About

I am a physician. For more than twenty years my clinical work has centered on addiction and related conditions — chronic pain, benzodiazepine dependence, the psychological dimensions of withdrawal, and the problems of self-regulation that run through all of them.

My thinking is shaped by both medicine and psychoanalysis. That combination matters because addiction is biological in ways that cannot be ignored, and also something lived — in the body, in relationships, in emotional life, and in the particular history of a particular person. Neither account is sufficient alone, and the tension between them is one of the things this work is actually about.

This site is not a practice website. It is where I write — about addiction, about the clinical work, about psychoanalytic ideas that bear on these problems, and about the larger questions that serious attention to suffering tends to generate.