- M.D., University of Pittsburgh, 1985
- Residency in Adult Psychiatry, University of California San Francisco (UCSF), 1989
- Post-doctoral research fellow, psychotherapy process research, UCSF, 1989-1991
- Board-certified in Psychiatry since 1991
- Private outpatient practice since 1995
- Medical Director of outpatient psychiatry for California Pacific Medical Center (CPMC), 1996-2007
- Former evaluator for the California State Bar "Lawyer Assistance Program"
Following residency, I completed a two-year research fellowship at UCSF. Our group studied psychotherapy in great detail, via videotapes and direct monitoring of physiology (heart rate, etc) of both parties during the sessions. My particular focus was the mind-body "flow state" that allows an empathic connection. This was something that had never before been studied using such technical methods (nonlinear dynamical modeling, an aspect of "chaos theory"). I authored several peer-reviewed journal articles and other publications, mostly in the late 1980s and early 1990s.
My career has always combined clinical practice and academia. After a few early years of inpatient and public-clinic work with more severely troubled patients, I opened an office-based private practice in 1995 that continues to this day. For ten years I also served as Medical Director of Outpatient Psychiatry at California Pacific Medical Center: I oversaw a clinic where about 20 psychology interns and psychiatry residents serve low-fee patients. I left in 2007 to pursue private practice full-time, but still teach and supervise CPMC trainees. See the next page for details about my current teaching and other professional activities.
My interactions with many hundreds of past patients have granted me a wide perspective. Thanks to them I know a bit about what it's like to work in a high-pressure ad agency, a high-stakes law firm, and a high-tech startup; what it's like to be unemployed, unwanted, and unengaged; the range of traditional and nontraditional romantic arrangements; the struggles of substance abuse and sobriety; the economics of healthcare in America. Out of personal interest, I am also familiar, to a greater or lesser degree, with yoga, meditation, aikido, and other Eastern practices for mind-body balance and healing. I identify with mainstream psychotherapy and Western medicine, but am open to whatever is on your mind. I hope you'll feel comfortable sharing it with me.
From time to time my curiosity leads me to add other clinical pursuits to my regular practice. For several years I evaluated referrals from the California State Bar "Lawyer Assistance Program," a diversion program for attorneys with behavioral or substance abuse problems. I also evaluated a few CPMC liver transplant patients in the past (a mental health evaluation is required before major transplant surgery). For the past year I've volunteered with HealthRIGHT 360's "Rock Medicine" program. We're currently working to establish a telephone consultation service, to allow front-line volunteers to speak with a mental health expert while providing psychiatric and substance abuse emergency care/triage at large public events. It's good to stay curious.