Here’s how I’ve been thinking about my work.
Approach
A relationship of deep trust can be the catalyst for profound transformation.
This belief anchors my philosophy. I don’t have a template or a program. The work builds from a straightforward foundation: two people coming together to speak with focus and candor about what matters most.
As a psychiatrist and psychotherapist, I'm trained in a range of approaches to support inner change, but I’m not bound to any single method. Reducing our vision to one lens often fails to capture the full complexity of the human experience. Some moments call for focus on biology, behavior, and habit formation. Others demand unflinching focus on emotion, relationships, and belief systems. Together, we adapt to what serves you best.
Broadly, we work across five foundational pillars:
Self-Knowledge - Confidence begins with clarity. Together we build an honest, nuanced understanding of who you are and how you came to be.
Emotional Regulation - We work with your emotional landscape—helping you feel, integrate, and make sense of your experience while identifying and unwinding unconscious patterns and beliefs.
Relational Navigation - Together, we develop fluency in communication, conflict resolution, feedback, boundaries, influence, and meaningful connection.
Physical Vitality – We focus on strengthening your energy systems, supporting cognitive function, and building health routines that promote durable mental and physical resilience.
Values and Purpose alignment - Through deep inquiry into meaning, motivation, and values, we sharpen the clarity required for long-term discipline and strategic decision-making.
I see myself as a quarterback and an accountability partner—mapping the playing field of your life, helping you strategize next moves, and pushing you to show up fully.
As a doctor, I’m intimately familiar with the full range of the human condition. I bring respect and curiosity to all that we go through—including deep challenge and crisis. I believe our darkest moments hold precious opportunity. When worked with skillfully, they often contain the seeds of our greatest success. Our potential is limited only by our willingness to ask hard questions and face what scares us.
Insights
I’m profoundly grateful for the vulnerability and courage my patients bring to our sessions. This is a collection of distilled observations, shared in the spirit of sparking introspection and cataloging what I learn. While I bring clinical training and depth of experience to this work, I’m also in it. What follows reflects both the work I do with others and the work I’ve done myself. Though I write largely in the second person—you—my own path is intimately threaded through this picture.
Success is often lopsided.
Many high achievers are dialed in professionally but feel underdeveloped at home. Intimate relationships and family life lag behind. There’s no professional accomplishment so great that it can’t be derailed by personal challenges. But this kind of friction also brings opportunity. These personal arenas are the ultimate training ground for emotional regulation and relational mastery. Progress there strengthens leadership everywhere else.
Leadership is a crucible.
Whether it’s the early stages of a company, the heights of the corporate hierarchy, or wrangling a cranky toddler, leadership shines a light on our unexamined fears and patterns. But the pain points are also gateways—an opportunity to build durable, internal resilience that scales.
High performance is a mindset.
It’s not about the validation you extract through achievement. It’s about how you regard yourself. Do you see yourself as someone with high value and much to contribute? Do you feel worthy of care, maintenance, nourishment, and rest? Do you treat your potential like something worth protecting and cultivating?
Attachment is the hidden lens.
Do not neglect its power. Our strategies for managing closeness, connection, and independence are wired early—and they fundamentally shape how we feel, relate, and lead. Once you see it, you can’t unsee it. It’s a layer that runs through everything. With conscious attention and consistent effort, you can begin to repattern.
The peak is an aspiration, not a destination.
Impeccable conduct across all domains of life isn’t a standard you achieve once and hold forever—it’s a north star to navigate by. Expecting arrival only sets you up for shame and isolation. You’re a messy human, like the rest of us. Embrace it, and keep going.
Biohacking won’t outpace your childhood.
Tuning your physiology—sleep, diet, hormones, light exposure—can profoundly impact performance. But no amount of peptides, nootropics, or cold plunges will overwrite the psychological templates you internalized in childhood. The beliefs you carry about safety, connection, and self-worth shape how you see and lead in the world—and must be worked with on their own terms.
Medication can help—and also hinder.
Psychiatric medications can be powerful tools for modulating the nervous system and supporting function. They should neither be embraced unthinkingly nor dismissed out of hand. Without a doubt, they have their place. But in some cases, they have the potential to limit a deeper, creative reinvention that growth demands. The relationship with these substances is personal, and it must be navigated with discernment and care.
