My skills are in the following areas:

  • In-depth and time-limited psychotherapy and psychopharmacology (medication)
  • Evaluation and treatment of adults, children, and adolescents
  • Clinical problems involving medical, psychiatric, and psychosocial disorders, as they present separately and in combination
  • Collaborative and integrated treatment requiring the unraveling and treatment of complex medical-psychiatric disorders

I have practiced and taught in the San Francisco Bay Area for over thirty-five years. I am board certified by the American Board of Psychiatry and Neurology in both general psychiatry and child/adolescent psychiatry. I have authored many professional articles and five books, and speak regularly to both U.S. and international audiences. My “Collaborative Psychiatry Method,” now known as the “Medical-Psychiatric Coordinating Physician” (MPCP) method of treatment, is elaborated in my books Comprehensive Care for Complex Patients: The Medical-Psychiatric Coordinating Physician Model (2013, Cambridge University Press), Evidence from Within: A Paradigm for Clinical Practice (2008, Rowman and Littlefield), Making Psychotherapy Work: Collaborating Effectively with Your Patient (2007, The Psychosocial Press [An imprint of International Universities Press]), Hidden Faults: Recognizing and Resolving Therapeutic Disjunctions (2000, The Psychosocial Press), and Intricate Engagements: The Collaborative Basis of Therapeutic Change (1995, Jason Aronson; 2004, Rowman and Littlefield).

I graduated from Yale University Medical School, and was then a National Institute of Mental Health research fellow in pharmacology at Stanford University Medical School. I trained (residency and fellowship) in psychiatry at the University of California Mount Zion Hospital and Medical Center in San Francisco, where I later joined the academic faculty. I then completed psychoanalytic training at the San Francisco Psychoanalytic Institute. I am an associate clinical professor at the University of California Medical School in San Francisco; an active member of the INTERMED foundation (dedicated to research on complex clinical issues) headquartered in Amsterdam; and am currently principal investigator of the INTERMED research project at the University of California, San Francisco. I also head the Center for Collaborative Psychiatry, Medicine, and Psychology in Kentfield, California. I have been designated a Distinguished Fellow of the American Psychiatric Association, attained certification by the American Psychoanalytic Association, and have been voted by peers to Best Doctors in America® every year since 1987.

My current research interest is in the area of complex clinical problems and is focused on creating strategies for dealing effectively with difficult clinical situations and developing tools for coordinating and managing such cases.

Last, but not at all least, my wife and I have a family of four wonderful grown children.

To learn more about my work, please visit my Books & Articles page or the Medical-Psychiatric Coordinating Physician Method website.