William Nunley, MD
Psychiatry : Consultation : Psychoanalysis : Clinical Supervision

Clinical work

My approaches to healing

Beginning effective treatment

I start care with a complementary exploratory phone call to see if and how I can be of support. We then review what you share in completing the Beginning Treatment Packet and meet in-person or via telesession for a 3 session consultation. An effective consultation should include measurement based assessments, provide you a feel for what intensive therapy is like with me, and conclude with recommendations to further define and improve core psychological symptoms, potential physical health contributors, and personal strengths.

Please see an overview of psychotherapy for an overview of specific aspects of the main focus of treatment.

Beginning Treatment Packet

Psychiatry

Effectual psychiatry is a collaboration. I aim to deeply listen to your strengths and areas of suffering. I aim to clearly explain and foster understanding of the power and realistic limits of psychopharmocology. I employ a symptom and time limited use of medication and nutraceuticals. My work integrates evidence-based psychotherapy, cognitive behavioral therapies (especially for the behavior of sleep), and substance use recovery. Our work will explore if and how health behaviors may support psychotherapy effectiveness and continue after medication is concluded.

PSYCHOANALYSIS

The majority of my practice is devoted to psychoanalytic psychotherapy and psychoanalysis. Psychoanalytic therapies are evidence-supported with profound capacities to develop deep and lasting personal improvement. Creating and using an analytic relationship facilitates awareness of essential explicit and implicit ways you feel, think, and relate. Psychoanalytic work supports tolerating and more fully accepting your own narratives and how you relate during times of ease and distress. The later stages of psychoanalytic treatment facilitate proactive advances in satisfaction, meaning, and purpose in your life.

If you prefer or cannot bill insurance for our work, please consider the following:

I am an in-network physician with some policies for the following insurers:

WHEN I refer

Valuing your time, it may be useful to know services that are not a part of my work. In my practice, I do not provide the following:

  • treatment limited to specific conditions (ADHD or OCD, for example);

  • problem-focused treatment (such as internal family system (IFS), EMDR, or DBT);

  • psychiatric assessments or treatment plans supporting medical procedures (bariatric or other mental health clearance);

  • mental health disability, child or personal court assessments. work accommodations, or additional psychiatric legal determinations; or

  • stimulant or other psychiatric medication prescriptions outside of established weekly psychotherapy treatment.

During our work, your treatment will be more effective and efficient integrated with trusted primary care and additional practitioners. I can help refer you to a primary care clinician if you do not have one. I am experienced in integrating substance use recovery supports (AA, sober coaching, and/or medication assisted treatment) into psychotherapy. I readily recommend partnered folks find and work with Gottman method or EFT (emotion focused therapy) trained couple’s therapists; these are the two treatment modalities with the best evidence for improvements in committed relationships. Especially when discontinuation of medicine is our work, I support patients establishing and developing mindfulness, health behavior, and social prescribing practices.

If you seek services outside my focus, either prior to or during treatment in my practice, I support you finding a trusted expert who does this essential work.