KIMBERLY SEELBREDE, LCSW, PLLC NPI #1306092903 NYS License #079234
This office now requests that all new clients pre-pay to reserve their time for initial evaluation.
PSYCHOTHERAPY AND THE DURATION OF TREATMENT
Therapy begins with an evaluation of your needs. After your initial consultation, I will offer my impression of what our work together should include and a treatment plan to follow, should you decide to begin therapy. If we decide to work together, we will schedule once or twice weekly 45-minute sessions or longer for EMDR and couples sessions. As needed (and with your consent), I will consult with your primary care physician, psychopharmacologist and other providers to ensure coordinated treatment. If you are considering medication, I work closely with a number of caring psychiatrists who can assist with that part of your treatment.
APPOINTMENTS AND CANCELLATIONS
Therapy works best when scheduled appointments are regular and consistent. Your time is reserved for you and cannot be used by someone else. A 48 hour cancellation policy applies. If less than 48 hours notice is given (72 hours for Monday appointments), I will still make every attempt to reschedule you within the same week at a time that works for both of us and a phone/video session will be offered. If we cannot find a time, you will be charged for the cancellation. I may waive the session charge at my discretion such as serious illness. In the case of hazardous weather conditions, you may cancel without penalty and a telephone or video conference session may be conducted. You will be charged for conflicts related to time management (e.g. homework, forgetfulness), work conflict, etc. To accommodate such situations, I am happy to offer you a phone session at the time of your scheduled appointment. Unfortunately, missed and cancelled sessions will not receive a code on your statement and are not reimbursed by insurance. Please try to be on time for your sessions as every effort is made to end all sessions on time so as not to cause unnecessary delays for others who have appointments. If you are late, it it likely that extended time may not be possible due to other clients scheduled that day.
I do not work directly with insurance companies, but if you have a PPO or another plan that allows you to select an out-of-network provider, you may be eligible for reimbursement. Policies vary significantly and I recommend checking with your insurance company to determine the extent of your out-of-network mental health (or “behavioral health”) benefits, including your annual deductible, the number of sessions covered per calendar year, and whether or not your sessions need to be pre-authorized. While you would be responsible for payment at the end of each session, this makes the reimbursement process as smooth as possible.
Fees represent payment for my professional knowledge, training and experience. They also support outside work and between-session consultations needed to support the therapeutic relationship. In addition to regularly scheduled sessions, I charge for other professional services that may be required to support your care. These services may include: telephone conversations lasting longer than 15 minutes, consultations with other professionals involved in your treatment (hospitals, schools, etc.), legal services, preparation of records and treatment summaries or any other professional service that you may request of me. This will be billed as administrative services, and unfortunately are not reimbursed by insurance. Payment is due at the end of your regularly scheduled session unless we make a different arrangement. This office requires that a credit card be kept on file securely stored by this HIPPA compliant practice management system for the purposes of session payment or in the case of non-payment. You will be asked to provide this information on a separate form. If your account has not been paid for more than 60 days and we have not agreed upon a payment arrangement, I may use legal means to secure payment. If this is required, additional costs will be included in the claim.
I maintain treatment records as required by the laws of my profession. You are entitled to receive a copy of your records, or if preferred, I can prepare a summary of your treatment. Sometimes these professional records can be upsetting or misinterpreted by the untrained reader. It is best that we review your records together in my office.
While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. If you need to contact me between sessions, please leave a message on my confidential voice mail. I am often not immediately available; however, I make every attempt to return your call as soon as possible. The exception to this is weekends and holidays, when I am traveling or have a personal circumstances that prevent me from being available. If you are difficult to reach, please specify when you will be available. If you are unable to reach me and need immediate care, please contact your physician or go to the nearest emergency room and request a clinical social worker/psychologist/psychiatrist on call. Please note that face-to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. I ask that you not transmit sensitive clinical information via text or email as I do not always have access to either, and your confidentiality cannot be ensured.
If you are a minor, your parents may be legally entitled to some information about your therapy. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential and between us.
Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). I believe that adding clients as friends or contacts on these sites can compromise confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship.
