Practice

Overall Approach to Practice

I approach all of my patients with the immediate concern for relieving troubling symptoms and resolving current life problems. In order to do so, attention is focused on identifying the underlying biological, emotional, and environmental sources of these difficulties.  This requires careful and respectful listening from my side and an effort on the part of my patients to attempt to talk increasingly freely about themselves and to listen to how they feel, think, and relate to themselves and others.

People often present for treatment with the following conditions and/or problems:

  • Depression
  • Anxiety
  • Difficulties with self-esteem
  • Dissatisfaction with relationships
  • Underachieving in academic pursuits and in work and professional life
  • Identity issues
  • Lack of meaning in everyday life
  • Unremitting grief
  • Interactions between emotional and physical illness in acute or chronic medical problems
  • Interference with the creative process
  • Problems specific to practicing professionals

Psychotherapy and psychoanalysis are treatment approaches which can be used to address these problems either alone or in conjunction with medication. My specific approach to psychotherapy is focused on the exploration and understanding of emotions, interpersonal relationships, the effects of past experiences on the one’s present-day life experiences and choices, the awareness of recurring themes in one’s life, and the pervasive influence of one’s unconscious mental activity.  Psychotherapy is intended to assist people to have greater success in their relationships, to achieve better clarity and confidence about who they are and what they want in life, and to reach their potential in pursuits that are important to them. If my patient and I believe that medication will be helpful, I will judiciously prescribe it usually during the course of the ongoing psychotherapy. There are times that medication is not only necessary for symptom-relief, but also required for some patients to be able to make optimal use of the therapeutic process.

Psychoanalysis is a more in-depth form of psychotherapy for people who may have had unsuccessful attempts at resolving their problems and achieving their potentials through briefer therapies. Some people find that they keep running into emotional or functional limitations that prevent them from having more success in work, satisfaction in relationships, and greater peace of mind. Patterns of relating to themselves or others that may have developed out of necessity earlier in life may impede fuller freedom and satisfaction at the present time.  In these circumstances, I work with patients more frequently in order to generate a therapeutic process that is more comprehensive and is intended to bring about fuller and more lasting changes.