Insight without change
When therapy has stopped working
You've done the work. You have the timeline, the language, the insight, and the same thing happened again on Thursday.
You might recognize
Some of this may sound familiar
- You can narrate the pattern accurately while it's running.
- You've told the story so many times it's gone flat in your mouth.
- Insight lands and your body doesn't get the message.
- You've started to wonder, quietly, whether you're the problem with therapy.
In the work
What we actually do
Working below the explanation
Explaining a pattern and changing one are different tasks that use different equipment. Experiential and somatic therapy goes at what's happening right now — in your posture, your breath, the thing that just shifted when you said her name. That's slower on the page. It's a different kind of work than recounting it afterward.
Slower, and much more specific
Plateaus are often a sign the work has been staying at the level of summary. So we stop summarizing: one moment, one Thursday, in detail, for longer than feels reasonable. Detail is usually where the survival response is still visible.
Something is holding it in place
If a pattern has survived years of accurate insight, something in you is keeping it there on purpose, usually for a reason that made sense once. Internal Family Systems and Inner Relationship Focusing give us ways to meet that directly. Nothing gets pushed for the sake of a breakthrough.
“If you've ever felt like you understand your issues but can't seem to change them, that difference matters.”
FAQ
Questions people ask
Does this mean my last therapy failed?
No. Many of the people I work with got somewhere real with a previous therapist and then hit a plateau. Understanding isn't nothing — it's just a different thing than change.
How do you work differently?
I'm trained in Internal Family Systems, Inner Relationship Focusing, somatic and experiential psychotherapy, psychodynamic and relational psychotherapy, mindfulness-based approaches, and psychedelic integration including ketamine-assisted therapy, where the medication is prescribed, screened and overseen by a separate independent licensed medical provider and never by me. What they share is attention to what's happening in the room rather than a recap of your week. Therapy outcomes are not guaranteed.
Is ketamine-assisted therapy part of this?
Sometimes, and only alongside ongoing psychotherapy with me — it isn't a first-line treatment. A session runs 180 minutes and costs $846, in person at my office in Manhattan or in your home. Ketamine is prescribed, screened, and overseen by a separate independent licensed medical provider, never by me, and I don't prescribe, supply, or administer medication.
Where does the weekly work happen?
Weekly therapy takes place via telehealth. I am licensed in New York and can only offer psychotherapy services to people who reside in New York State.
What if I feel hopeless about any of it working?
If you are in danger right now, call or text 988 or dial 911. This site isn't a crisis service and email is not monitored for emergencies.
What are your cancellation terms?
I ask for 24 hours' notice to cancel or reschedule, and the full fee applies after that. A Good Faith Estimate is available.
Start with a free consultation
A short conversation to see whether we would be a good fit for working together. Weekly therapy takes place via telehealth. I am licensed in New York and can only offer psychotherapy services to people who reside in New York State.