-performing individuals who are functioning well by every external measure — and who know something is getting in the way. Not in their performance specifically, but in their sense of who they are and what the work means. Particularly suited for those navigating identity transitions: athletes moving through career change, executives facing questions of meaning and purpose, professionals whose outer success and inner experience have quietly diverged.

Also those whose primary concern is relational — patterns in intimate relationships, family systems, and close friendships that repeat regardless of how clearly they're understood. The same argument. The same distance. The same arc. Early attachment experiences that shaped how closeness, conflict, and vulnerability get navigated — and that now run every significant relationship in adult life without being recognized as the source.

Trauma — including developmental, relational, and the quieter forms that don’t announce themselves as such — is a significant part of the clinical work. As is substance use and the behavioral patterns that have become the primary way of managing what hasn’t yet been processed.

PhD in Kinesiology / Sport & Exercise Psychology.

Clinical Homes

New York

Union Square Practice · Manhattan

New Jersey

Lukin Center · NJ Consultation Center

Clinical Orientation

Theoretically pluralistic · Modern psychoanalytic · Self-psychology · CBT · ACT · Existential

Reach out through the Connect page. All inquiries are confidential. Responses within 24 hours.

Clinical services in New Jersey are provided under supervision as required under N.J.A.C. 13:34. Clinical services in New York are provided under a permit issued pursuant to NY Education Law §7601. Supervisor identity and credentials are disclosed at intake. All clinical work is confidential and HIPAA-protected. Exceptions to confidentiality — including mandatory reporting obligations and duty-to-warn requirements under applicable state law — are disclosed in full at the outset of treatment.

If you are in crisis or need immediate support, contact the 988 Suicide & Crisis Lifeline by calling or texting 988. Available 24/7. If there is immediate danger, call 911.

Clinical work is offered only where permitted by applicable licensure, permit, and supervision requirements. In New Jersey, clinical services are provided under supervision. In New York, clinical services are provided through an authorized supervised setting, as applicable.

Clinical Supervision
New York: Dr. Jonathan Fader — Union Square Practice
New Jersey: Dr. Brian Amorello — The Lukin Center
New Jersey: Dr. Patricia Bratt — New Jersey Consulting Center