Work addiction is seductive.
Endless doing can become its own drug—blunting creativity and long-term vision. As Amos Tversky said, “You waste years by not being able to waste hours.” Reclaiming white space and long-range perspective is essential if you are to build something truly meaningful.
We resist what we most need to feel.
Avoidance often masquerades as productivity—strategy, analysis, even optimization. But when you finally make contact with the emotion you’ve been skirting—grief, shame, fear—something deep reorganizes. You can move forward in a new way.
There’s no perfect retreat to fix you.
Hoffman, ayahuasca, Vipassana… taking time out from the daily grind to do focused work on yourself can be vital and transformative. But it doesn’t get you there and keep you there. Chasing the next method, the next teacher, or the perfect environment often becomes its own form of avoidance. Fortunately, you’ve got exactly what you need to grow right in front of you. What’s unfolding now—your relationships, conflicts, patterns—is the curriculum.
Psychedelics can be transformative—but they won’t do the work for you.
Psychedelics can open doors, dissolve defenses, and reveal profound truths. But insight without integration is just a fleeting experience. The real change happens in the work that follows—how you relate, choose, feel, and act when the peak has passed.
The best time to begin is before it falls apart.
Some patients don’t arrive until the wheels have come off—burnout, addiction, fractured relationships. And yes, there’s absolutely still meaningful growth possible at that stage. But the upside is so much greater when the work begins earlier. Reflection doesn’t need to wait until the exit or a crisis. The sooner you start, the more time you have for the returns to compound—better health, deeper connection, and wiser leadership.
Trying to perfect yourself so you can feel good enough, acceptable, or safe isn’t the same as taking care of yourself.
Perfectionism is self-referencing—even if what you’re pursuing is virtuous, you’re still caught in the hedge maze of your own inwardly directed preoccupations. Self-care is a different thing. It’s what allows you to show up grounded, resourced, and in service to something beyond you.
Self-criticism is overrated.
Many believe they need a harsh inner voice to stay sharp. I don’t buy it. Real, sustainable excellence grows from a friendly and honest relationship with your inner world—one rooted in curiosity, self-respect, and disciplined commitment, not punishment.
Craftsmanship over impact.
It’s another way to think about effort versus results. Sustainable success—and real satisfaction—comes from focusing on the development of your skills and capacities, not just chasing the payoff. Growth is more durable than outcomes. The output is a byproduct.
Chemical lever-pulling has its limits.
I’m agnostic about what you put in your body, and I’m not here to moralize. It’s a messy world, and we’re all trying to make it work. We can’t all move to Costa Rica and live like wellness influencers. I advocate for long-term winning strategies—not purity.
So, to be clear: I support—and, when applicable, prescribe—the use of biological tools to help us feel and function at our best. But if your relationships are out of balance, your emotional world is being ignored, and your traumas are going untended, endless tweaking can obscure the work that matters most. Worse, it can help you dig yourself into a deeper hole.
By all means, dial in the stack. But don’t neglect the deeper currents.
Wisdom and intellect are not perfectly correlated.
The latter shouldn’t be mistaken for the former. Wisdom is the scarcer resource—and often the more valuable one.
Denying your gifts doesn’t serve.
You are likely extraordinary in certain capacities—and you probably struggle more than some in others. Whether it’s about your strengths or your shadows, self-deception—on either end of the spectrum—doesn’t help anyone. Humility and healthy self-respect can absolutely coexist. Playing small in the areas where you genuinely excel deprives the world of what only you can offer.
More about me
I grew up in rural New England, where as a competitive ski racer on the icy hills of the Northeast I learned early on that an inability to master my inner world could hold me back far more than physical skill.
After college and medical school in New York, I came to California to train in psychiatry at UCSF and to be at the center of the psychedelic research and practice movement — an area in which I’ve accumulated substantial training and experience. These medicines have offered me invaluable instruction in navigating the complex topography within.
I live in coastal West Marin County with my wife and two small children. I continue to take seriously the many opportunities for growth that my own life presents me, and I’m honored to walk alongside others on that path.
Please reach out to explore how we might work together: