Clinical Services

Ketamine-Assisted Psychotherapy

I provide ketamine-assisted psychotherapy as an intentional psychotherapeutic process rather than a standalone administration. It includes preparation, support during sessions, and integration afterward.

Sessions are individualized and may involve inward attention, conversation, mindfulness, somatic awareness, and opportunities to explore what is emerging in the moment.

Available in Connecticut and New York.

Psilocybin Facilitation

I am licensed in Colorado as a Natural Medicine Clinical Facilitator and provide psilocybin facilitation within Colorado's regulated natural medicine framework.

The process includes preparation, support during the administration session at a licensed healing center, and integration afterward. I place particular emphasis on relationship, pacing, embodied awareness, and allowing experiences to unfold without unnecessarily directing or interpreting them.

Available in Colorado.

Psychedelic Preparation and Integration

Psychedelic experiences can be meaningful, confusing, difficult, disappointing, transformative, destabilizing, or some combination of these.

Preparation and integration support is available to people considering or navigating psychedelic experiences in a variety of legal and clinical contexts. The emphasis is on realistic expectations, harm reduction, curiosity, and room for what an experience actually was, rather than the assumption that every experience carries a hidden lesson or must lead to transformation.

Psychotherapy

My psychotherapy practice is relational, experiential, and informed by psychodynamic, somatic, mindfulness-based, trauma-focused, compassion-focused, and harm reduction approaches.

Areas of particular focus include complex trauma and attachment, depression and anxiety, substance use and other difficult behavioral patterns, LGBTQ+ concerns and identity, individual and couples relationship work, life transitions, helping professionals and clinicians, and psychedelic experiences.

Consultation

Consultation for Therapists

Clinical consultation is available to therapists and other mental health professionals working with psychedelic experiences, ketamine-assisted psychotherapy, trauma, addiction, harm reduction, and related areas of practice.

Consultation may focus on a particular case, therapist reactions and relational dynamics, difficult or destabilizing psychedelic experiences, ethical and scope-of-practice questions, or the development of a broader approach to psychedelic-related clinical work.

Much of my practice has involved supporting therapists and other helping professionals, and I understand the importance of discretion when personal rather than professional concerns begin to emerge.

Organizational Consulting

Organizational consultation is available to psychotherapy practices, clinics, psychedelic service organizations, harm reduction organizations, and professional training programs developing or refining psychedelic-related clinical and educational services.

Engagements have included clinical program development, preparation and integration models, harm reduction-informed service design, training and curriculum development, clinician and facilitator education, participant materials, and review of clinical protocols and educational content.

The work I find most useful is helping organizations close the gap between an appealing conceptual model and what practitioners actually need in order to work thoughtfully, relationally, and safely.

A Grounded Approach to Psychedelic Work

Psychedelic experiences can create important possibilities. Intensity is not the same as therapeutic value, and not every experience is transformative.

My work is guided by attention to the person rather than allegiance to a particular medicine or model: what an experience opens, what it complicates, what remains unresolved, and how it fits within the larger context of someone's life.

Across my clinical and consulting work, I bring particular attention to relationship, embodiment, harm reduction, trauma, addiction, and the ways that practitioner expectations can shape psychedelic experiences.

About James

I am a psychotherapist, educator, and clinical consultant, licensed as a clinical social worker (NY, CO) and professional counselor (CT) and licensed in Colorado as a Natural Medicine Clinical Facilitator.

My training includes a master's degree in clinical psychology with a specialization in counseling, a master's degree in social work, and a PhD in social work, along with extensive postgraduate training in trauma, mindfulness-based approaches, somatic psychotherapy, addiction treatment, and psychedelic-assisted therapy. Alongside clinical practice, I teach social work at the university level and develop professional trainings on psychedelic psychotherapy, addiction, trauma, and relational approaches to treatment.