You’re stuck. Living with a mental health condition that is a huge barrier to a functional, productive, and meaningful life. After seeing multiple therapists, trying self-help and even chat bots, you haven’t made the progress you hoped for.
Frustration is high. Now what? You need a guide to lead you on a new path.
Edmund Neuhaus, PhD ABPP
Hi, I’m Dr. Ed. I started Blue Train Clinic for you. As a board certified psychologist and longstanding leader in clinical care, teaching, and research at Harvard Medical School, I provide premium psychotherapy services for “hard to treat” conditions: Treatment Resistant Depression, Severe Anxiety, Bipolar Disorder, other complex mental health
conditions, and challenging family situations.
The goal of therapy is clear: help you improve your functioning and move toward a more stable, meaningful, and productive life
Licensed to practice in California, Massachusetts & Florida
Beginning therapy can feel overwhelming—especially if you’ve already tried multiple approaches without the progress you hoped for, or if you have a complex condition and need the highest level of expertise.
Therapy is a journey. Dr. Ed helps you take that first step to start positive momentum. The goal is to improve your functioning. The key is behavior change. Even small changes in your behaviors and habits can have a big impact.
Dr. Ed works directly with every client. There are no intake coordinators or automated systems—just a focused conversation about what you’ve been experiencing and how to move forward.
Send Dr. Ed message through the contact form. Every inquiry is read personally by Dr. Ed and he will get back to you quickly. There are no automated responses or gatekeepers.
Dr. Ed will connect directly with you for a 20-30 minute screening call to learn about your situation and priorities for therapy. This conversation helps determine whether this is the right fit for your needs and goals.
If you decide to move forward, the next step is scheduling a formal evaluation to develop a treatment plan tailored to your unique life circumstances. Dr. Ed will explain the approach and rationale and provide you with a written report.
Therapy progresses in stages with a focus on evaluating progress along the way. Your feedback is essential to ensure that treatment stays on track. Any plan will require adjustments based on your feedback and Dr. Ed’s assessment.
Many people with serious mental health conditions spend years in treatment without getting the results they need. These are the conditions Dr. Ed has spent his career specializing in.
You have tried medication. You have tried therapy. There have been some good stretches but never real lasting change. This is one of the most common reasons people find their way to Blue Train Clinic.
Anxiety that controls your decisions, shrinks your world, and keeps you stuck in avoidance patterns that feel impossible to break. Dr. Ed works with people for whom anxiety has become a barrier to living.
Bipolar I and Bipolar II are complex and frequently mismanaged. Dr. Ed has worked with hundreds of people living with bipolar disorder and understands the full picture of what treatment requires.
A first episode of bipolar disorder or psychosis between the ages of 18 and 25 is devastating for the young person and terrifying for their family. Dr. Ed works with both the client and the people supporting them.
Families need support and expert guidance when a parent or adult child is dealing with mental health issues. Dr. Ed draws on his deep experience working with families in crisis. His practical approach helps families stabilize and improve their relationships
That is exactly what the first conversation is for.
Expert psychotherapy is built on two simple ideas: Action Precedes Motivation and Calm Your Nervous System.
You want results! Expert psychotherapy is built on three principles:
Adapting treatment to your unique life circumstance
Dr. Ed brings deep clinical expertise in evidence-based treatments (Cognitive Behavior Therapy—CBT, Behavioral Activation, Mindfulness Based Stress Reduction, Dialectical Behavior Therapy—DBT, and Acceptance & Commitment Therapy—ACT) which he adapts to your specific life circumstances.
Improve Functioning
You learn skills to change behaviors and habits, improve emotion regulation, and develop a mindset where you feel more in control to navigate the twists and turns of daily life.
The Blue Train name is inspired by the jazz legend John Coltrane and the name of his timeless album. He embodies the jazz tradition where deep technical mastery allows for creativity, responsiveness, and improvisation in the moment. Dr. Ed’s approach to psychotherapy works in a similar way. Effective treatment is grounded in rigorous evidence-based methods—the Fixed Values. But no single approach works for every individual. Real progress requires Flexible Treatment: the ability to adapt—thoughtfully and skillfully—to each person’s unique life circumstances. At Blue Train Clinic, this means combining strong clinical structure with the flexibility to adjust the approach so it truly fits you.
This is not a high-volume practice. Dr. Ed works with a limited number of clients at a time to provide focused, individualized care — especially for those dealing with complex or hard-to-treat conditions. The goal is not ongoing therapy without direction, but meaningful progress and forward movement.
The first step of the journey is an evaluation focused on understanding your situation and building a treatment approach tailored to you.
Therapy sessions are 60 minutes (not the “45-minute hour”). The longer session is a more efficient way to make progress and give your concerns the full attention they deserve.
