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A psychotherapy practice and training institute. The Institute does not provide emergency or crisis services — if you are in immediate danger, contact local emergency services..
CLINICAL PRACTICE
Psychotherapy for individuals, couples, and families.
We see clients across Florida, and across the country, by telehealth where licensure permits. Our clinicians meet weekly in case consultation — every person we work with benefits from the attention of the whole team.
INDIVIDUALS | COUPLES | FAMILIES
OUR APPROACH
More than managing symptoms
Psychotherapy at the November Institute is structured clinical care for individuals, couples, and families. We take suffering seriously — and we believe real change comes from more than managing symptoms.
Our work is oriented toward understanding the relational systems a person lives within, and developing the capacity to function differently within them. This is not a brief-treatment or symptom-protocol practice. The work we do is long-form, and it is oriented toward durable change.
It is about developing capacity over time — the kind of capacity that holds when life gets hard.
WHAT TO EXPECT
Treatment begins with an intake conversation to clarify what's bringing you in, what you're hoping for, and what kind of clinician would be the best fit. From there, we work at a pace appropriate to the person, couple, or family.
Initial intake to assess goals and clinical fit
Match with the appropriate clinician on the team
Regular sessions with consistent structure and pacing
Every case discussed weekly in faculty consultation
Coordination with other providers when appropriate
HOW WE WORK
Our focus in treatment
Strengthening self-definition while staying connected
Reducing reactivity and blame-based patterns
Clarifying one's position and living it over time
Recognizing how family of origin shaped current relational habits
Understanding the relational systems a person lives within
Holding your position in difficult conversations
Practicing steadier participation in difficult relationships
Strengthening capacity to remain present under stress
AREAS OF FOCUS
Common reasons people come to us
Ongoing relationship conflict, disconnection, or recurring misunderstandings
Communication that turns into defending, blaming, withdrawing, or shutting down
Anxiety, chronic stress, and feeling reactive or on edge
Difficulty speaking clearly without guilt or escalation
Repeating family patterns that show up in adult relationships
Feeling responsible for others' emotions, or relying on others to feel stable
Leadership and work-related strain — conflict, burnout, decision fatigue
Parenting pressures, co-parenting tension, extended family challenges
Major transitions — marriage, separation, relocation, illness, loss
Knowing what matters but struggling to act consistently
OUR CLINICAL TEAM
Three roles, one frame
Every clinician at the Institute, from senior faculty to clinicians-in-training, works within the same theoretical frame and meets weekly in case consultation.
FACULTY
Senior Clinicians
Licensed five or more years post-licensure with advanced training. Faculty carry a smaller direct caseload, supervise associates and residents, and lead the Institute's training programs.
ASSOCIATE
Licensed Clinicians
Licensed clinicians (LMHC, LMFT, LCSW) in the early years of independent practice, working under continued mentorship from faculty.
RESIDENT
Clinician-in-Training
Registered Mental Health Counselor Interns completing supervised hours toward licensure. Residents see clients under intensive faculty supervision and weekly case consultation.
The "Resident" framing is borrowed deliberately from medicine. In a teaching hospital, being seen by a resident means your case is being examined by a team. The same is true here.
FEES
Fees depend on which clinician you work with
ROLE
PER SESSION
FORMAT
Faculty Clinician
$250 - $300
Individual · Couples · Family
Associate Clinician
$175 - $225
Individual · Couples · Family
Resident Clinician
$100 - $150
Individual · Couples · Family
We are intentional about this structure. We believe excellent psychotherapy should be accessible at multiple price points, and we believe rigorous training environments produce some of the most attentive clinical work.
We do not currently participate with insurance panels at the Faculty or Associate levels. We provide superbills for out-of-network reimbursement.
AREAS OF FOCUS
Common reasons people come to us
Ongoing relationship conflict, disconnection, or recurring misunderstandings
Communication that turns into defending, blaming, withdrawing, or shutting down
Anxiety, chronic stress, and feeling reactive or on edge
Difficulty speaking clearly without guilt or escalation
Repeating family patterns that show up in adult relationships
Feeling responsible for others' emotions, or relying on others to feel stable
Leadership and work-related strain — conflict, burnout, decision fatigue
Parenting pressures, co-parenting tension, extended family challenges
Major transitions — marriage, separation, relocation, illness, loss
Knowing what matters but struggling to act consistently
FEES
We work on a sliding scale
ROLE
PER SESSION
FORMAT
Clinician
$200 - $275
Individual · Couples · Family
We do not currently participate with insurance panels at the Faculty or Associate levels. We provide superbills for out-of-network reimbursement.