ELECTRONIC COMMUNICATION AND TELECOMMUNICATION
I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. Please be aware that any email communications will become part of your medical records. If we agree to text or communicate via email, or you reach out to me initially in this way, I will assume that you have made an informed decision regarding this matter.
Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I have the right to terminate treatment with you and I will explain why this is necessary (e.g. psychotherapy is not being used effectively, your needs have changed or you may require a higher level of care, outbursts of rage or other threatening behaviors, persistent drug or substance use/abuse, attending sessions under the influence, engaging in illegal acts, default on payment). I will also terminate with you if you are seeing another therapist, unless we agree that I am providing adjunct treatment such as EMDR therapy or meditation support. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of psychotherapists to treat you. You also also have the right to choose someone on your own or from another referral source. Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the professional relationship discontinued.
ABOUT KIMBERLY SEELBREDE, LCSW
I have received graduate training as well as advanced post-graduate training in a variety of traditional as well as evidence-based and cutting-edge treatment modalities. It is my practice to integrate these therapeutic techniques as needed to provide you with the individualized treatment that will best serve your needs and goals. We will discuss this together during your initial evaluation and create a treatment plan that may include the following: Couples Therapy, Family Therapy, Group Therapy, Psychodynamic Psychotherapy, CBT, DBT skills, EMDR Therapy, ACT, Mindfulness and Meditation practices. I am also a trained yoga therapist (200 + 500 hour RYT) and am able to use some of these practices when appropriate and if desired by you for stress reduction and management.
INFORMED CONSENT FOR PSYCHOTHERAPY
The therapeutic relationship is unique in that it is a highly personal and at the same time, a contractual agreement. Given this, it is important for us to reach a clear understanding about how our relationship will work, and what each of us can expect. This consent will provide a clear framework for our work together. Feel free to discuss any of this with me. Please read and indicate that you have reviewed this information and agree to it by filling in the checkbox at the end of this document.
THE THERAPEUTIC PROCESS
You have taken a very positive step by deciding to seek therapy. The outcome of your treatment depends largely on your motivation and willingness to engage in this process, which may, at times, result in considerable discomfort. Should you choose to proceed, a positive outcome then becomes our mutual responsibility. This begins with your trust in and commitment to the treatment process, and my commitment to address your questions and concerns as they come up during session. It also involves my commitment to you as your therapist, helping you to find healing and wholeness in your thoughts, feelings, behaviors, personal values, general well-being, while you discover more rewarding ways of relating to yourself and others. I can promise to support you and do my very best to understand you and repeating patterns, as well as to help you clarify what it is that you want for yourself. One important aspect of successful therapy involves attending your sessions regularly. Treatment is more effective when it is consistent. Together, we will determine what kind of session frequency would best suit your needs.
RISKS ASSOCIATED WITH PSYCHOTHERAPY
Like many things in life, psychotherapy has inherent risks. Some of these risks to you are:
• disruptions in your daily life that can occur because of therapeutic changes
• emotional pain due to exploring personal issues and family history
• experiencing emotional pain within your current relationships
• although therapy begins with the hope that your life and relationship(s) improve, there is no guarantee that this will occur.
My clinical orientation is Psychodynamic and Relational, as such, the healing nature of the therapeutic relationship is the primary focus. As an integrative, eclectic psychotherapist, my therapy style combines genuine care, empathy, and a non-judgmental approach, coupled with evidence-based strategies such as CBT, DBT skills and Mindfulness, in addition to Psychoanalytic Psychotherapy (insight-oriented therapy). I also integrate EMDR therapy and elements of Focusing and Somatic Experiencing into sessions with clients. Work with couples may include Emotionally Focused Therapy and EMDR. The duration of treatment is highly variable and depends on many factors, including your goals, motivation, your experience with therapy and the challenges to be addressed in the course of treatment.
The session content and all relevant materials to the clientâ€™s treatment will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons. Limitations of such client held privilege of confidentiality exist and are itemized below:
1. If a client threatens or attempts to commit suicide or otherwise conducts him/her self in a manner in which there is a substantial risk of incurring serious bodily harm.
2. If a client threatens grave bodily harm or death to another person.
3. If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.
4. Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.
5. Suspected neglect of the parties named in items #3 and # 4.
6. If a court of law issues a legitimate subpoena for information stated on the subpoena.
7. If a client is in therapy or being treated by order of a court of law, or if information is obtained for the purpose of rendering an expertâ€™s report to an attorney.
Occasionally I may need to consult with other professionals in their areas of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name.
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I AM REQUIRED BY LAW TO GIVE YOU THE FOLLOWING INFORMATION.
I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
â€¢ Make sure that protected health information (â€œPHIâ€) that identifies you is kept private.
â€¢ Give you this notice of my legal duties and privacy practices with respect to health information.
â€¢ Follow the terms of the notice that is currently in effect.
â€¢ I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and may be on my website.
II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.
For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/clientâ€™s personal health information without the patientâ€™s written authorization, to carry out the health care providerâ€™s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your person health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition. However, it is my practice to request that you sign a consent to obtain and release information form. It will be added to your file.
Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word â€œtreatmentâ€ includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.
Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:
1. Psychotherapy Notes. I do keep â€œpsychotherapy notesâ€ as that term is defined in 45 CFR Â§ 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is: a. For my use in treating you. b. For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy. c. For my use in defending myself in legal proceedings instituted by you. d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA. e. Required by law and the use or disclosure is limited to the requirements of such law. f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes. g. Required by a coroner who is performing duties authorized by law. h. Required to help avert a serious threat to the health and safety of others.
2. Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.
3. Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.
IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AURTHORIZATION. Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:
1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyoneâ€™s health or safety.
3. For health oversight activities, including audits and investigations.
4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
5. For law enforcement purposes, including reporting crimes occurring on my premises.
6. To coroners or medical examiners, when such individuals are performing duties authorized by law.
7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.
8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
9. For workers' compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers' compensation laws.
10. Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.
V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT:
1. Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.
VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:
1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say â€œnoâ€ if I believe it would affect your health care.
2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
3. The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
4. The Right to See and Get Copies of Your PHI. Other than â€œpsychotherapy notes,â€ you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a cost based fee for doing so.
5. The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a cost based fee for each additional request.
6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say â€œnoâ€ to your request, but I will tell you why in writing within 60 days of receiving your request.
7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.
EFFECTIVE DATE OF THIS NOTICE
This notice went into effect on September 20, 2013
Acknowledgement of Receipt of Privacy Notice
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. By checking the box below, you are acknowledging that you have received a copy of HIPPA Notice of Privacy Practices.
OTHER PROFESSIONAL SERVICES
Individual Therapy, Group Therapy, Relationship Counseling, Consulation, Supervision, EMDR + Adjunctive EMDR Therapy + Online Counseling Sessions
As an integrative psychotherapist, I'm delighted to offer a unique approach to emotional health and healing. My goal is to blend contemporary psychological practices, intuitive guidance and the wisdom of the ancient healing arts. The heart and soul of my approach is to help clients develop insight, self-awareness, self-acceptance, authenticity, self integration, respect for one's body, embodiment, healthy boundaries and self-care practices.
Psychotherapy For Adolescents + Adults
Individual adolescent and adult therapy is provided in my Manhattan office, and depending on client concerns, online using Skype or a HIPPA compliant platform. An initial consultation is the best way to determine if your particular needs and goals can be addressed using short-term or long-term psychotherapy. I have advanced post-graduate training in a variety of helpful techniques such as: EMDR Therapy, Cognitive Behavioral Therapy or CBT, Dialectical Behavior Therapy or DBT, Psychoanalytic Psychotherapy, Interpersonal Psychotherapy, Solution-Focused Therapy, Focusing, Gottman, Emotionally Focused Therapy or
EFT and Mindfulness. After an initial assessment, I will give you my opinion, and together, we can discuss your needs and create a treatment plan. We will also consider the duration of treatment and the approach or combination that will serve your goals. I have expertise in anxiety and mood disorders, addictions, compulsions, eating disorders, relationship problems, sexuality, identity concerns, self-defeating patterns and self-sabbotage, lack of purpose, goal setting, spirituality, family of origin issues, trauma/PTSD, attachment issues, self-esteem, transitions, loss, wellness coaching and an integrative therapy approach that addresses chronic pain and medical challenges.
