However you enter, the work follows the same logic.
Two doors into the practice.
Begin directly, or begin with the Formulation. What follows takes one of two shapes: ongoing work at a set frequency, or single sessions as needed. And within either, therapy can happen “on the couch” or on a walk-and-talk. All of it is detailed below.
Begin Directly
For those who already know what they’re looking for: psychiatric evaluation, medication management, therapy, or performance coaching. A brief consultation, then we begin.
The Attune Formulation
Some people arrive knowing what they need. For everyone else, the Formulation is where clarity begins: a 75-minute psychiatric evaluation, a written formulation that maps the stories, parts, and patterns shaping how you perform, and a Performance Prescription — a specific three-month plan of coaching, therapy, or both, held as one coordinated whole.
Five sessions in total: the evaluation, three sessions allocated by the plan, and a structured re-evaluation at month three. Secure messaging throughout. If medication is indicated, it’s available within the practice, without starting over.
Ongoing work
Each path is an ongoing monthly arrangement: sessions at an agreed frequency, secure messaging, and coordination between them.
Performance Coaching
Rigorous, non-clinical mental performance training in goal architecture, arousal regulation, attentional control, pressure rehearsal, and competition planning. Can include pre-season and return-from-injury planning. It does not diagnose or treat mental illness and is not psychotherapy, but the language and framework carry forward if deeper work is later needed. You leave with a repeatable way to respond to pressure, rather than being controlled by it.
Request a consultationPerformance Psychiatry
An integrated path combining clinical care and performance coaching, coordinated by one clinician who holds the full picture. Therapy, medication when appropriate, coaching, and coordination with coaches, parents, or schools are brought together within one plan. Your care becomes coherent, and you no longer have to explain yourself twice.
Request a consultationClinical Care
Ongoing psychotherapy, medication management, or both, coordinated within one practice. Care may include refill planning, prior authorizations, shortage navigation, pharmacy coordination, and, when appropriate, a careful reassessment or taper of a regimen that may no longer fit. You receive treatment that evolves with your life rather than continuing by default.
Request a consultationWalk-and-Talk Sessions
Some sessions are better on foot. For established patients, Attune offers walk-and-talk sessions: psychotherapy conducted outdoors, walking side by side on wooded trails rather than sitting face to face. The work is the same; the frame is different. Movement and open air change what surfaces and how it moves, and a growing body of research supports what many people discover quickly: some things are easier to say on a trail than on a couch.
Walk-and-talk is offered when clinically appropriate, weather permitting, with practical considerations — including privacy in public spaces — discussed together in advance.
Attune is a private-pay practice; fees are discussed during a brief consultation, and superbills are provided for out-of-network reimbursement.
Clinical services are currently available in New York; performance coaching is available anywhere. More states are coming, so if yours isn’t listed, it’s worth asking.
Programs in development.
Group Coaching
Small, non-clinical cohorts built around the same performance frame used across the practice: the stories you tell about yourself under pressure, the parts of you that compete, and the patterns that follow you across training, work, and life. Structured sessions with a defined arc — for athletes and high performers who want serious group work without a clinical relationship. Virtual and in-person cohorts planned.
Group Therapy
Small, clinician-led groups, screened and matched deliberately. Two kinds:
- Skills groups – structured, evidence-based work that builds specific tools for managing stress, emotion, and pressure, alongside others working on the same thing.
- Theme groups – focused groups organized around a shared experience: injury and return, life after sport, and others.
Join the waitlist, and you’ll be contacted when a group that fits is forming.
The supplement industry is largely unregulated, and quality varies more than most people realize. When supplements are part of a plan, Attune recommends Thorne for its rigor and transparency. A practitioner storefront is coming soon; in the meantime, ask us for specific recommendations.