Frequently Asked Questions
1. What kind of problems do treat? Psychoanalysis and psychoanalytic psychotherapy have been shown to be very effective in a broad range of conditions. Symptoms of patients seeking my help include anxiety, low self-esteem, depression, obsessive-compulsive behaviors, feelings of inadequacy, marital discord, appetite and sleep difficulties, or loss of sexual desire. I do not treat children or patients under 18 years of age.
2. How are you different than any of the other therapists in the New York area? Following psychiatric residency, I began psychoanalytic training which requires decades of didactic and clinical training in addition to one’s personal psychoanalysis. Since graduation in 1997, I have spent countless hours practicing psychoanalysis, as well as teaching and writing in the field.
3. What can I expect in my first session? A good initial consultation, like psychoanalytic treatment itself, requires tact and interest as well as timeliness. First sessions are usually arranged within the first 48 hours. We will meet in my office and you will be invited to discuss your concerns. Normally, at the end of the first hour, I will summarize my understanding of the central areas of conflict. I will likely want to see you in the following few days to reinforce a reflective process that has already begun and to develop a richer sense of your life story. Emergent situations will never be tabled.
4. I worry that I will be trapped into seeing you. If I feel uncomfortable, will I feel free to go elsewhere? Almost everyone who begins treatment has significant and important fears. If I sense uncertainty or reluctance I will address it and invite you to voice your concerns fully. A treatment founded in significant mistrust, like any other significant relationship, is likely destined to failure unless the underlying anxieties and apprehensions of each new patient is explored. When and if we are at an impasse, I will do whatever I can to arrange a referral that seems more fitting or helpful.
5. You indicate that you prescribe medicine and therapy. Why is this important? My experience using antidepressants, anti-anxiety medications and sleep preparations allows me to help patients who require immediate relief. Judicious medication use can grant time to properly evaluate a patient’s needs and allow for the unfolding of a treatment which then can allow for the gradual cessation of medication.
6. Is there an introductory rate? No. My standard fee is $325 for a session of 45 minutes. I employ a sliding scale depending upon individual circumstances for patients who require multiple sessions per week. For those who have out-of-network coverage, I will work with you until insurance reimbursement begins.
7. How are fees handled and do you take insurance? I normally bill patients at the end of each month. I do not take insurance, but will work with clients to obtain full available reimbursement. Fees are discussed early in consultation. Psychoanalysis or psychoanalytic psychotherapy, with multiple sessions per week, can be financially difficult and every effort is made to help with that reality. If preferred, I will and can accept most major credit cards.
8. You mentioned a patient should be seen twice-a-week at a minimum. Why? The once-a-week hour is by necessity filled with “catching up.” There is little opportunity to link current matters to longer life trends, or to demonstrate the emotional repetitions that emerge in the relationship between patient and analyst. Once-a-week treatment is, in my opinion, something to be avoided because it has the potential of wasting time and money while providing only an illusion of care.