Services

My approach to therapy is integrative and tailored to what you actually need. 

I draw from multiple clinical tools, including acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), exposure and response prevention (ERP), all grounded in somatic and mindfulness-based approaches. The common thread: these are all evidence-based methods used strategically based on what's happening with you specifically.

Neurofeedback is brain training. Using real-time EEG monitoring, you learn to consciously regulate brainwave activity, changing patterns associated with anxiety, depression, ADHD, PTSD, and other conditions. 

Dr. Senese conducted neurofeedback research in partnership with the U.S. Department of Defense and Tel Aviv University specifically for the treatment of stress and PTSD. The research showed significant symptom reduction in participants who learned to regulate brainwave activity. 

Neurofeedback can be particularly helpful for people who want to enhance their progress in therapy. It's effective for anxiety disorders, trauma and PTSD, ADHD and focus issues, depression, sleep problems, and peak performance optimization. Sessions involve wearing an electrode headband while controlling basic video games with your thoughts, as the games respond to your brain activity.

Biofeedback gives you visibility into physiological processes most people can't perceive, such as heart rate variability, skin conductance, respiration patterns, hand temperature, and more. Once you can see it, you can learn to control it. 

Heart rate variability (HRV) training is particularly powerful. HRV reflects the balance of your nervous system, where higher variability indicates greater resilience and adaptability. Low HRV is associated with chronic stress, anxiety, and cardiovascular risk. 

Through biofeedback training, you learn techniques that directly improve HRV and nervous system regulation. The results transfer outside the office, you're not dependent on the equipment to maintain the benefits.

This is helpful for chronic stress and burnout, anxiety and panic, emotional regulation difficulties, and anyone wanting objective data on their nervous system state.

Beyond neurofeedback, I offer additional neuromodulation technologies for clients who need faster or more intensive nervous system support: 

Transcranial Photobiomodulation: Prior to neurofeedback sessions, you can receive 810nm near-infrared light to the brain. This wavelength penetrates the skull and has been shown to enhance mitochondrial function, reduce neuroinflammation, and improve cognitive performance and mood. This sets the stage for results consolidation after each session.

Cranial Electrostimulation: Low-level electrical current applied to the head that modulates brain activity. FDA-cleared for anxiety, depression, and insomnia. Particularly useful as an adjunct to therapy for clients with treatment-resistant symptoms. 

Vagal Nerve Stimulation: Non-invasive stimulation of the vagus nerve to activate the parasympathetic (resting) nervous system. Helpful for clients stuck in chronic fight-or-flight states, including those with trauma histories and chronic anxiety. 

These technologies aren't replacements for therapy, rather they enhance it. When combined with psychotherapy, they may help produce faster and more durable results than either approach alone.

Burnout doesn't just mean you're tired, it means your nervous system has been running on empty for too long. I address the physical impact of chronic work stress alongside the strategic and psychological challenges of high-pressure careers.

Sessions focus on career transitions, leadership challenges, toxic workplace dynamics, work-life integration, and the specific pressures that come with managing people, hitting targets, and being on all the time. This is therapy and coaching combined, processing what's happening emotionally while also thinking strategically about what comes next.

Train your brain to perform at its best. You don't need a diagnosis to benefit from training your nervous system. Neurofeedback and HRV biofeedback are used clinically, but the same methods help high performers build focus, stress resilience, and the ability to stay calm under pressure.

Sessions are data-driven and goal-oriented. We measure your baseline, identify patterns, and train specific improvements, whether that's sustaining attention, recovering faster after high stress situations, or accessing a flow state more consistently. Think of it as training for your brain the way you'd train for anything else.