The Attune Formulation

Some people arrive with a clear ask, and we begin there. More often, knowing what to ask for is the harder part.

The Formulation takes that burden off your shoulders. It begins with a comprehensive evaluation, followed by a clear understanding of what is happening and a specific plan for what should come next.

The 75-minute evaluation examines your history, patterns, performance demands, and the forces beneath them. From it, you receive a written formulation—yours to keep—that maps, in clear language, the stories, parts, and patterns shaping how you perform and where you struggle.

That formulation becomes the foundation for a three-month Performance Prescription: a tailored plan of coaching, psychotherapy, or both, calibrated to what your situation requires. It includes five sessions in total—the evaluation, three sessions allocated according to the plan, and a structured re-evaluation at month three—with secure messaging throughout.

When medication is indicated, it is available within the practice—without a referral or the need to start over. Many people will not need it; many will. Either way, the decision is made carefully and in the context of the whole clinical picture.