Continuity. Discretion.
Senior clinical judgment.
Hudson & Sound Advisory deploys senior-level clinical support and psychotherapy through a frictionless private architecture. We bypass the constraints of traditional clinical delivery to facilitate dedicated, priority access and fluid deployment of senior clinical bandwidth as personal and systemic challenges evolve.
100% Cash-Pay structure backed by mandatory HITECH § 13405(a) privacy elections. Absolute data sovereignty. Zero superbills. Zero diagnostic codes, Zero exposure to government, corporate, or insurance databases.
Move beyond arbitrary 45-minute clinic hours. Deploy clinical time dynamically in virtual advisory bursts or In-Situ mobile visits with full interdisciplinary coordination.
Direct, grounded clinical insight backed by 20+ years of senior diagnostic expertise. High-status intervention for prominent lives.
Thoughtful clinical care, tailored to the realities of high-pressure life.
Prominent individuals, public figures, and complex family systems require absolute Clinical Sovereignty, rigorous diagnostics, and seamless continuity of care. Treatment frameworks integrate Psychodynamic Insight, Structural & Strategic Family Systems, and Evidence-Based Cognitive-Behavioral protocols tailored for high-functioning executives.
At Hudson & Sound Advisory, your engagement is anchored by one trusted senior professional. We provide robust outpatient psychotherapy directly, and when a complex family system requires broader intervention, we leverage a private network to curate and deploy specialized, independent clinicians—acting as your primary architect to coordinate care across the entire family under one unified strategy.
Dual-State Jurisdictional Scope: With full clinical licensure across New York and Connecticut, we provide uninterrupted clinical continuity for clients moving between Manhattan, Westchester, and Fairfield County. Services are rendered seamlessly whenever the client is physically present in either jurisdiction.
Absolute Data Sovereignty: Hudson & Sound Advisory operates strictly as a private cash-pay practice. Every clinical engagement incorporates a mandatory HITECH § 13405(a) privacy election, legally binding the practice to withhold treatment records, diagnoses, and financial statements from corporate health plans, insurance databases, and Health Information Exchanges (HIEs).
Clinical Leadership
Grounded expertise and steady clinical precision.
Brian A. Tessier brings over two decades of direct clinical practice experience, diagnostic expertise, and behavioral advisory to his private practice. An alumnus of New York University (MSW, '07), he maintains active clinical licenses in both New York and Connecticut—providing uninterrupted continuity for Tri-State leaders.
He is a highly trained and experienced generalist clinician uniquely skilled in working across the lifespan and co-occurring diagnostic spectrum. While most practitioners remain siloed in specific demographics, his twenty years of experience encompasses both the full demographic spectrum and the complete continuum of outpatient care. Having directed office based outpatient, mobile psychiatric emergency programs, intensive outpatient stabilization groups, and managed interdisciplinary teams, he offers systemic diagnostic insight that most standard private practitioners rarely possess.
In the room, Brian combines rigorous clinical insight with a grounded, highly authoritative, yet conversational style. He provides a steady, non-judgmental space for individuals and families to process complex pressures, gain immediate clarity, and build resilience without clinical fluff or standard therapy jargon.
Brian A. Tessier, MSW, LCSW
Founder & Psychotherapist • NYU MSW ('07) • NY & CT LicensureClinical Scope
Systemic Capabilities.
Comprehensive outpatient assessment, psychotherapy, and discrete clinical consultation adapting fluidly to every developmental stage of your life or family system.
Adolescents & Academics
Direct intervention for complex adolescent challenges. We address academic disengagement, school refusal, and high-functioning anxiety to restore family functioning, executing discrete Care Coordination directly with school leadership upon explicit consent.
Young Adults
Clinical support for emerging adults facing critical life transitions. We deliver outpatient psychotherapy to address difficulties with independence, providing stabilization during transition and navigating unique family expectations.
HNW Leaders & Figures
Psychotherapy and advisory tailored for high-profile clients requiring absolute privacy. We provide discreet support during high-pressure periods to improve decision-making, resolve executive burnout, and navigate complex interpersonal strain.
Custom Clinical Deployments
While your care remains anchored by your primary clinician, complex family dynamics often require a broader perimeter. Operating beyond the standard solo practice, we assess unique vulnerabilities and can curate, deploy, and coordinate a bespoke team of specialized independent professionals on a case-by-case basis.
Confidential Deployment Briefs.
Operational examples of multi-tier practice architecture resolving complex clinical breakdowns.
Acute Occupational Stress & Burnout
Vulnerability: A fund partner undergoing a major portfolio transition experiences severe decision fatigue, sleep collapse, and acute psychological strain, threatening their fiduciary performance. Splitting time between a Manhattan office and a Fairfield County residence, the client requires rigorous, diagnostic-level psychotherapy without exposure to insurance databases or corporate boards.
Deployment: The client enters via a Provisional Intake Assessment. Virtual, evidence-based psychotherapy sessions are deployed dynamically as their schedule permits under Tier 1 Focused Care. Mandatory HITECH § 13405(a) privacy protocols are executed immediately, guaranteeing absolute diagnostic sovereignty and corporate insulation.
Adolescent Dysregulation & Academic Freefall
Vulnerability: An adolescent at an elite prep school exhibits severe school refusal, mood volatility, and clinical emotional dysregulation. The family requires a predictable, senior clinical anchor to stabilize the adolescent, alongside direct interdisciplinary coordination with the school's administration.
