Psychiatric Care in Manhattan—
At Home, In Office, or by Telehealth

For patients and families who need thorough evaluation, real access to their clinician, and care that continues beyond the first appointment.

This practice provides psychiatric care for children, adults, and older patients through house calls in Manhattan, office visits at 1115 Broadway, and telehealth.

  • Direct-pay practice  ·  $800 per visit  ·  All visit types

Triple board-certified

ANP-BC · FNP-BC · PMHNP-BC

House calls + Office + Telehealth

Manhattan · All visit types · Same fee

Direct access

No referral, no insurance routing

1115 Broadway

Manhattan, New York

What brings you here today?

Each concern is evaluated in full clinical context — not just categorized.

Geriatric Psychiatric Care

Memory changes, medication issues, and maintaining independence

Family & Young Adult Mental Health

Children, adolescents, and young adults who are anxious, stuck, or struggling to launch

Men's Mental Health & Performance

Mood, stress, focus, and functioning in high-demand lives

Sexual Health & Sex Therapy

Desire, performance, relationship concerns, and private sexual health issues

Addiction & Compulsive Behaviors

Alcohol, substance use, gambling, compulsive sexual behavior, and relapse patterns
Clinical Philosophy

What drives symptoms — and what this practice looks for

Care is guided by a biopsychospiritual model, meaning symptoms are understood in the context of brain function, behavior patterns, relationships, and life experience.

This practice also draws on Imprinted Arousal Pattern (IAP) theory — a clinical framework that helps explain how repeated patterns of stress, reward, meaning, and behavior become biologically reinforced over time.

The goal is not only symptom relief. The goal is to understand the pattern driving the problem and intervene at the right level.

Brain & Biology

Fewer emergency room visits and hospital admissions driven by preventable issues.

Behavior & Psychology

Behavior patterns, learned responses, developmental history, and the psychological drivers of recurring symptoms.

Relationships & Meaning

Family systems, life context, identity, and the role meaning plays in how symptoms develop and persist.

IAP — Pattern Thinking

How arousal, emotion, meaning, and behavior can become linked into reinforced loops — especially relevant for compulsive and addictive behaviors.

Areas of Expertise

What this practice addresses

Each service area is grounded in the same biopsychospiritual model — careful evaluation, individualized treatment, and a focus on what is actually driving the problem.

Geriatric Psychiatric Care

Care for older adults requires a different lens. New confusion, agitation, mood changes, or memory loss may reflect dementia, delirium, medication side effects, depression, or several of these at once.
  • Memory loss and cognitive decline
  • Dementia assessment and management
  • Delirium identification and treatment
  • Medication review and deprescribing
  • Coordination with families and care teams

Child, Adolescent & Young Adult Care

Children and young adults do not always show distress the way adults do. Anxiety may look like avoidance. Depression may look like irritability. Poor function may show up as school problems or withdrawal.
  • Anxiety, mood, and behavioral concerns
  • School-related and developmental problems
  • Failure-to-launch in emerging adults
  • Family conflict and early substance use
  • Developmentally appropriate family involvement

Men's Mental Health & Performance

Many men do not present saying they are mentally unwell. They present because something is off — focus slips, irritability rises, sleep worsens, relationships feel strained.
  • Burnout and chronic stress
  • Mood changes and irritability
  • Focus and performance concerns
  • Behavioral patterns affecting work or relationships
  • Sexual health concerns overlapping with mood

Sex Therapy & Sexual Health

Sexual concerns often involve both body and mind. This practice evaluates sexual symptoms in the full context of health, stress, mood, relationships, beliefs, behavior patterns, and identity.
  • Low libido or desire concerns
  • Erectile concerns with psychological contributors
  • Performance anxiety and shame-related struggles
  • Compulsive sexual behavior
  • Pornography-related patterns affecting intimacy

Addiction & Compulsive Behaviors

Addiction and compulsive behaviors follow patterns that become reinforced over time and often return under stress. Treatment focuses on identifying the pattern underneath the behavior — not just stopping the behavior in isolation.
  • Alcohol, opioid, and benzodiazepine use
  • Gambling and financial risk behavior
  • Compulsive sexual behavior and pornography-related patterns
  • Relapse cycles and high-risk behaviors
  • IAP-informed pattern analysis and relapse prevention

Next step: a confidential call

f you are considering care for yourself or a family member, the best place to start is a short, confidential conversation. This conversation helps clarify the problem, explain how care is structured, and determine whether this is the right fit.