Clinical Services
Individual Psychotherapy
Individual psychotherapy provides a space to explore emotional difficulties, recurring patterns, relationships, life transitions, and questions that may not be reducible to symptoms alone. Treatment is individualized, with attention to each person’s history, subjective experience, relationships, and aims for treatment.
Trauma, Complex Trauma & Dissociation
Specialized treatment for trauma, PTSD, complex trauma, dissociative symptoms, and Dissociative Identity Disorder (DID). Treatment is carefully individualized, with attention to stabilization, affect regulation, attachment, traumatic memory, and the complexities of prolonged and repeated trauma. Dr. Hirshfeld’s Lacanian orientation places particular emphasis on subjectivity, unconscious processes, desire, repetition, and the meanings through which traumatic experience becomes organized.
Psychoanalysis
Psychoanalysis offers a sustained exploration of unconscious processes, desire, conflict, repetition, relationships, and the ways a person’s history continues to shape present experience. Drawing particularly on the Lacanian tradition, Dr. Hirshfeld attends to the subject’s singularity and to the meanings, identifications, and patterns through which experience is organized. Psychoanalytic work creates space to listen closely to what emerges in speech and to explore what may lie beyond immediately apparent symptoms. Lacanian psychoanalysis may include variable-length sessions, in which the timing of a session’s conclusion can itself form part of the analytic work.
EMDR Therapy
EMDR therapy is offered as part of an individualized approach to trauma treatment. The use of EMDR is carefully adapted to each person’s clinical presentation, history, readiness, and treatment needs, with particular attention to stabilization and the complexities of complex trauma and dissociation.
Couples Therapy
Couples therapy addresses relationship difficulties, recurring patterns of conflict, communication, intimacy, attachment, and significant life transitions. Treatment attends to both the dynamics between partners and the individual histories and patterns each person brings to the relationship.
Family Therapy
Family therapy addresses relational patterns, communication difficulties, conflict, transitions, and other concerns affecting family relationships. Treatment considers both individual experience and the broader relational dynamics through which difficulties emerge and are maintained.
Psychoanalytic & Trauma-Informed Practice
Dr. Hirshfeld’s clinical work integrates psychoanalytic thinking with contemporary trauma-informed treatment. Her approach attends to both the immediate effects of psychological distress and the broader histories, relationships, unconscious processes, and patterns through which experience is organized.
Treatment is individualized according to each person’s clinical needs, history, subjective experience, and aims for treatment. Particular attention may be given to trauma, attachment, dissociation, affect regulation, repetition, relational patterns, and the meanings that emerge through the therapeutic process.
Fees
$480 / 50 minutes — Individual Psychotherapy
$480 / session — Psychoanalysis
$480–$600 / 50 minutes, depending on modality — Trauma-Informed Therapy
$600 / 50 minutes — Couples Therapy
$600 / 50 minutes — Family Therapy
Private-pay, out-of-network practice. Superbills are provided for patients seeking reimbursement from their insurance plans.