Deployment: Admitted to Tier 2 Executive Continuity. We lock in a protected weekly virtual placement to deliver consistent, direct psychotherapy. The monthly retainer bundles quarterly Care Coordination, enabling the practice to interface directly with school leadership to enforce behavioral boundaries and maintain a unified systemic strategy.
Acute Systemic Decompensation
Vulnerability: A principal family member experiences a profound behavioral decompensation and withdrawal, destabilizing the entire family system. While outside proxies manage legal and financial affairs, the family requires rigorous, direct clinical psychotherapy for the principal and immediate behavioral containment for collateral members.
Deployment: Admitted to Tier 3 Integrated Clinical Advisory. The practice executes direct, intensive outpatient psychotherapy for the principal via In-Situ deployments. Simultaneously, we conduct an ecosystem-wide clinical assessment and deploy specialized independent clinicians to collateral family members—acting as the singular clinical architect to align treatment and prevent systemic enabling.
Levels of Integration
The Master Comparison Ledger.
High-net-worth clients do not simply purchase clinical hours; they secure clinical bandwidth, discretion, and systemic agility. Review our practice integration levels and specialized protocol surcharges.
| Scope & Deliverables |
Tier 1: Focused CareDirect-entry, fee-for-service senior clinical judgment for leaders requiring uncompromised privacy without an ongoing retainer. Engagements are booked strictly on an as-available virtual basis—delivering rigorous tactical insight without the friction of a traditional clinic.
$450
/ hour
|
Tier 2: Executive ContinuityA monthly continuity membership securing a protected, recurring weekly virtual placement. Engineered to provide predictable clinical access, fair-use secure messaging, and scheduled interdisciplinary coordination to establish robust behavioral boundaries amidst volatile schedules.
$2,800
/ month
|
Flagship
Tier 3: Integrated AdvisoryComprehensive clinical architecture for high-profile individuals and complex family systems. Engineered for absolute systemic agility, we deploy fluid clinical bandwidth (virtual or In-Situ with waived dispatch surcharges) alongside unlimited professional Care Coordination as your realities shift.
$5,000
/ month
|
|---|---|---|---|
| Active Clinical Bandwidth Psychotherapy & Deployments | Billed as required ($450/hr) | 4 Hours (Weekly Anchors) | 4 Hours Fluid Bandwidth / mo |
| Supplemental Clinical Deployments Beyond Retained Allocation | N/A (Standard FFS) | $450 / hour | $450 / hour |
| Protected Schedule Placement Guaranteed weekly access | |||
| Fair-Use Secure Messaging Up to 2 brief queries/week (24hr response) | |||
| Interdisciplinary Care Coordination & Planning Physicians, Legal, Schools, Proxies | Billed @ Admin Rate ($250/hr) | Included Quarterly | Unlimited Bundled |
| In-Situ Mobile Deployments Travel & logistics surcharge | +$450 / Dispatch | +$450 / Dispatch | Fully Bundled (Surcharges Waived) |
| Tactical Override (TO) Activation Unscheduled / Acute Clinical Mobilization | +$1,000 Surcharge | +$1,000 Surcharge | Surcharge Waived |
| Select Tier 1 | Select Tier 2 | Select Tier 3 |
Tier 1: Focused Care
Direct-entry, fee-for-service, senior clinical judgment for leaders requiring uncompromised privacy without an ongoing retainer. Engagements are booked strictly on an as-available virtual basis—delivering rigorous tactical insight without the friction of a traditional clinic.
Tier 2: Executive Continuity
A monthly continuity membership securing a protected, recurring weekly virtual placement. Engineered to provide predictable clinical access, fair-use secure messaging, and scheduled interdisciplinary coordination to establish robust behavioral boundaries amidst volatile schedules. Supplemental deployments beyond retained allocation are billed at $450/hr.
Tier 3: Integrated Advisory
Comprehensive clinical architecture for high-profile individuals and complex family systems. Engineered for absolute systemic agility, we deploy fluid clinical bandwidth (virtual or In-Situ with waived dispatch surcharges) alongside unlimited professional Care Coordination as your realities shift. Supplemental deployments beyond retained allocation are billed at $450/hr.
Gateways & Specialized Protocols
Universal one-time deployments applicable across all tiers.
Provisional Intake Assessment
Comprehensive evaluation required prior to active care admission ($1,500 Virtual / $1,950 In-Situ). The assessment includes a diagnostic formulation, initial recommendations, and a determination of whether the requested care model is clinically appropriate. The base fee is not credited toward subsequent monthly memberships.
Member Integration (MI) Surcharge
One-time clinical onboarding fee to evaluate and integrate a collateral family member or proxy into the care ecosystem. Subsequent sessions billed at active FFS rates.
Acceleration Protocol Surcharge
One-time mobilization surcharge for expedited off-market intake evaluation when the active capped roster is strictly full.
Legal / Forensic / Corporate Block
Any requirement to interface with your attorneys, testify in legal proceedings, or advise corporate proxies is excluded from standard clinical tiers. This high-liability work is billed at an executive administrative rate and requires an upfront retainer.
Application Gateway
Request Placement Inquiry
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.