Coaching, Strategizing + Mentoring
Coaching is not therapy. Coaching clients are goal-oriented individuals who seek results in their lives. Hiring a coach who is skilled to uncover obstacles, as well as guide and support your "best self," is a powerful resource. Having support and guidance as you practice new behaviors can be incredibly helpful. Some individuals seek an expert "strategist" to guide efforts towards growth and change. Coaching unearths the stubborn and often hidden, negative self-concepts that keep people anchored in their present reality. Identifying these unhelpful concepts helps clients move forward. Often, a positive and renewed sense of energy will emerge as soon as one begins the coaching process. Partnering with a life coach can be supportive, encouraging and empowering, and can help clients navigate change, restoring or creating balance and fulfillment. Whether it’s taking control of one's health, losing weight, career issues, focusing on goal-attainment, repairing a relationship, getting "unstuck" or transitioning to a new chapter in life, coaching can provide the needed inspiration and support one desires. Working with a licensed trained psychotherapist can yield exceptional results. Therapists have the necessary skills and tools that can be used when longstanding and resistant patterns interfere with progress. I regularly offer EMDR for blocks and peak-performance enhancement, mindfulness, meditation techniques, solution-focused strategies or cognitive and behavior techniques to my clients, combined with coaching strategies to help "stuck" clients move forward.
Relationship Counseling + Couples Therapy
I've successfully worked with many couples who desire a healthier and more satisfying relationship. I work with many high-functioning couples who would like to enhance their relationship and reestablish intimacy and connection. I also work with individuals at various stages of relationships including: newly-formed relationships, couples seeking pre-marital counseling and guidance, new parents seeking support, those considering separation or divorce and the newly single and ready to date. I draw from attachment-based theory, helping couples understand their own attachment style as well as that of their partner. Clients can learn to communicate their needs and "hear" the needs of their partner, as well as develop a shared vision or goals, learn acceptance and compassion for self and the other, heal from infidelity and develop new skills. Clients also are guided to identify and de-escalate triggers, address sex and intimacy concerns and understand how the past and family of origin issues may be impacting the relationship in the present. I use my training from The Gottman Institute, as well as Emotionally Focused Therapy or EFT and Non-Violent Communication or NVC to support my work with couples.
EMDR Therapy + Brainspotting
As an EMDRIA-approved, level I + II trained EMDR therapist, I have enjoyed great success with clients using EMDR therapy for a variety of chronic, longstanding difficulties as well as recent traumatic incidents. EMDR psychotherapy can be a stand-alone treatment or integrated into ongoing talk therapy sessions to speed the healing process. As a New York City-based EMDR specialist, I provide trauma resolution for PTSD symptoms, and healing for attachment deficits, developmental traumas, medical trauma and chronic physical and emotional abuse. Additionally, EMDR is an effective therapy for anxiety, obsessions, phobias, compulsions, panic attacks, depression, self-esteem, eating disorders, addictions and more. For individuals with anxiety, emotion regulation problems and in addiction recovery, elements of EMDR therapy can help clients develop and strengthen self-soothing inner resources. A combination of EMDR and coaching is an effective treatment combination for sports and peak performance enhancement and creative and performance blocks. Brainspotting, another technique developed by David Grand, PhD, combined with EMDR psychotherapy is a technique I use to address attachment issues, unresolved trauma, pre-verbal trauma and performance problems.
