Joshua S. Greene, MD, PhDPsychiatry · New York

My approach

Beginning treatment

Whether you are seeking medication management, therapy, or both, treatment begins with an extended evaluation, either a single 90-minute session or two hour-long sessions. This time allows me to explore in depth what brings you to treatment in the context of your current life and history. The understanding that emerges from this initial evaluation forms the foundation of a successful treatment.

The office at 200 West 90th Street
The office at 200 West 90th Street.

Psychotherapy

My usual approach to therapy is psychodynamic. I pursued extensive additional training in it after residency. Manualized treatments such as CBT and DBT have important uses, and I draw on them when they suit the problem at hand. Indeed, these treatments can be effective for relieving the symptoms of anxiety and depression, but they often fail to address the underlying issue leading to these conditions. Psychodynamic therapy provides a frame for understanding yourself, and with it a way to work on the deeper roots of problems. In my experience this allows for more meaningful change.

In our sessions you will speak freely, describing whatever comes to mind, and we will follow your thoughts where they go. My role is that of an active guide rather than a passive observer. Open-ended as this approach is, I track progress toward the goals we set at the start, quantitatively when possible.

Medication

I believe medications work best when prescribed thoughtfully and monitored carefully. I work with patients to identify what we are targeting and why, and to adjust the plan as we learn more. Medication management can be a treatment on its own or integrated with the therapy I provide. Although medication is not the right choice for everyone, in some cases, finding the right option can make a real difference.

To schedule a free 15-minute consultation, please email Josh@JSGreeneMD.com or call (646) 906-9633.