About Specialties Anxiety & Depression Burnout Relationships & Couples ADHD Trauma & PTSD Sexual Health & Intimacy Philosophy Fees & Insurance Speaking Contact Request Consultation →
His Philosophy

The principles
behind the
practice.

Andrew's approach isn't a method or a framework — it's a set of genuine beliefs about what actually makes this work. Strengths-based, integrative, and grounded in the conviction that the therapeutic relationship is the foundation of everything.

Strengths-Based
Integrative
EMDR & ART
Therapy & Medication

A few things
worth knowing.

Andrew's approach isn't a method or a framework. It's a set of genuine beliefs about what actually makes this work — beliefs he'd want from his own provider.

He starts with
what's working.

Most clinical work begins with what's wrong. Andrew's begins with what's right. The question driving his work is: how can we use what you already have to build the life you want? That shift — from corrective to collaborative — changes the nature of the relationship from the very first session.

Sessions don't feel
like appointments.

Andrew believes fun is the brain's secret recipe for real engagement — because when something is genuinely interesting, there's something to learn. He brings levity into the room without being flippant. As you get to know each other, he'll draw on his own stories when they're useful. The work is serious; the atmosphere doesn't have to be.

The past is context,
not the destination.

Understanding the experiences and patterns that shaped how you see the world is essential. But Andrew's focus is never on staying there. The question is always: how can we build on or reshape that learning to change your future? He is, at heart, an optimist about what people can do.

On Medication

The rope and
the ladder.

Andrew thinks about medication through a simple image. Life is a path, and occasionally that path has potholes. A few inches deep — jarring, but manageable. A few feet — you get scuffed, but you pull yourself out.

When the potholes are twenty or thirty feet deep, trying harder stops working. That's when you need a rope or a ladder. Andrew believes medication functions like that — it creates the conditions to get out of a hole you couldn't otherwise escape. But much like a rope or ladder, you still need to do the climbing.

Worth knowing

Many of Andrew's patients never need medication at all. Many who do, only need it for a season. And because he's out-of-network, he's never constrained by what an insurance company's formulary considers appropriate — the plan is built around you. More on fees and insurance →

On Therapy

Every block of stone has a statue inside it and it is the task of the sculptor to discover it.

— Michelangelo

Chipping away
what isn't you.

Andrew borrowed this from Michelangelo because it captures something he genuinely believes about people. Therapy, at its best, is a process of chipping away the extraneous — the patterns, the defenses, the accumulated weight that keeps you from becoming who you already are.

His approach is holistic and strengths-based. He draws on EMDR, Accelerated Resolution Therapy, cognitive and behavioral therapy, hypnotherapy, mindfulness, life coaching, and what he calls experiential neuroreprogramming — creating experiences designed to shift patterns, not just talk about them. He applies these across his areas of focus — anxiety, depression, burnout, ADHD, trauma, relationships, and sexual health.

He believes therapy only works if the fit is right — for both people. That's why the first consultation is always a phone call, at no charge. No paperwork. No commitment.

The first step is always free

The first conversation
is always free.

Andrew is accepting new patients in San Francisco. Most are seen within 1–2 weeks. A complimentary phone call — no paperwork, no commitment — is where it starts.