Updated early 2026.

Since the private practice opened in August 2013, I have met only 98 people for a first encounter. Here’s how that worked out.

• 78 of the 98 chose to stay and work on the concerns that moved them to seek a professional’s perspective.

• 58 of the 78 stayed to complete the work they started. That is, these folks have come and gone. They left when we agreed they had gotten what they came for.

• Another 12 are active clients now.

• If these 12 stay until a planned conclusion (and it looks like they will), that makes 70 of 78 people who seek help, find what they want, enjoy the stability and continuity, and then leave having done what they meant to do.

  By the way, the practice has been smaller than usual for a couple of years while I tried to work out how - with what supports, systems, and policies - I might help people with complex or progressive conditions. Often that can mean some kind of progressive neurological diseases, including dementia. It turns out that much of that work can be different from psychotherapy. Now that most components are in place, I can re-open the practice to new clients.

Do these clients have anything in common?

Yes.

• All are working in, or have retired from, professional positions or are/or were founders or owners of their own businesses.

• They are well educated: 95% of them have completed, or are in the final stages of completing, a bachelor’s degree.

• 60% of them have completed an advanced degree - a master’s degree (or two) or a doctorate.

• About half of the people with graduate degrees work as clinicians.

• The other half work as

  • entrepreneurs

  • executives in, or consultants to, business

  • in legal professions

  • in education, or

  • in the arts.

• Most are in their 40’s to mid-80’s when they start.

• Now, the practice functions in one of two arenas:

  • Psychotherapy for concerns of anxiety, depression, adjustment/life transitions, or trauma

  • Rehab Psychology, where I am one of a handful of rehab psychologists in the state.

    • Or, in an emerging sub-specialty “Neuropalliative Care” for people concerned with changes related to memory, thinking, or personality.