Areas of Care
I am a prescriber, and I was a psychotherapist first, so a medication visit with me is not a checklist of standard questions. We talk about what is happening in your life, because that is how we decide where the whole treatment goes, not just the prescription.
I work with depression, anxiety, trauma, mood, and the range of conditions adults carry into midlife and beyond. Medication can quiet symptoms that are too loud to think through, and for some people it is enough on its own. For others it is one part of a larger picture. Either way, you are not handed a prescription and sent off. We stay in relationship, and we adjust as your life does.
This is where I began, and it shapes everything else. I am psychoanalytically trained and trained in contemplative psychotherapy as well as in a range of other approaches. What that means in practice is that I am interested in why you do what you do, not only in the symptoms you are showing, and that the work often involves learning to notice your own mind with more attention and less judgment.
If you are looking for ongoing psychotherapy and medication management together, I can provide both, from one person, in one relationship, rather than split across providers who never confer. After thirty years, here is what I have learned: people get real relief when they slow down and learn how their own minds work. You become more capable, more able to keep growing, more of a friend to yourself.
I see individuals primarily. Couples work is available in some circumstances. If that is what you are seeking, reach out and we can talk about whether it is a fit.
This is an integrated psychiatric practice, and part of whole-person care is addressing substance use directly and without shame, whether it involves alcohol, drugs, or other behaviors. I hold full prescribing authority for buprenorphine and naltrexone, and where it is clinically appropriate, medications to reduce cravings for alcohol and other substances can be part of treatment.
I meet people wherever they are, whether the goal is abstinence or managing use through harm reduction. You do not have to arrive at a particular endpoint to begin, and you will be met as a person managing something hard, not as a diagnosis to be processed.
Much of psychiatric care involves what substance use can hide. Alcohol and other drugs often mask underlying mental health symptoms, and as use decreases, whether through abstinence or harm reduction, what was underneath can become visible for the first time.
Treating the whole person is often what makes lasting change possible.
If you have been told your pain is just in your head, you are exactly the person this part of my practice is for. That phrase gets used to dismiss people. I do not use it that way. Pain is real, it lives in the body and the mind at once, and the two are not separable.
My approach to chronic pain is integrative and psychiatric. I work to understand how pain, mood, sleep, medication, and history move together, and to build an approach that treats you as one life rather than a set of disconnected complaints. For many people this is the first time a clinician has held the psychiatric and the physical in the same room.
To be clear about scope: this is not an opioid-based pain management practice. If you are looking for ongoing prescriptions for opioid pain medication, I am not the right provider. My approach is integrative and psychiatric, and where medication has a role, it is chosen carefully as one part of a whole-person plan. For many people, that psychiatric side of living with pain is the piece that has been missing.
I see adults across Massachusetts and New York by telehealth. Visits happen by secure video or phone through a HIPAA-compliant platform. There is nothing to download, and for a video visit you simply click a secure link. Care that takes you seriously should also be care you can actually reach, from wherever you are.
When you're ready, so am I.