Continuity. Discretion.
Senior clinical judgment.
Private clinical care for complex lives. Hudson & Sound provides senior psychotherapy, behavioral advisory, and coordinated clinical support for executives, founders, adolescents, and families across Manhattan, Westchester, and Fairfield County.
Seamless NY & CT Care Transitions
Direct Virtual Access • Standard Hours
Reserved Capacity • Priority In-Home Triage
100% Cash-Pay & HITECH § 13405(a) Protection
Private clinical care designed for complex lives.
Executives, founders, and affluent families rarely benefit from standard, insurance-driven therapy. They require uncompromised privacy, rigorous clinical diagnostics, and direct access across their primary, secondary, and weekend residences without the fragmentation of conventional healthcare models.
At Hudson & Sound Advisory, you receive senior, discreet, continuous clinical care from one trusted professional who understands both the individual and the surrounding family system.
Dual-State Continuity: With full clinical licensure in both New York and Connecticut, we eliminate administrative friction for clients commuting between Manhattan and Fairfield County. Your clinical care transitions fluidly without interruptions, avoiding the need to source multiple providers across state lines.
Whether engaging through Tier 1 Focused Care for scheduled outpatient psychotherapy or upgrading to Tier 2 Concierge Care for priority triage and dedicated professional network coordination, the practice adapts to the speed and complexity of your life. Operating strictly cash-pay, we execute statutory privacy elections under HITECH § 13405(a), ensuring your diagnostic records remain insulated from commercial insurers and centralized Health Information Exchanges.
Clinical Leadership
Over two decades of clinical mastery and relational precision.
Brian A. Tessier brings over two decades of senior diagnostic expertise and behavioral advisory to the executive domain. An alumnus of New York University (MSW, '07), he maintains active clinical licenses in both New York and Connecticut—providing uninterrupted, dual-state continuity for Tri-State leaders commuting between their primary and secondary homes.
His clinical background spans the full continuum of high-acuity care. Having directed psychiatric emergency programs, architected intensive outpatient stabilization units, and managed interdisciplinary clinical teams, Brian offers a level of systemic diagnostic insight that standard private practitioners often cannot match.
Operating as a clinical diagnostician and advisor, he engineers integrated care plans that guide individuals and their surrounding families through critical transitions with evidence-based precision, deep empathy, and strict operational boundaries.
Brian A. Tessier, MSW, LCSW
Founder & Lead Clinician • NYU MSW ('07) • Dual NY & CT LicensureDiagnostic & Behavioral Scope
Lifespan Capabilities.
Comprehensive outpatient assessment, psychotherapy, and discrete behavioral advisory adapting fluidly to every developmental stage of your family.
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.
Young Adults
Clinical support for emerging adults facing critical life transitions. We deliver outpatient psychotherapy to address failure-to-launch dynamics, providing stabilization during transition and navigating the unique pressures of family expectations.
Executives & Founders
Behavioral advisory tailored for individuals requiring strict privacy. We provide discreet support during high-pressure periods to improve decision-making, resolve C-suite burnout, and navigate complex marital strain.
Coordinated Clinical Support
We stabilize the surrounding environment alongside the individual. Serving as your central clinical coordinator, we align concierge physicians, legal advisors, and wealth managers under a unified, discreet plan.
Confidential Case Studies.
How executives and families utilize Focused Care and Concierge Care to resolve complex clinical breakdowns.
Founder Burnout & Anxiety
A founder undergoing a corporate liquidity event experiences acute decision fatigue and severe anxiety. Splitting time between a Manhattan office and a Greenwich estate, they require senior clinical psychotherapy without an ongoing retainer.
Our Intervention: The client enters via a Provisional Intake. Weekly Virtual Psychotherapy sessions are scheduled under strict statutory cash-pay privacy protections, providing continuous care across NY and CT borders.
Prep School Academic Freefall
An adolescent at an elite prep school experiences severe school refusal and emotional dysregulation. Initial virtual sessions escalate into a broader family crisis requiring home deployment and school negotiation.
