Hi, I’m Paul. More than “just a career,” personal development has been my passion for the last 20 years. In the past, I trained in Zen meditation and the nursing field. In more recent years, I have lectured as a professor of psychology to graduate and undergraduate students, facilitated training events for other therapists, co-authored and published academic research, held leadership positions, and have spoken at live conferences to audiences in three different countries. These days, I am focused on my private practice. I am licensed to work with patients in California, Florida, Massachusetts, Rhode Island, and Virginia. I have also been working on a book since COVID-19 that I hope to release over the next couple of years.



Yes. I engage in extra professional activity that goes well beyond the standard required to practice with my license. Some of these additional professional activities I practice include reading ample clinical and empirical literature to enhance my casework, reviewing/re-conceptualizing my patients’ cases, seeking supervision and consultation from other mental health professionals to ensure quality care, and reserving writing time for my book. I believe when therapists regularly engage in such extra activity they are potentially more well-rounded and effective in clinical practice. Though many of these activities are encouraged, they are not required of counselors once they become independently licensed. I find that working in this way has been best for my practice.



I strive to adjust therapy to fit the patient rather than making the patient fit the therapy. In my experience, developing a therapeutic relationship over time that is based on empathy, respect, and support seems to take people farther than a relationship that emphasizes technique, theory, or adhering to a particular “approach” to therapy. Ergo, I believe that good psychotherapy outcome depends on the working alliance formed by you and I over time. There happens to be a robust amount of scientific research supporting this idea. These findings do not necessarily suggest that the therapy relationship feels comfortable consistently, but rather that the quality of the relationship is determined by the complex range of experiences that it can accommodate over time. Such a relationship is often the catalyst for slow but anticipated growth. Most people have not had a relationship quite like this, and so it often requires patience and uncertainty until we become more familiar to one another.

I do find a wide array of frameworks useful for thinking about clinical issues, including (but not limited to): Intersubjective Psychoanalysis, Relational Psychoanalysis, Object Relations, and Internal Family Systems. I draw from dozens of models of personality development, psychotherapy, philosophy, neuroscience, and Zen Buddhism. I also incorporate a wealth of knowledge based on the empirical research and theoretical concepts I taught as a professor. And yet I do not cling to any particular theory or model when working with patients, as I have not yet found any idea that made sense of someone as much as simply listening to what the person has to say to me.



I currently accept all insurances as an out-of-network provider only. You pay me at the time of each visit, and once per month I will complete the paperwork for you to give your insurance company so you can attempt reimbursement. You typically need a PPO or POS option on your insurance plan to qualify for reimbursement. For example, Blue Cross Blue Shield PPO or Aetna POS. If your insurance will not reimburse you for seeing me, you may still see me as a self-pay patient.

You can find out how much you will be reimbursed for meeting with me by calling your insurance provider. Ask them if you have out-of-network benefits. If they say yes, ask them how much you will be reimbursed for meeting with a licensed counselor (if you need to provide them my license # you can find it on the Credentials page). Then give them the relevant CPT codes listed below to obtain a quote from them.

Diagnostic Assessment (first appointment only; CPT code 90791): $270
Individual Psychotherapy, 45 minutes (CPT code 90834): $220
Couple/Family Therapy, 50 minutes (CPT code 90847): $270

You should also ask if you have a deductible to meet before they begin to reimburse you for seeing an out-of-network provider.



I work remotely using the HIPPA-compliant and secure version of Zoom. I meet with patients from California, Florida, Massachusetts, Rhode Island, and Virginia.

I meet with all potential new patients for a 45 minute consultation screening so we can both assess if we’re a good fit to work together. I charge a $100 fee for this initial consultation.

You can arrange a consultation by emailing me at info@pauljletendre.com.