Premium Psychotherapy Services
INDIVIDUAL THERAPY
EXPERT PSYCHOTHERAPY
Empathy and collaboration are core elements of effective treatment. We work together to develop a plan that starts forward momentum immediately with behavior change. That is the quickest way to experience a sense of success, and we build from there.
BEHAVIOR CHANGE
Any life transformation includes behavior change. That requires a commitment to make changes in your daily life outside the therapy hour. We start with small steps that you can achieve, and follow these guiding principles:
Action precedes motivation
Do one thing
Small changes, BIG impact
TELEHEALTH
& IN-PERSON
TELEHEALTH
Services are provided via Telehealth with secure video conferencing. Telehealth offers convenience, eliminates the need for travel to the office, and provides flexibility as I work with clients across California and Massachusetts.
IN-PERSON VISITS
In addition to telehealth sessions, I offer the option of home visits on an as-needed basis for local San Diego residents. When clinically indicated, home visits can be effective for enhancing clinical outcomes
If requested, arrangements can be made to meet clients in person at a local office in San Diego.
SPECIAL CIRCUMSTANCES
Travel can be arranged to meet with clients in person outside of the San Diego area.
CONSULTATION
EXPERT CONSULTATION
I offer stand-alone consultation services to evaluate clients and provide treatment recommendations. This includes a written report with practical suggestions for treatment and lifestyle changes.
PSYCHOTHERAPY CONSULTATION Sometimes one’s psychotherapy hits a wall for whatever reason. An outside clinical opinion is needed. This may be requested by the client, the therapist, or both. The consultation includes meeting with the client as well as with the therapist. I provide a written report with treatment recommendations that are concrete and practical.
KETAMINE
I consult with clients who are undergoing Ketamine treatments for Treatment-Resistant Depression (TRD) and severe anxiety, to recommend behavioral treatment interventions to enhance the effectiveness of Ketamine.
Unconventional Approaches to Meet the Urgency
PSYCHOTHERAPY SESSIONS
60 minutes (not the “45-minute hour”)
The extra 15 minutes is 30% more time than a conventional therapy session. The longer session is a more efficient way to make progress and give your concerns the full attention they deserve.
Conventional vs. Frontloading
The conventional therapy approach is once per week. HOWEVER, for clients with an urgent need to make progress, starting with a higher frequency of sessions (2x/wk) can help you jump-start the process and get unstuck more quickly. I call it frontloading.
Frontloading meets the urgency
Yes, it is a greater time commitment and more costly in the near term. AND, frontloading is a more time-efficient (and cost-efficient) approach to meet the urgency of making meaningful changes in your life.
Care Coordination
If you are on meds, I work with your psychiatrist or NP to coordinate your care and monitor your progress.
FLEXIBILITY
Matching Treatment to Clients
There is not one method that works for everyone. Flexibility is important. The aim is to match the treatment to the problems and challenges in your unique life circumstances.
Treatment recommendations make it a priority to mobilize you quickly toward positive change. Your feedback is essential for therapy to be most effective.
Flexibility of Therapy Sessions
Weekly sessions or frontloading for higher intensity treatment to meet the urgency
Frontloading at the beginning of treatment and then tapering to weekly sessions as you make progress
Or, keep the high frequency of sessions to maximize the positive impact of the therapy
Add brief phone check-ins (15 minutes) in between full sessions
FAMILY SUPPORT
Your Family
Family includes parents, spouse, partner, siblings, extended family, and even close friends. I see this as your “family community” of people who love and care about you.
Family Education and Involvement
In certain situations, with your permission, it may be helpful to involve your family in your treatment. The aim is for them to support you during your journey to make meaningful life changes. Family involvement focuses on practical ways they can support you:
Education about your condition and treatment
Supporting your efforts to change behaviors and habits
Facilitating healthy communication
Setting boundaries among family members
Recommendations on do’s and don’ts
PAYMENT
All services are self-pay. No insurance.
Dr. Ed will discuss the treatment approach and timelines to help you understand the value and cost-effectiveness of Expert Psychotherapy.