Psychodynamic case formulation
We can think about symptoms, development, relationships, defenses, unconscious expectations, and what the patient may be communicating through the treatment itself.
For clinicians
The case, the clinician, the relationship, and the system all belong in the room.
Psychodynamic supervision and professional consultation for therapists, trainees, physicians, and other healthcare professionals.
Clinical work under pressure
A treatment can become stuck for more than one reason.
The patient may be frightened, angry, mistrustful, or ambivalent. The clinician may be anxious, overresponsible, defensive, bored, or trying too hard to help. The institution may be rushing the work, splitting the team, or asking one relationship to contain a problem created elsewhere.
Supervision gives us a way to think about all of it without reducing the treatment to technique or treating the clinician’s reactions as an embarrassment to be removed.
Countertransference & use of self
Your reactions are part of the clinical information. We can examine what belongs to you, what may be evoked by the patient, and how to use that understanding without acting it out.
Medical complexity & institutions
I have particular interest in work shaped by illness, healthcare, risk, hierarchy, mistrust, disability, residency training, and the competing demands of patients, families, teams, and systems.
Professional identity
Consultation can also address the clinician’s development: authority, uncertainty, boundaries, ambition, rescue fantasies, fear of error, and how to remain curious when the work feels consequential.
Format
One case or ongoing work.
You may want a single consultation about a difficult case, a short series around a defined clinical problem, or ongoing supervision. The form of our work depends on your discipline, level of training, goals, and any licensing or institutional requirements that apply.
Contact me with a brief description of what you are looking for. Please do not include identifying patient information in an initial email or website message.
Ask about supervisionReady to feel a bit better?
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