I provide clinical case consultation and supervision to mental health professionals worldwide.

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 their inner worlds.

Our unexpected participation in patients’ relational patterns stirs up difficult feelings for us. It is not a question of whether we experience difficult feelings, but whether we can use them constructively, in the service of understanding and psychological change. Parallel feelings and patterns can emerge in clinical consultation (“parallel process”), often leading to rich insights.

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

Consultation sessions typically move fluidly between clinical process and technique, theory, and practical clinical guidance. I draw on multiple theoretical models depending on the patient and clinical material. One theoretical lens never fits all.

• Fees for mental health professionals
The fee for individual clinical consultation is $450 per 50 minute appointment.

     415.650.1910