Our Intervention: Following an in-home evaluation, the family upgrades to Tier 2 Concierge Care. We deploy care directly to the home while coordinating collaterally with school administrators under Priority Same-Day Triage protocols.
Family Reorganization
A family undergoes a volatile estate reorganization. Interpersonal tension threatens alignment while financial and legal advisors operate in separate silos without clinical guidance.
Our Intervention: Admitted directly to Tier 2 Concierge Care. Collateral family members are clinically onboarded. We align estate counsel and wealth managers under unified Care Coordination, utilizing professional alignment during critical transitions.
Care Models & Fees
Focused & Concierge Care.
A streamlined dual-structure model separating direct fee-for-service clinical care from dedicated capacity reservation and priority triage.
Tier 1: Focused Care
Fee-for-service virtual psychotherapy and clinical advisory during standard hours. Designed for individuals seeking senior clinical diagnostic expertise and total privacy for targeted personal challenges.
- Pure Fee-For-Service: Billed per active 60-minute virtual session with zero monthly retainer overhead.
- Dual NY & CT Licensure: Uninterrupted virtual delivery across New York and Connecticut jurisdictions.
- Tactical Overrides Access: Ability to activate off-calendar, after-hours, acute, virtual mobilizations via activation surcharge.
- Strict Data Privacy: 100% Cash-Pay under HITECH § 13405(a) statutory elections—practice does not utilize superbills or submit CPT codes to insurers.
Tier 2: Concierge Care
Reserved capacity, priority triage, in-home visits, and ongoing coordination with the client’s approved professional network. Designed for complex estates requiring multi-stakeholder alignment.
- Monthly Base Access Retainer: Secures 1 of only 15 active practice positions worldwide, priority triage, and coordination. Clinical sessions are billed separately.
- Included Monthly Review: Includes 1 monthly 60-minute Virtual Clinical Advisory Session per billing cycle.
- Bundled Care Coordination: Routine interdisciplinary liaison with concierge physicians, estate counsel, wealth managers, and school leadership covered under retainer.
- Priority Same-Day Triage: Priority access during stated business and coverage hours with direct secure portal messaging.
- Dual-State Estate Deployment: Priority scheduling for in-home or executive suite deployment across Manhattan, Westchester, and Fairfield County.
Master Rate Schedule Matrix
Provisional Intake Gateway
Provisional Intake Evaluation
Comprehensive diagnostic evaluation required prior to active care admission. Tier 1 intakes are conducted exclusively via virtual portal. In-home estate deployments are reserved strictly for the Tier 2 Concierge pipeline.
Direct Outpatient & Diagnostic Services
Virtual Psychotherapy
Scheduled 60-minute clinical psychotherapy session via encrypted virtual portal across NY & CT.
Executive Administrative Governance
Extended proxy consultations (>20m), document analysis, and provider liaisons. (Billed for Tier 1; Included in Tier 2).
Tactical Override (TO) Activation
Unscheduled, weekend/after-hours, or acute crisis mobilization surcharge. Tier 1 primary (waived for Tier 2).
Concierge Capacity & Coordination
Monthly Base Access Retainer
Tier 2 capacity reservation securing 1 of 15 capped roster slots, priority triage, and care coordination. (Active clinical sessions are billed separately).
In-Home Clinical Visit
Scheduled 60-minute clinical psychotherapy session deployed directly to your home or executive suite across NY/CT. Transit logistics included.
Priority Same-Day Triage
Priority same-day triage during stated business and coverage hours, dedicated portal messaging, and routine care coordination.
Universal Practice Services & Ancillary Terms
Legal & Forensic Alignment
Depositions, court appearances, attorney alignment sessions, and pre-litigation consultation. Billed against an upfront non-refundable $10,000 legal retainer.
Member Integration (MI) Surcharge
One-time clinical onboarding fee to evaluate and integrate a collateral family member, spouse, or proxy into the care ecosystem. Subsequent sessions billed at standard FFS rates.
Acceleration Protocol Surcharge
One-time mobilization surcharge for expedited off-market intake evaluation when the active Tier 2 Concierge Residency roster is at capacity.
Application Gateway
Request Placement Inquiry
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.