Therapy for therapists who want to be the client for once
Therapy for therapists in New York, including psychotherapists, counsellors, clinical social workers, marriage and family therapists, psychologists and clinicians in training.
You know what good therapy looks like, which can make it surprisingly hard to find. You may notice technique, compare styles or worry about running into your therapist at a conference. I offer confidential psychotherapy and psychiatric care for therapists that is not consultation and not supervision, drawing on psychoanalytic and somatic frameworks, so you can put down your clinical lens and simply be helped.
“You do not have to watch yourself being a good client. You can come in tired, contradictory and unfinished, the way you hope your own clients feel free to.”
Therapists often give their clients a permission they rarely extend to themselves. This is where you can take it.
Holding space all day, with nowhere to put it
Therapists spend their working hours regulating, containing and reflecting. Over time that emotional labour can leave you depleted, disconnected or quietly doubting why you chose this work.
There is an unspoken assumption that therapists should have their own lives in order. In reality, clinicians experience anxiety, depression, relationship difficulties, grief and burnout like anyone else, often while sitting with those same struggles in others. Many therapists also carry the role of the steady, understanding one in their families and friendships, so there is little space left where they can fall apart a little and be held.
Finding the right therapist is harder when you are one. You may know half the clinicians in your area, share referral networks or professional associations, or worry about how your struggles might be perceived. You may find yourself analysing your therapist's interventions instead of experiencing them. Therapy for therapists works best with someone who understands those dynamics, respects your expertise and is comfortable gently inviting you out of the clinician's chair.
I am a board-certified psychiatric nurse practitioner and psychotherapist, which means I can address both the emotional and the clinical sides of what you are going through. If symptoms have developed that might benefit from medication, I can assess that directly rather than referring you on. For many therapists, being able to keep all of their care in one confidential relationship is a considerable relief.
Clinical fatigue and losing connection with the work
A full caseload, documentation, cancellations and the constant switching between clients' inner worlds can lead to a particular kind of fatigue. Sessions blur together. You feel less present, more irritable or strangely numb, and the curiosity that drew you to the profession seems to have gone quiet. We explore what has eroded that connection and what might restore it, without assuming the answer is simply to work harder at self-care.
The pressures of private practice and agency work
Private practice brings isolation, financial uncertainty and the strain of running a business alone. Agency and hospital roles bring high caseloads, paperwork and limited control. Trainees and newly licensed clinicians face evaluation, debt and imposter feelings. Each setting carries its own stresses, and therapy gives you room to look at yours honestly, including the parts you might feel embarrassed to admit to colleagues.
When you need what you offer others
Therapists are skilled at spotting distress in clients, and equally skilled at explaining it away in themselves. If you notice several of the following, it may be worth taking your own experience as seriously as you would a client's. You do not need a crisis to deserve support.
- Dreading certain clients or sessions
- Feeling numb or detached in the room
- Clients' stories following you home
- Isolation in solo private practice
- Imposter feelings as a newer clinician
- Over-functioning in your relationships
- Analysing yourself instead of feeling
- Personal grief alongside a full caseload
- Wondering whether to leave the field
A space designed to let you be held
I draw on psychoanalytic, relational and somatic frameworks, choosing what suits you rather than following a single protocol. I am happy to be transparent about my approach when you are curious, and equally happy to help you set that curiosity aside so you can experience the work rather than evaluate it.
Relational psychotherapy
Therapists often have well-practised narratives about themselves. Relational work helps us notice what happens between us in the room, which can reveal patterns of over-functioning, caretaking or self-erasure that are hard to see through insight alone.
Psychoanalytic depth
We explore what drew you to this profession and what it continues to mean for you. Early experiences of being the helper, the listener or the one who understood often shape both your gifts as a clinician and the ways you neglect yourself.
Somatic grounding
Much of what you absorb from clients is held in the body. Somatic practices help you discharge that residue between sessions and notice when you are carrying more than you realised, supporting a more sustainable way of being present.
Psychiatric care in one place
If anxiety, depression, ADHD or sleep difficulties are affecting your work or life, I can assess and prescribe without referring you elsewhere. Any medication is introduced gradually, reviewed carefully and discussed openly, as a collaboration between two informed people.
Affirming and non-judgemental
Therapists are people with full, complex lives. I am LGBTQIA+ affirming and open to every part of your identity and relationships, so you can bring what you might hesitate to say in a professional setting.