Consultations + Referrals
I provide consultation sessions that are time-limited and problem or goal-focused. Some individuals and families consult with a mental health professional for educational purposes, a clinical assessment or diagnosis, a second opinion, help with a personal or life challenge, support for a difficult transition or crisis and to obtain resources to other collateral support such as psychiatrists or treatment facilities such as rehabs for addictions and eating disorders. Clinical consultations allow a client, parent or family member to explore concerns, probem-solve with a professional and make decisions or changes in their lives that move them forward when they feel unsupported or "stuck." I am delighted to share my trusted resources to complementary, alternative and conventional medical referrals in New York City and beyond. Consultations are not psychotherapy and can be done long distance using an online service such as Skype, Google, FaceTime or via telephone sessions.
Integrative Therapy-Coaching, Mindfulness, Stress Reduction + Self-Care Practices
My interest in mind-body techniques and complementary medicine has allowed me to journey to some amazing places including workshops and training opportunities. Using my training with the Urban Zen Foundation and my yoga therapy training (RYT 200 + 500 hours), I help clients address anxiety insomnia, stress, trauma and chronic illness using a combination of guided imagery, breathing techniques, body scans, meditation and mindfulness. I've studied aromatherapy and Reiki and still enjoy both, including self-Reiki and Reiki with clients, friends and family. Using the brilliance of neuroplasticity, western psychological theory, and the power of cutting-edge nutrition, yoga therapy, chakra work and other somatic psychotherapies, I truly enjoy helping clients who are open to these techniques heal on many levels. Together we can decide what would work best for your particular needs. Some examples of integrative therapy include: mindfulness training, lifestyle recommendations (nutrition, meditation, exercise, yoga and sleep), boundary work, creative play, journaling, somatic therapy and more.
Supervision + Private Practice Development
I enjoy helping new practitioners such as social workers, marriage and family therapists, licensed professional counselors, licensed mental health counselors and psychologists develop and build their private practices. I am happy to provide clinical supervision for cases, and I especially enjoy helping interested therapists blend mind-body medicine and complementary techniques into their existing psychotherapy practices.
Psychotherapy, Coaching + Consultation Services
- Depression and mood disorders
- Anxiety and compulsive disorders
- Eating disorders, emotional eating and body image issues
- Borderline Personality Disorder BPD
- Adolescents problems (behavioral, emotional, family, academic challenges)
- Marriage, couples, relationship problems
- Celebrity, gifted and talented individuals
- Grief, loss, bereavement, life transitions
- Attention Deficit Disorder (ADD), Attention Deficit Hyperactive Disorder (ADHD)
- Addictions, drug addiction, process addictions, substance abuse, behavioral disorders, alcoholism
- Sexual addiction
- Adult survivors of abuse
- Adult children of alcoholics (ACOA)
- Dissociation, complex PTSD, emotion regulation difficulties
- Childhood, developmental trauma, traumatic events, accidents, medical trauma
- Self-harm, Self-sabatage, self-defeating behaviors
- Self-esteem issues, negative self-concept
- Performance blocks using EMDR therapy
- Surviving and managing relationships with borderline or narcissistic individuals or partners
- Men’s issues, career concerns, sexual difficulties, work/life balance
- Women’s issues, career concerns, transitions, parenting, caretaking, hormone imbalance
- Environmental stressors, crisis management
- Phase of life issues, aging
- Sexual and relationship issues for individuals and couples
- LGBT concerns, alternative lifestyles
- Work, creativity and career issues
- Life purpose, existential, spiritual concerns
- Individual, couples, marital, family, group therapy
- Weekend intensive workshops for couples
- Coordination of services with school, medical practitioners, legal counsel, etc
- Consultation and evaluation for potential in-patient residential treatment
- Parent and new parent education, coaching
- Addiction evaluations, assessments, referrals to medical and allied professionals in New York City and beyond
- Executive coaching
- Peak performance coaching
- Clinical supervision, private practice building business, consulting
- Presentations, workshops
- Mindfulness, meditation instruction, stress management
- Recovery support for individuals including their families
- Self-care, well-being, burnout support and coaching
- Psychodynamic, relational, interpersonal psychotherapy
- Mindfulness, meditation support
- EMDR therapy
- Focusing techniques
- Crisis counseling
- Short-term, goal-oriented therapy
- DBT skills
- Marriage and relationships
- Clinical supervision
- Online via telephone, Skype, FaceTime or a HIPPA compliant service
Helpful information About An Integrative Psychotherapy Practice
Psychodynamic psychotherapy is an evidence-based and active therapy that has a long history and tradition used in both short and long-term treatment. Psychodynamic sessions include the process of increasing self-awareness, encouraging self-expression, understanding conflicts, developing insight into the behaviors of self and other, unearthing unconscious content that can interfere with functioning and understanding patterns and dynamics that may have origins in the past but are played out in the "here and now." This form of therapy uses the relationship between patient and therapist to heal. The interpersonal relationship tends to be the focus of sessions as an active example of other relationships in the patient's life, so that patterns and distress can be "worked through" and not repeated outside of treatment.
