We are entering the era of Organic/Synthetic Relationships. This might mean a romantic involvement with a chatbot or a companion robot. In Japan, studies with the RoBoHoN robots showed that elderly participants formed deep, meaningful attachments to their robotic companions. These relationships can be safe, pleasurable, and free of coercion—provided they are built on mutual respect.

Divorce in New York is amplified by the high-stakes real estate market and the competitive professional culture. Logistical complexities—such as deciding who remains in a co-op or how to divide high-asset portfolios—often lead to "toxic stalemates" that require specialized clinical intervention to resolve without excessive legal friction.

New York City is defined by its ability to hold multiple truths at once. It is a city where tradition meets radical progress, and where the "standard" life path is frequently reimagined. For many couples, this reimagining happens within the sanctuary of their own home, particularly for those navigating a Mixed-Orientation Marriage (MOM).

The drive that leads to professional dominance often creates a profound disconnect at home. This is the high-performance paradox: the very traits that make you successful in Manhattan are the same traits that may be eroding your intimacy.

If you’ve been exploring trauma therapy, you’ve likely come across EMDR (Eye Movement Desensitization and Reprocessing) and Brainspotting. Both are powerful modalities designed to help people process and release trauma. But how do they differ? And more importantly, how do you know which one is the right fit for your healing journey?

 A 3D cartoon-style illustration of a couple sitting on a cozy couch in a warmly lit living room, engaged in a heartfelt conversation with a therapist's notebook symbolizing emotional connection and support in couples therapy.

Kink-affirming therapy is a therapeutic approach that centers the emotional and relational well-being of individuals involved in kink, BDSM, or alternative sexualities. It does not treat kink as something to be fixed, erased, or explained away. Instead, it holds space for your experiences, challenges, and desires with deep respect and curiosity.

Self-criticism doesn’t mean you’re broken. These 6 therapist-backed reframes offer gentle, practical ways to shift your mindset—and start healing. Use them daily or during moments of doubt to nurture confidence and self-compassion.

Discover how couples in mixed-orientation marriages can thrive through honest communication, intimacy solutions, and expert-supported growth.

Through my work, I hear many of the same heartfelt questions from women navigating divorce. Indeed I’ve had these questions myself! Below, I’ve gathered two of the most common ones — along with my thoughtful, experience-based answers. My hope is that these words offer you both practical guidance and emotional support.

Currently anxiety is showing up among my new client consultations at an all time high! People I’m meeting with are grappling with heightened anxiety stemming from these sociopolitical changes:

• Concerns about potential and realized rollbacks of LGBTQ+ rights, including those affecting transgender individuals and same-sex marriage

• The attack on Government Agencies like US AID, Medicare and Medicaid, our personal data and Federal jobs

• The continued alarming rise in antisemitism, xenophobia and ICE deportations

These issues have left many feeling vulnerable and distressed. Many of us are experiencing the world as a more dangerous place than we have in the past. These external stressors can lead to pervasive feelings of unease and fear.

Brainspotting (BSP) is a therapeutic approach that offers a pathway to address and alleviate such anxiety.

Join Paula Kirsch as she delves into the nature of trauma and how it is stored in the brain. Discover the transformative potential of brain spotting. Understand how this innovative technique engages the brain's emotional and survival systems to facilitate profound healing and lasting change. Paula shares her deep commitment to helping clients move past their trauma and reclaim their lives.

This week, with Thanksgiving, we kick off the Holidays, a wonderful and potentially stressful time! During family holiday gatherings, a mix of personalities and dynamics can sometimes lead to challenging interactions. Being aware of these common behaviors can help you navigate these situations more effectively:

I am excited to announce that I will soon be offering Brainspotting, a groundbreaking therapeutic technique, as part of my practice. Brainspotting is a powerful, focused method that works by identifying, processing, and releasing emotional and physical trauma stored in the body.

What Sex Therapists want you to know! Great advice here to improve your sexual experience! Schedule your 1st session Here

Identity, politics and ethics

As a therapist, my primary role is to support and understand my clients from an unbiased standpoint. While I generally keep my personal life separate from my professional practice, I believe sharing a bit about my own journey can sometimes help in forging deeper connections and understanding.

The phrase "falling in love" often brings to mind feelings of excitement, joy, and an emotional high. What it seldom evokes are the intricacies of forming a genuine emotional connection. True emotional connection is founded on vulnerability—the ability to expose your authentic self, quirks and all, to another person.

I was recently encouraged by a member of the board, to submit a proposal to speak at a conference dedicated to "Elder Lesbians," an invitation I wholeheartedly accepted with excitement and honor. These opportunities not only allow me to share my expertise but also to listen and learn from those who have been on the front-lines of history, making a path for future generations.

I’m not exactly sure what I expected from the new Barbie movie. I think I imagined it would be campy and fun, but it never crossed my mind that it would pack a powerful punch for feminism.

In today’s New York Times, there is an article about Surrogate Partner Therapy. Many learned that this therapy existed when the movie, “The Sessions” hit the theaters in 2012