Clear boundaries
Sessions are not consultation or supervision, and we keep that line clear. If our professional worlds overlap at all, we address it openly at the start. Confidentiality and a well-held frame make it safe to be fully a client.
Supervision versus your own therapy
Both have value, but they serve different purposes, and mixing them can leave your personal needs unmet.
Supervision or consultation
- Focuses on your clients
- Develops clinical skill
- Often linked to licensure or evaluation
- Your role as clinician stays central
- Personal material is only touched on
Therapy for you
- Focuses on your own life
- Supports your wellbeing and growth
- Entirely confidential and personal
- You are allowed to be the client
- Personal material is the work
From first call to ongoing support
A straightforward process, with attention to the professional considerations therapists often worry about.
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1
Free consultation 15 minutes
We talk briefly about what you are hoping for and check for any professional overlap, such as shared colleagues or referral networks. You are welcome to ask about my training and orientation before deciding to go ahead.
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2
First full session
We take time to understand your history, your path into the profession, your current caseload and setting, and how you are doing physically and emotionally. If medication is relevant, I gather what I need for a careful assessment.
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3
Regular sessions
We meet in 60 or 90-minute sessions at a frequency that fits your own clinical schedule. Many therapists value the longer format, which allows time to decompress from client work before turning attention to themselves.
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4
Reflecting together
We periodically review what is changing, including your relationship with your work. If medication or supplements are part of your care, we revisit them at these points and make any adjustments gradually and collaboratively.
Francesca Rome-Marie, PMHNP-BC
I bring together psychiatry, psychotherapy, somatic work and whole-body health, informed by years in primary care and further study in gender theory, feminist thought, culture and visual art.
I keep a deliberately small caseload so that every client receives consistent, unhurried and genuinely attentive care, held within one relationship rather than split across several providers.
Clear, upfront rates
I don't accept insurance. Modern Holistic Psychiatry is an out-of-network provider, so sessions are paid for directly. Depending on your plan, you may be able to claim reimbursement through your out-of-network benefits.
Find out how much your insurance may coverNeed urgent support? If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911.
Therapy for Therapists FAQs
Why should a therapist see a psychiatric nurse practitioner for therapy?
Because you get psychotherapy and psychiatric expertise in one relationship. I offer integrative, psychoanalytic, relational and somatic psychotherapy, and I can also assess, diagnose and prescribe where needed. Many therapists have experienced split care, with a therapist in one place and a prescriber in another who sees them for ten minutes. Here, if medication is ever helpful, it is woven into the same thoughtful, unhurried conversation.
What if we know some of the same people?
In a city like New York, overlap is always possible. During our free consultation I ask about shared colleagues, training programmes and referral connections so we can consider together whether it affects the work. Often minor overlap is manageable with a clear conversation; occasionally it is better to refer on. Either way, you will know where you stand before we begin.
I find myself critiquing my therapist's technique. Is that a problem?
It is extremely common among clinicians and nothing to be ashamed of. That evaluating stance is often a form of protection, a way of staying in control in an exposed position. Rather than ignoring it, we can get curious about it together. Over time, many therapists find they can let it soften enough to actually receive help, which can also deepen their understanding of their own clients' experience.
Do you see trainees and newly licensed clinicians?
Yes. Graduate programmes often recommend personal therapy, and the early years of practice can be particularly unsettling, with evaluation, licensure exams, student debt and the shock of carrying difficult cases for the first time. Therapy can help you develop a steadier sense of yourself as a clinician and make sense of what client work is stirring up in your own history.
Can therapy help me decide whether to stay in the profession?
It can. Some therapists arrive wondering if they are burnt out or simply in the wrong role, setting or modality. We explore what still feels alive in the work and what has become unsustainable, without pushing you towards any particular decision. Sometimes the answer is a change of caseload, setting or approach rather than a change of career.
Is this documented or reported anywhere professionally?
Your sessions are confidential and are not reported to licensing boards, employers or training programmes. Because I am out of network, nothing goes through an employer system. If you choose to claim reimbursement via your out-of-network benefits, that information goes to your insurer only. I explain the standard legal limits to confidentiality clearly at the start, as you would with your own clients.
Take the other chair for a while
Book a free 15-minute consultation to see whether this could be the space you have been looking for. It is confidential and there is no obligation.