CBT or Cognitive Behavioral Therapy
Cognitive Behavioral Therapy focuses on examining and changing maladaptive thoughts and behaviors. CBT tends to be a short-term approach that is highly-effective for many with empirically-tested techniques supporting an increase in skills and a change in behaviors. CBT is an effective solution for a variety of concerns including anxiety, depression and addictions/substance abuse.
DBT or Dialectical Behavior Therapy
DBT was originally developed for the treatment of Borderline Personality Disorder. With time, DBT skills and techniques have been found to be helpful for individuals who struggle in many areas of life including substance abuse, addictions. DBT treatment combines ideas of awareness, acceptance and change from mindfulness with a range of psychological theories. Because DBT skills are practical and can be generalized into many areas of life, DBT can be successfully integrated into treatment plans and used in a variety of treatment settings. DBT uses mindfulness and other skills to help increase emotion regulation, distress tolerance and interpersonal effectiveness with the goal of helping patient's cope, de-escalate, and self-regulate.
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy (ACT) gets it name from one of its core messages which is to accept what is out of your personal control, while committing to action that will improve the quality of life. The goal of ACT is to help people create a full and meaningful life even and especially when the stress and pain of life is a challenge. ACT teaches the psychological skills to manage painful feelings and thoughts in an effort to reduce the impact of suffering. Another aim is to help individuals clarify what is important and meaningful, using that awareness to guide, motivate and inspire them to make important changes that will lead to a better life. ACT supports cognitive flexibility in addition to encouraging individuals to observe and allow difficult thoughts feelings, emotions and experiences to simply occur. ACT also helps patients identify concrete short and long-term goals.
Mindfulness is the practice of moment-to-moment awareness of feelings, thoughts and bodily sensations as well as an awareness of the environment and one's surroundings. Mindfulness, as a philosophy, has more recently become a widely-used and helpful practice in the fields of psychology and psychotherapy. Additionally, mindfulness is an empirically-validated practice with data that supports its efficacy and application in a range of clinical and non-clinical settings. A mindfulness practice includes the observation of feelings, emotions and sensations, a non-judgmental presence and the awareness of the present moment.
EMDR is an evidence-based treatment that targets many symptoms and conditions including trauma, negative memories, phobias, fears, anxiety, addictions, compulsions and performance difficulties. Originally used to treat Veterans, EMDR therapy is now one of the most efficient and effective trauma/symptom treatment methods that allows clients to fully heal from their psychological wounds. EMDR can successfully be integrated into psychotherapy sessions. Many clients find EMDR to be more effective than other forms of therapy including CBT and traditional “talk therapy.”
Psychotherapy for Depression
Clinical depression is a complicated condition that can be treated with interpersonal psychotherapy, medication and a collaborative approach to identify the biological and psychosocial factors that may have contributed to a patient's depressive symptoms. Depression can be mild and show up with seasonal changes and it can be debilitating and interfere with activities of daily living, life skills, relationships, employment, hope and may also include the desire to end one’s life. Depression treatment is generally supportive in nature, and may require help with daily structure and coping skills and often requires working with other mental health professionals. Interpersonal psychotherapy, CBT and EMDR therapy can be effective treatments for depressed patients as can antidepressant use, light therapy, vitamin D and supplements.
