Continuity. Discretion.
Senior clinical judgment.
Designed exclusively for elite individuals and families navigating personal, professional, or systemic challenges across Manhattan, Westchester, and Fairfield County. Hudson & Sound Advisory delivers bespoke, senior-level clinical psychotherapy through a frictionless private architecture. We bypass the rigid, volume-driven constraints of traditional care—operating an intentionally restricted 15-client global roster to grant you immediate, fluid deployment of senior clinical bandwidth exactly when your life or family dynamic demands it.
100% Cash-Pay structure backed by mandatory HITECH § 13405(a) privacy elections. Absolute data sovereignty: zero superbills, zero diagnostic codes, zero exposure to corporate or insurance databases.
Move beyond arbitrary 45-minute clinic hours. Deploy clinical time dynamically in 30-minute virtual advisory bursts or 60-minute 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—delivered without clinical fluff or traditional therapy jargon.
Thoughtful clinical care, tailored to the realities of high-pressure life.
Elite individuals, public figures, and complex family systems rarely benefit from standard, insurance-driven therapy. They require uncompromised Clinical Sovereignty, rigorous diagnostics, and seamless continuity of care. Treatment frameworks integrate Psychodynamic Insight, Structural Family Systems, and Evidence-Based Cognitive-Behavioral protocols tailored specifically for high-functioning individuals.
The work is direct, thoughtful, and collaborative. Clients receive a consistent clinical relationship with enough flexibility to address the realities of demanding work, complex family dynamics, and periods of rapid transition.
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 trusted professional 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 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.
His clinical background spans the full continuum of outpatient and urgent care. Having directed psychiatric emergency programs, architected intensive outpatient stabilization groups, and managed interdisciplinary clinical teams, he offers a level of systemic diagnostic insight that 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 high-performing individuals 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 Case Studies.
How prominent individuals, professionals, and families utilize our multi-tier practice architecture to resolve complex clinical breakdowns.
Finance Leader Burnout & Anxiety
A fund partner undergoing a major portfolio transition experiences acute decision fatigue and severe anxiety. Splitting time between a Manhattan office and a Fairfield County residence, they require senior clinical psychotherapy without an ongoing retainer.
Our Intervention: The client enters via a Provisional Intake Assessment. Weekly virtual psychotherapy sessions are scheduled under the practice’s private cash-pay model with mandatory HITECH privacy protection executed.
Prep School Academic Freefall
An adolescent at an elite prep school experiences severe school refusal and emotional dysregulation. The family requires a dedicated, ongoing clinical framework that provides stability week over week without constant scheduling friction.
Our Intervention: Following an evaluation, the family secures a Tier 2 Executive Continuity Membership. We establish a standing weekly clinical slot, guaranteeing operational bandwidth and providing limited between-session check-ins to maintain behavioral boundaries.
Complex Family Reorganization
A prominent family navigating a significant transition experiences escalating interpersonal conflict while outside representatives work in parallel. The family requires structured consultation and a unified clinical perspective across generations.
Our Intervention: Admitted to Tier 3 Integrated Clinical Advisory for comprehensive family systems care. The practice conducts an ecosystem-wide assessment, leverages our private network to bring in specialized independent clinicians for collateral family members, and acts as the singular executive coordinator to align the deployed professionals. Time is deployed dynamically as the family system demands.
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 CareTactical, direct-access clinical judgment for founders, executives, and leaders who require uncompromised privacy without an ongoing retainer. Engagements are booked on an as-available basis.
$450
/ hour
|
Tier 2: Executive ContinuityA monthly continuity retainer that secures a guaranteed anchor in your week. Provides predictable clinical access, priority scheduling, and establishes robust behavioral boundaries amidst volatile schedules.
$2,800
/ month
|
Flagship
Tier 3: Integrated AdvisoryCoordinated family systems care. We act as your primary clinical architect. Includes up to 4 hours of fluid clinical bandwidth (virtual in 30m+ blocks, or In-Situ in 60m+ blocks with travel surcharges waived), plus unlimited Care Coordination.
$5,000
/ month
|
|---|---|---|---|
| Active Clinical Bandwidth Psychotherapy & Deployments | Billed as required ($450/hr) | 4 Hours (Weekly Anchors) | 4 Hours Fluid Bandwidth / mo |
| 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
Tactical, direct-access clinical judgment for founders, executives, and leaders who require uncompromised privacy without an ongoing retainer. Engagements are booked on an as-available basis.
Tier 2: Executive Continuity
A monthly continuity retainer that secures a guaranteed anchor in your week. Provides predictable clinical access, priority scheduling, and establishes robust behavioral boundaries amidst volatile schedules.
Tier 3: Integrated Advisory
Coordinated family systems care. We act as your primary clinical architect. Includes up to 4 hours of fluid clinical bandwidth (virtual in 30m+ blocks, or In-Situ in 60m+ blocks with travel surcharges waived), plus unlimited Care Coordination.
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 / Alignment Block
Dedicated interdisciplinary strategy sessions integrating your physicians or advisors. Legal and Forensic services are excluded from standard tiers and billed at an executive administrative rate requiring 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.