My approach

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

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 often emerge in clinical consultation (the phenomenon of “parallel process”), often providing rich insights into clinical challenges.

Because clinical 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 strive to provide a frame that facilitates exploration of transference, countertransference, enactments, and parallel process.

Consultation sessions typically move fluidly between process and technique, theory, and practical clinical guidance. I draw on multiple theoretical models according to their relevance to the work. 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 recording.

• Fees for mental health professionals
The fee for mental health professionals for individual clinical consultation is $250 per 50 minute appointment. The fee for clinical consultation groups is $110 per appointment with a minimum of three participants.

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