Psychotherapy for Anxiety
Anxiety symptoms bring many into therapy for the first time. Not all clients experience anxiety in the same way. For some, anxiety is a distress that presents in a specific situation such as performance, public speaking or test-taking. For others, anxiety may be experienced as chronic and ranging from mild to debilitating, including uncomfortable physical symptoms. Anxiety sufferers are best helped by understanding emotional conflicts, environmental and genetic factors with treatment that may include talk therapy, CBT, stress reduction techniques, Somatic Experiencing (SE) and EMDR Therapy to target early trauma, memories and present-day distress.
Trauma Treatment and PTSD
Early trauma and chronic developmental traumas that have impacted a patient's development and attachment relationships are the most difficult to heal. Psychotherapy can help validate the patient's experience, work through any feelings of shame and confusion that may have been internalized, process the traumatic experience or event and help them understand how their current life is impacted by traumatic experiences. Psychotherapy can help individuals identify triggers in daily experiences that create symptoms and contribute to familiar self-defeating patterns and dynamics. While talk therapy can be a good place to begin for some trauma patients, EMDR is the treatment of choice to provide symptomatic relief and truly heal from trauma.
Loss and Bereavement
Losing something or someone is difficult and complicated for many reasons. Loss can include a loved-one, pet, health, job, lifestyle, home, identity, status, and more. Loss, especially when significant to the individual, requires mourning and grieving that loss, experiencing the associated feelings, and eventually, moving forward. Psychotherapy can give the individual a safe place to grieve and feel the sadness. The healing process is different for everyone as is the length of time required to heal.
What happens in therapy?
A number of benefits are available when you engage in the therapy process. Therapy helps people gain relief from unpleasant feelings and thoughts, create more fulfilling and meaningful relationships, and gain more pleasure and control in their lives. Psychotherapy helps clients get to the root of their difficulties and learn ways to become more self-aware, cope with difficult emotions, improve mood, gain control, feel connected to others, develop the skills to handle future problems, and live more fulfilling and satisfying lives. Therapists can provide support, practical problem-solving skills, and enhanced coping strategies for issues such as: troubling patterns and behaviors. a crisis, managing difficult people, internal conflicts, neurosis, life transitions, anxiety, depression, sadness, loneliness self-esteem, relationship problems, unresolved childhood issues, trauma/abuse, grief, stress management, body image issues, eating disorders, feeling lost or stuck, sexuality or identity concerns, addictive behaviors and creative blocks. Many people also find that counselors or psychotherapists can be a tremendous asset to career concerns, managing personal growth, professional relationships, family concerns, marriage issues, parenting challenges, developing healthier habits, connecting to the body, understanding thoughts, feelings and emotions, balancing the stress of daily life and goal-setting. High-achieving, successful individuals often experience emptiness, unhappiness, disappointment, loneliness, stress, anxiety and interpersonal problems which may lead to less than desirable coping solutions such as addictions, alcohol and drug abuse, eating problems and sleep deficits. Therapists can provide a fresh perspective on a difficult problem or help their clients discover helpful solutions. Many lasting benefits can be obtained from personal, couples or group therapy. You can learn more about therapy from the American Psychological Association or APA Learn more here
Therapy and counseling can help clients with the following issues:
- Reframe current life circumstances and gain a different perspective
- Learn to manage difficult work and personal transitions and changes such as marriage, new baby, mid-life problems and aging
- Gain the support needed to get through difficult times such as loss and change
- Learn to feel and live a more authentic life, accept feelings of being “different”
- Develop healthy self-esteem and resolve persistent negative self-states
- Develop healthier coping skills, habits and boundaries
- Have healthier personal and work relationships
- Develop awareness of any repetitive patterns that interfere with success and happiness by understanding how past dynamics interfere with the present
- Manage difficult people personally and professionally
- Develop a path of purpose and life fulfillment
- Heal from past trauma and abuse and process traumatic memories and dissociation
- Increase insight and self-awareness and identify innate strengths
- Improve communication, learn conflict resolution, develop better listening and self-assertion skills
- Address depression, sadness, feelings of despair and isolation
- Learn helpful coping skills for stress, anxiety, phobias and panic attacks
- Relieve stress and insomnia and learn relaxation response
- Manage destructive patterns that include drinking, eating, drugs, addictions and self-harm
- Understand negative and habitual patterns of thinking and behaving
- Resolve writing, creative and other performance blocks
- Mourn losses such as separation, divorce, miscarriage, infertility or the death of a loved-one
- Develop effective parenting skills
- Address problems related to chronic pain, fibromyalgia, autoimmune disorders, medical procedures and diagnoses
- Heal from sexual abuse, emotional/psychological abuse, domestic violence and natural disasters
- Resolve sexual and identity concerns
- Manage feelings of overwhelm, feel more embodied and develop an awareness connection between mind and body, feel more
What can I expect?
