• Standing appointments are available for clinicians seeking ongoing consultation
• Consultation groups can be organized for groups of 3 to 5 clinicians

My approach

Our patients recreate problematic relationship patterns with us in the therapy relationship. Our unavoidable participation in these patterns provides a crucial window into our patients’ difficulties.

Our unexpected participation in problematic relational patterns necessarily stirs up difficult feelings for us. It is not a question of if we experience difficult feelings but whether or not we use them constructively, as a source of understanding. Parallel feelings and patterns may emerge in clinical consultation (the phenomenon of “parallel process”), often providing rich insights into clinical dilemmas.

Because clinical consultation is most helpful when therapists speak openly and freely, I work to foster the mutual trust and respect necessary for open communication. In theoretical terms, I try to provide a frame that facilitates exploration of transference, countertransference, enactments, and parallel process.

Consultation sessions typically move fluidly between discussion of process, theory, and practical clinical guidance. I draw on multiple theoretical models according to their relevance to the patient. One theoretical lens does not fit all.

• Therapy session recordings
Video recordings of therapy sessions can be a valuable learning tool, providing information that is otherwise difficult to know and report. Sessions can be recorded using a smartphone or tablet and viewed during online consultation appointments (using user-friendly, HIPAA-compliant technology). I am happy to discuss pros and cons of session recording.

• Fees for mental health professionals
The fee for mental health professionals for individual clinical consultation is $240 per 50 minute appointment. The fee for clinical consultation groups is $115 per appointment with a minimum of three participants.

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