I have a pleasant Victorian office (photos at left) located in the Laurel Heights neighborhood of San Francisco. My office is on the second floor, so there is a flight of stairs. We have no receptionist or office staff. It is a private place, with a homey, non-medical feel. Although two other psychiatrists share the suite, you will often have the waiting room to yourself.

I am usually available to see new patients for psychiatric evaluation and psychotherapy, with or without medications. This combination — evaluation, psychotherapy, and optional medications — reflects my interests and expertise. I supervised intake assessments at CPMC's Mental Health Clinic for ten years. Most of the time I can offer a frank assessment and realistic treatment recommendations after an hour's consultation.

The assessment may stand on its own. It may be enough to know that medical (or medication-related) issues are at the root of the problem, and where to go next. But usually I can help with treatment too. This often means psychotherapy (talk therapy), sometimes in combination with medication, although other factors like diet, exercise, journal writing, and lifestyle changes can be important, too. These are all welcome topics of conversation, and can be crucial for taking control of your own well-being. As a psychiatrist, I am familiar with mind AND body treatment options.

I am by no means "anti-medication" and will certainly prescribe anything that is apt to help. However, I always pay attention to the meaning of medication as well. What are we hoping to accomplish? What is the likelihood of success, and how is success gauged? When seen in this larger perspective, medications often play a supporting role in a treatment that primarily explores personal feelings, intimate relationships, previously unsatisfying compromises, and the possibility of new directions.

Emotional health goes well beyond the mere absence of a diagnosable mental disorder. We all have room to develop and grow. With 20 years of experience studying and teaching psychotherapy, I will collaborate with you to explore your thoughts, feelings, and life patterns, to help you gain insight and discover new perspectives. While it is serious business, psychotherapy doesn't have to be mysterious, "clinical," or grim. Empathy, sensitivity, and gentle humor foster a good working relationship and create a safe place to learn more about yourself.