If you're considering therapy now, then you're experiencing challenges in your own life or with others. Psychotherapy is not like sharing problems with a trusted friend. It involves looking closely at yourself, your situation and the people around you. This can feel difficult and scary, but therapy with a trained therapist can help people find solutions to problems, relieve distressing symptoms such as anxiety and depression, support good mental and physical health, promote integrity and honesty and help individuals develop intimacy in relationships. Reaching your full potential, understanding yourself and others and removing barriers to happiness and fulfillment are but a few goals of successful, effective therapy. Even though you may have good friends and family members to talk to, a psychotherapist or psychologist with professional training is able to see things from a different lens and even challenge and support you in ways that the people in your life cannot.
How do I know what to look for in a therapist?
When you choose a therapist, you should feel understood and not judged for the concerns that led you to seek counseling. You should feel comfortable sharing your thoughts and feelings with your potential therapist as the process requires an investment of time and emotional energy. Your therapist should have good interpersonal skills as well as empathy and compassion. You should choose a therapist who has training in the areas that you are seeking help with. Some therapists have received specialized training in areas such as trauma, addictions or eating disorders. If your problems are serious enough to impact the quality of your life and your ability to function, you may need to find a specialist or someone who specializes in your particular problem. Many therapists have received general psychotherapy training and consider themselves generalists and are able to treat a range of difficulties. Some psychotherapists have received specialized training in addition to graduate school. This article in Psychology Today explains the process as well as list important qualities to look for in a therapist.
How long will I need to be in therapy?
Your personal needs and goals are always a priority, and will shape the time you spend in sessions. Many individuals desire focused, structured and time-limited sessions with a clear plan targeting specific problems or goals that can be met within a relatively short period of time, while other difficulties require a more intensive focus and may take longer to resolve. This is especially true when people have been struggling for a long time and patterns and habits are rigid and entrenched. Some will do best with once or twice weekly sessions that are consistent—this process allows clients to examine patterns and dynamics that may interfere with healthy functioning.
What kind of therapy should I be looking for?
Increasing insight into problems and self-awareness is one goal of therapy, but unfortunately, that alone does not always lead to the desired change. For this reason, and with certain clients, it may be necessary to implement behavioral changes and track progress between sessions. Some clients need targeted, specific types of therapies that resolve symptoms related to trauma. The duration of treatment is highly variable and depends on many factors, including: the nature of the problem, client motivation and having realistic goals for change. Depending on client needs, one may benefit from a number of different therapeutic strategies and techniques. In your initial consultation, you should work with your therapist to figure out the best approach for you. Therapists may use or combine the following approaches: psychoanalysis, psychodynamic psychotherapy, interpersonal, humanistic, gestalt, Emotion-Focused Therapy [EFT] and relational as well as evidence-based therapies such as EMDR therapy, Somatic Experiencing (SE), Dialectical Behavior Therapy or DBT, Cognitive Behavioral Therapy or CBT to name a few.
Are my sessions confidential?
It is important to know that everything you say during psychotherapy sessions will be kept confidential. The only exceptions are when there is a danger that you may harm yourself or someone else, or in active cases of abuse. Mental health professionals are obligated by law to disclose that information to the appropriate authorities. These situations are rare. Most people find it a great relief to have a safe place where they are able to share what's on their mind with a non-judgmental, supportive and trained professional.