Therapy requires an investment of time, money, and emotional effort. The aim is for you to get high value for the money you are paying.
I Had Tried Everything. This Was Different.
I had been in therapy on and off for years with very little to show for it. Dr. Ed was the first person who actually gave me a plan, held me accountable to it, and helped me understand why the other approaches had not worked. Within a few months I was functioning in ways I had not in years.
Treatment-Resistant Depression
He Took My Case Seriously When Others Had Given Up
My anxiety had completely taken over my life. I was avoiding everything and my world had gotten very small. Dr. Ed understood the pattern immediately. He did not just validate how I was feeling, he helped me take small concrete steps that started to change things. I finally feel like I have my life back.
Severe Anxiety
As a Parent, I Finally Felt Supported Too
When my son was diagnosed with bipolar disorder I did not know where to turn. Dr. Ed worked with him directly and also guided me through the process. Having someone with his level of expertise explain what was happening and what to do made an enormous difference for our entire family.
Young Adult Bipolar Disorder
The Most Accountable Therapist I Have Ever Worked With
What set Dr. Ed apart was the written treatment plan and the regular reviews. I always knew what we were working on and why. Therapy finally felt like something with a direction and a destination instead of just talking in circles.
Bipolar II and Depression
Reaching out can feel like a big step — especially if previous efforts haven’t led to the progress you hoped for.
All communication is confidential and handled directly by Dr. Ed. You can share as much or as little as you feel comfortable. The goal is simply to begin a conversation and determine whether this approach is the right fit for you.
"The goal of therapy is to get out of therapy and live your life on your terms."
It is not a general practice. Blue Train Clinic is a boutique practice where Dr. Ed specializes in hard-to-treat cases. People who seek treatment with him have usually already tried therapy and have not gotten the results they wanted or needed. He brings deep clinical experience in evidence-based treatments, with Clinical Psychology Board Certification and 25+ years of clinical leadership at Harvard Medical School. Over the course of his career, Dr. Ed has provided direct service and led programs for thousands of patients with Depression, Anxiety, Bipolar Disorder, and other complex mental health conditions.
No. Blue Train Clinic is self-pay only. Dr. Ed is not on any insurance panels. Dr. Ed customizes the therapy for each client and is not constrained by insurance-based restrictions and administrative barriers.
Fees reflect the Premium Services Dr. Ed provides with his experience and credentials. Fees include 60 minute sessions, report writing, customized education materials, customized audio recordings for skills practice, and coordination of care as needed. Fees for additional time/services outside of therapy sessions are determined on a case-by-case basis.
Reach out to Dr. Ed through the Contact form. He personally reads every message and will respond to set up an initial 20-30 phone conversation to understand your needs and priorities, answer your questions, and review fees. If you decide to move forward, he will schedule an appointment to start treatment and get you moving quickly in a positive direction.
Dr. Ed works with adults dealing with Treatment Resistant Depression, Severe and Debilitating Anxiety, Bipolar I and Bipolar II Disorder, and young adults experiencing first-break bipolar or psychotic disorders. He works with parents and family members who are supporting a loved one through serious mental health challenges. And, he offers Family Therapy to guide and support families in crisis or with ongoing challenges.
Every client starts with a thorough evaluation. From there Dr. Ed builds a written treatment plan tailored to your specific life circumstances, history, and goals. He draws from CBT, ACT, DBT, Mindfulness-Based Stress Reduction, Behavioral Activation, Psychodynamic Therapy, and Family Systems Therapy depending on what fits you best. Progress is reviewed on a regular basis which combines Dr. Ed’s assessment and the client’s feedback. Adjustments are made and the treatment plan is updated until the next review.
Based on the evaluation, Dr. Ed reviews the options with you. Standard therapy is once per week. A “Frontloading” approach is two sessions per week to gain traction quickly. Given the circumstances of many clients frustrated with past treatments, Frontloading is desirable because it tends to produce results more quickly. Once you have positive momentum you decide whether it makes sense to taper down the frequency of sessions.
Dr. Ed is based in San Diego, California and offers telehealth sessions for clients in California, Massachusetts, and Florida. He also sees clients in-person in his office which is centrally located in San Diego.
This is very common. Dr. Ed often has first contact with parents seeking treatment for their adult child, or other family members seeking treatment for parents, siblings, or extended family. Many young adult clients dealing with bipolar disorder or early onset psychosis are resistant to treatment and parents are often the ones reaching out first. Dr. Ed provides education, guidance, and support for parents and other family members who are navigating this complex family situation.
If you have tried therapy before and are still stuck, this is the conversation you should have had a long time ago. Dr. Ed personally responds to every inquiry. One message is all it takes to start moving forward.
