Concierge Care
External Support for Inner Stability
For clients operating in high-pressure or high-visibility environments, I offer discreet, clinically boundaried care with rigorous attention to confidentiality, consistent with applicable legal and ethical limits. When clinically appropriate, and only with written authorization, I may coordinate with approved members of a client’s care or support team. Any such communication is limited to the scope authorized by the client and remains subject to applicable confidentiality laws and ethical standards.
This level of support is intentionally capped to a very small number of clients in order to protect the focus, responsiveness, and clinical judgment it requires. Features of this service may include:
• Clinically focused support tailored to the realities of performance, public visibility, leadership, and relational complexity.
• Additional scheduled support during periods of heightened stress, transition, or complex decision-making.
• Optional on-site or in-home sessions when clinically appropriate.
• Pre-arranged after-hours support for non-emergency clinical needs.
• Coordination with approved care and support professionals, when clinically appropriate and authorized in writing.
• A confidential, clinically grounded space to examine concerns that may feel difficult to discuss elsewhere.
Team Coordination
When clinically appropriate and authorized in writing, Dr. Josh may coordinate with approved members of a client’s care or support network. Communication is limited to the scope authorized by the client and remains subject to applicable confidentiality laws and ethical standards. Collaborative care supports treatment; it is not emergency care, legal advice, public relations strategy, medical care, or 24/7 crisis management.
After-Hours Support
After-hours support may be available by prior arrangement when clinically appropriate. This is for non-emergency clinical support only and is not 24/7 crisis coverage, emergency care, or an immediate-response service. If you are in crisis or immediate danger, call 911, go to the nearest emergency room, or call/text 988.
Telehealth Services
Telehealth is generally available to clients physically located in California at the time of service. Clients must provide their location at the start of each telehealth session. Services may not be available outside California unless permitted by applicable law and licensing requirements.
Early Practice Support
Assisting in the establishment and growth of new clinicians.
Starting a practice can feel both energizing and overwhelming as you move from training into independent work. I offer consultation for master’s and doctoral level clinicians who are in the process of establishing their professional identity. This service includes:
Guidance on creating sustainable systems and navigating the day-to-day logistics of private practice.
Foundations of ethical and legal decision-making (i.e. boundaries, documentation, scope of practice, and risk management).
Establishing strong clinical frameworks to best support your clients.
Supporting you in moving forward with clarity, confidence, and a structure that aligns clinical integrity with long-term sustainability.
Consultation is educational and does not constitute legal advice, clinical supervision, or assumption of responsibility for the consultee’s clients unless separately agreed to in writing.
I’m here when you’re ready.
Begin with a private consultation.