
Care for Medical Professionals · Manhattan, NYC
You have spent your career caring for everyone else. You cannot find a single colleague willing to do the same for you.
For physicians, therapists, and medical professionals in New York and California who know exactly what is wrong — and cannot find anyone in the system willing to treat them like an actual patient.

"The most undertreated population in psychiatry is the one that understands psychiatry best."
WHAT'S ACTUALLY HAPPENING
The Reality Of Medical Professional Burnout
Physicians and therapists experience burnout at rates significantly higher than the general population.
They also seek treatment at rates significantly lower.
The reasons are structural. The stigma within medical culture around mental health treatment is real and professionally consequential. The fear of licensing implications, of colleagues finding out, of being seen as impaired — these are not irrational fears. They are accurate assessments of a system that has not adequately protected the people who hold it up.
And when medical professionals do seek treatment, they frequently encounter a different problem: clinicians who are unable to provide the depth of care that the patient's own clinical sophistication demands. The physician who knows exactly what CBT is and why it will not address what is actually happening. The therapist who can diagnose countertransference in their own sessions but cannot find a supervisor willing to engage with it honestly.
The system fails medical professionals twice. Once by making it difficult to seek help. And again by being inadequate when they do.

WHO THIS IS FOR
The Right Patient
This work is specifically designed for physicians, therapists, nurses, and other medical professionals who are carrying the weight of the system they work within.
This is for you if:
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You are a physician, therapist, nurse, or other medical professional experiencing burnout, exhaustion, or psychological deterioration
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You have avoided seeking treatment because of stigma, licensing concerns, or the difficulty of finding someone who can actually meet your clinical level
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You have sought treatment and found it inadequate — clinicians who deferred to your self-diagnosis or were unable to engage with your sophistication
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You are a therapist who is struggling with the weight of the work and cannot find a colleague willing to treat you as a patient
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You are experiencing the specific exhaustion of someone who gives everything professionally and has nothing left personally
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You know exactly what is wrong and need someone who can actually do something about it
This is not for you if:
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You are looking for a clinician who will simply validate your self-diagnosis
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You need formal impairment evaluation or documentation for licensing purposes
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You are in acute psychiatric crisis requiring immediate inpatient stabilization
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You want a passive treatment experience rather than genuine engagement
THE APPROACH
How We Address It.
Treating medical professionals requires one thing above all else — a clinician who will not be managed by the patient.
The medical professional's greatest liability in psychiatric treatment is their own knowledge. They are extraordinarily good at directing their own care, anticipating what the clinician is about to say, and steering the session away from the territory that actually needs to be reached. This is not deliberate resistance. It is an occupational reflex.
This practice does not defer to it.
PHASE 01
HARDWARE
Medical professional burnout has a specific biological profile.
Sustained hypervigilance, chronic sleep disruption, the physiological cost of emotional labor performed at scale — these produce a metabolic state that is distinct from standard burnout. Addressing it requires the same rigorous biological assessment and targeted metabolic pharmacology — but calibrated to someone who will immediately recognize and evaluate every clinical decision being made.
Transparency is built into the process. The reasoning is explained. The evidence is provided. The clinical decision-making is not hidden.
PHASE 02
SOFTWARE
The psychological work with medical professionals has its own specific territory.
The Wounded Healer dynamic — the person drawn to healing as a response to their own unresolved wounds — is present in the majority of medical and therapeutic professionals. Addressing it requires going to the developmental and relational origins of the drive to care for others at the expense of the self. Shadow work, attachment deconstruction, and Direct Inquiry are used to examine what the professional identity is protecting — and what it has cost.
This is the work that most medical professionals have never had access to. Not because it does not exist. Because nobody in their professional environment has been willing to go there with them.
"You have spent a decade learning how to hold other people's pain. Nobody has taught you what to do with your own."
Metin Cayiroglu, MD
WHAT MAKES THIS DIFFERENT
Not Standard Somatic Therapy.
Most psychiatric care available to medical professionals is the same care available to everyone else — with the addition of an assumption that the patient already understands the process.
This practice offers something structurally different:
A clinician who will not be managed, redirected, or deferred to — regardless of the patient's clinical sophistication
Full transparency in clinical reasoning — the evidence, the differential, the decision-making process, explained and examined together
Deep shadow and attachment work specifically oriented to the Wounded Healer dynamic
Complete confidentiality — private pay, out-of-network, no insurance involvement of any kind
A physician who has worked within the same hospital systems — Northwell, Mount Sinai, NYC Health + Hospitals — and understands the specific weight of that environment from the inside

Begin
If the framework you have been living inside has stopped working —
The first step is a two-hour conversation. Completely confidential. No insurance involvement. Just an honest assessment of what is actually happening.
Private pay only · Out-of-network · New York & California · Telehealth

THE EXPERIENCE
This Is What It Feels Like.
You know the system better than your patients do.
You know what a good psychiatric evaluation looks like. You know what questions should be asked, what the differential diagnosis should include, what the standard of care actually requires. And you know, with absolute clarity, that what you have been receiving falls short of it.
You have tried to find someone who will treat you as a patient rather than a colleague. Someone who will not assume you have already figured out your own diagnosis. Someone who will not be intimidated by your knowledge, defer to your self-assessment, or abbreviate the process because you both know the language.
You have not found that person.
And so you have been managing yourself. Quietly. Alone. With the particular loneliness of someone who understands their own suffering precisely and cannot find anyone qualified to actually help with it.