Integrative psychotherapy built around you
Integrative psychotherapy in New York that draws on several therapeutic traditions and blends them deliberately, rather than fitting you to a single model.
No single school of therapy has every answer. Some moments call for practical skills, others for slow exploration of the past, others for attention to the body or to the social forces shaping your life. Integrative psychotherapy means I bring psychoanalytic, relational, feminist, DBT-informed, CBT-informed and somatic approaches together, choosing what fits your needs and your goals, and adjusting as those change over time.
“The method should serve the person, never the other way round.”
Rather than asking which therapy you should try, integrative psychotherapy asks what you need right now, and draws on whichever tradition offers it.
Many traditions, one thoughtful plan
Integrative psychotherapy combines ideas and techniques from different therapeutic schools into a coherent approach tailored to each person.
Many people have tried a therapy that helped with one thing and missed another. A skills-based course may have eased panic but left a deeper grief untouched; years of exploratory therapy may have built insight without offering tools for a crisis. Integrative psychotherapy addresses that gap. It starts from the belief that different traditions each see something true, and that a skilled therapist can bring them together thoughtfully.
Integration is not a random mix. I hold a clear understanding of you, your history and your goals, and I choose approaches with intention. Early on, if you are overwhelmed, we may lean on DBT-informed regulation skills. Once things are steadier, psychoanalytic and relational work can explore the roots of a pattern. Somatic practice might weave through both. I explain why we are doing what we are doing, so you are a partner in the process.
Because the approach flexes, it suits complex lives. People rarely arrive with one tidy problem. Anxiety may sit alongside trauma, identity questions and relationship strain, and each may benefit from a different lens. Integrative psychotherapy lets us honour that complexity without losing focus.
Integrative versus holistic psychotherapy
The two overlap but describe different things. Holistic psychotherapy is about scope: keeping your body, identity and environment in view. Integrative psychotherapy is about method: combining specific therapeutic approaches into one tailored plan. My work is both, but if you are drawn to the idea of choosing the right tools for the right moment, integrative is the more precise description.
Integration across time
What helps in the first month of therapy is often different from what helps in the first year. Integrative work expects that. We revisit the balance of approaches regularly, perhaps shifting from stabilisation to deeper exploration, or from individual history to present-day relationships, so the therapy grows with you instead of becoming a routine.
When one approach isn't the whole answer
Integrative psychotherapy is a good fit for people whose needs do not fit neatly into one model, or who want a therapist who can adapt. It often appeals to those who have tried therapy before and know what worked, and what did not.
- Previous therapy helped only partly
- Several concerns at once
- Needing skills and depth
- Trauma alongside daily stress
- Curious about different approaches
- Wanting to understand the method
- Preferring flexibility to protocols
- Complex identity or cultural questions
- Emotions that swing between extremes
- Ready for longer-term work
Drawing from six traditions
These are the main schools of thought I combine. You do not need to know anything about them in advance. I will introduce each one as it becomes useful and explain how it fits your goals.
Psychoanalytic
Exploring unconscious patterns, early relationships, dreams and the stories you tell about yourself. Useful when the same difficulties keep returning and you want to understand them at the root.
Relational
Focusing on how you connect with others, including with me. Patterns that appear in our relationship can be noticed and changed in real time, which often transfers to life outside.
Feminist
Placing your experience within its social context of gender, power, race, sexuality and class. This lens can reduce self-blame and highlight where change belongs in the world, not only in you.
DBT-informed
Practical skills for tolerating distress, regulating intense emotion and handling relationships effectively. Especially helpful when feelings move fast or crises feel frequent.
CBT-informed
Structured ways to notice and question unhelpful thoughts and behaviours. Useful for anxiety, avoidance and habits you want to shift, offered flexibly rather than as a rigid protocol.
Somatic
Bringing awareness to sensation and the nervous system. Somatic practice helps process experiences held in the body and builds a felt sense of safety alongside insight.
Why combine approaches?
Single-model therapies can be excellent for specific problems. Integrative psychotherapy offers more room when life is layered.
Single-model therapy
- One framework for every situation
- Fixed structure regardless of need
- You adapt to the method
- May miss what the model does not cover
- Limited room to change course
Integrative psychotherapy
- Approaches matched to the moment
- Structure when helpful, openness when not
- The method adapts to you
- Several lenses on complex difficulties
- Regular review of what is working
Starting integrative psychotherapy
A clear structure that leaves room for the work to evolve.
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1
Free consultation 15 minutes
A brief call to share what you are looking for and what you have tried before. If you have preferences about style, such as more structure or more open exploration, this is a good moment to mention them.
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2
Assessment and formulation 90 minutes
We map your history, current challenges, strengths and goals. From this I develop a working understanding, sometimes called a formulation, that guides which approaches are likely to help first.
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3
A tailored blend
I share my thinking openly and we agree a starting balance, for example regulation skills with some somatic grounding, or exploratory work with relational focus. You can question or adjust anything.
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4
Review and evolve 60 or 90 minutes
In ongoing sessions we check regularly what is helping and shift the emphasis as you change. If psychiatric support would add something, I can offer it within the same relationship.
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.
Integrative Psychotherapy FAQs
What is integrative psychotherapy in simple terms?
It is therapy that combines techniques and ideas from several established approaches, rather than following only one. Your therapist chooses and blends methods based on what you need, explains the reasoning, and adjusts the mix as therapy progresses. The aim is a coherent, personal plan rather than a one-size-fits-all model.
Is integrative psychotherapy less structured than CBT or DBT?
It can be as structured as you need. If you benefit from clear exercises, goals and between-session practice, we can include those. If you prefer open-ended exploration, we can work that way too. Many people find a combination most helpful, with structure during difficult periods and more openness when things settle.
How do you decide which approach to use?
I base it on a working understanding of your history, current difficulties, strengths and goals, along with how you respond in sessions. For example, intense distress usually calls for stabilising skills before deeper exploration. I discuss these choices with you, so you understand and agree with the direction.
Can integrative psychotherapy help with trauma?
Yes. Trauma often benefits from several approaches: skills to manage overwhelm, somatic work for what the body holds, relational repair, and in time, deeper exploration of meaning. Integration lets us sequence these carefully, always prioritising safety and your sense of control.
I have had CBT before. Will this feel different?
Probably. You may recognise some CBT-informed tools, but they will sit alongside exploration of history, relationships, identity and the body. Many people who found CBT useful but incomplete appreciate having those skills placed within a broader, more personal understanding.
How long does integrative psychotherapy take?
It varies. Some people come for a focused period of a few months; others value longer-term work over a year or more. We review progress together regularly, and you are always free to decide how long to continue. I keep a small caseload so ongoing clients receive consistent attention.
Where do you offer integrative psychotherapy?
I work with clients across New York State from my practice at 41 Union Square West, Manhattan. Book a free 15-minute consultation to check availability and discuss whether an integrative approach suits you.
Therapy that adapts with you
If you want a therapist who can draw on more than one approach, I would be glad to talk. Book a free 15-minute consultation to get started.