Integrative Psychiatry Treatment Model
My approach to healing combines the standard treatments of psychotherapy and psychiatric medications with non-medication interventions to treat anxiety disorders, PTSD, and ADHD. My primary focus is on non-medication interventions for those who philosophically are more interested in these or cannot tolerate medications easily. At the core of my approach is guiding you in cultivating mindful self-compassion and accessible somatic skills (connecting with your breath, targeted muscle relaxation, grounding strategies, etc) focused on reducing distress and regulating your emotional state. I utilize non-medication interventions such as plant medicines, nutrients, and vitamins to optimize brain function and minimize the amount of medication needed to improve your symptoms and reduce distress. I do standard laboratory testing to identify any conditions and/or deficiencies that guide the optimal interventions for your treatment.
Psychotherapy and Integrative Medication Management
There are many non-medication and medication interventions that can be effective in reducing distress caused by anxiety disorders, PTSD, ADHD, and depression. I will collaborate with you to identify the most effective tools for you.
I see many individuals for regular weekly or biweekly skills based therapy with a central focus on compassion-focused mindfulness.
I also offer monthly visits focused on integrative medication management using a holistic, positive psychiatry model as discussed above.
For those who have experienced intolerable side effects from, or a lack of effectiveness with, medications I utilize pharmacogenomic testing to identify the medications with the greatest likelihood of being effective and well-tolerated. Many plant medicines, vitamins, and nootropics are particularly helpful in such situations targeting symptoms and reducing the dosage of medications used.


Mindful Self-Compassion
The evidence is now clear that mindfulness physically changes the brain improving symptoms and reducing distress. Of all the various mindfulness approaches, compassion-focused interventions are the most powerful way to facilitate this healing process.
As these changes in your brain occur, you will have an improved ability to navigate automatic patterns of thinking that cause distress and suffering.
I use straightforward strategies to help you understand and apply mindful self-compassion. Please visit my blog to learn about the Science of Self-Compassion and
my Links page for the link to the guided meditations on my YouTube Channel.
Insurance and Billing
I do not accept any insurance or work with insurance companies directly, as is the case with many private practices in New York City. You will be required to pay for your appointments in full at the time of your visit and then seek reimbursement from your insurance for any out-of-network benefits available under your specific plan. I will provide you with a superbill that includes all the necessary information to submit for reimbursement. As examples, you can use the code 90792 for the initial consultation, and the combined codes 99213/99214 and 90836 for all follow-up visits to get an idea of what your insurance plan is likely to reimburse. These codes are not a guarantee of reimbursement, but they can provide an estimate of what you can expect to be reimbursed. Additionally, utilizing benefits through your employer such as a HSA (Healthcare Spending Account) or FSA (Flexible Spending Account) may further reduce your out-of-pocket expense.