Continuity. Discretion.
Senior clinical judgment.
Hudson & Sound Advisory deploys senior-level clinical psychotherapy through a frictionless private architecture. We bypass volume-driven constraints to ensure direct priority access and fluid deployment of clinical bandwidth exactly when a complex life or family dynamic needs it.
100% Cash-Pay structure backed by mandatory HITECH § 13405(a) privacy elections. Absolute data sovereignty. Zero superbills. Zero diagnostic codes, Zero exposure to corporate or insurance databases.
Move beyond arbitrary 45-minute clinic hours. Deploy clinical time dynamically in virtual advisory bursts or In-Situ mobile visits with full interdisciplinary coordination.
Direct, grounded clinical insight backed by 20+ years of senior diagnostic expertise. High-status intervention for prominent lives.
Thoughtful clinical care, tailored to the realities of high-pressure life.
Prominent individuals, public figures, and complex family systems require absolute Clinical Sovereignty, rigorous diagnostics, and seamless continuity of care. Treatment frameworks integrate Psychodynamic Insight, Structural Family Systems, and Evidence-Based Cognitive-Behavioral protocols tailored for high-functioning executives.
At Hudson & Sound Advisory, your engagement is anchored by one trusted senior professional. We provide robust outpatient psychotherapy directly, and when a complex family system requires broader intervention, we leverage a private network to curate and deploy specialized, independent clinicians—acting as your primary architect to coordinate care across the entire family under one unified strategy.
Dual-State Jurisdictional Scope: With full clinical licensure across New York and Connecticut, we provide uninterrupted clinical continuity for clients moving between Manhattan, Westchester, and Fairfield County. Services are rendered seamlessly whenever the client is physically present in either jurisdiction.
Absolute Data Sovereignty: Hudson & Sound Advisory operates strictly as a private cash-pay practice. Every clinical engagement incorporates a mandatory HITECH § 13405(a) privacy election, legally binding the practice to withhold treatment records, diagnoses, and financial statements from corporate health plans, insurance databases, and Health Information Exchanges (HIEs).
Clinical Leadership
Grounded expertise and steady clinical precision.
Brian A. Tessier brings over two decades of diagnostic expertise and behavioral advisory to his private practice. An alumnus of New York University (MSW, '07), he maintains active clinical licenses in both New York and Connecticut—providing uninterrupted continuity for Tri-State leaders.
His clinical background spans the full continuum of outpatient and urgent care. Having directed psychiatric emergency programs, architected intensive outpatient stabilization groups, and managed interdisciplinary clinical teams, he offers a level of systemic diagnostic insight that standard private practitioners rarely possess.
In the room, Brian combines rigorous clinical insight with a grounded, highly authoritative, yet conversational style. He provides a steady, non-judgmental space for high-performing individuals to process complex pressures, gain immediate clarity, and build resilience without clinical fluff or standard therapy jargon.
Brian A. Tessier, MSW, LCSW
Founder & Psychotherapist • NYU MSW ('07) • NY & CT LicensureClinical Scope
Systemic Capabilities.
Comprehensive outpatient assessment, psychotherapy, and discrete clinical consultation adapting fluidly to every developmental stage of your life or family system.
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 upon explicit consent.
Young Adults
Clinical support for emerging adults facing critical life transitions. We deliver outpatient psychotherapy to address difficulties with independence, providing stabilization during transition and navigating unique family expectations.
HNW Leaders & Figures
Psychotherapy and advisory tailored for high-profile clients requiring absolute privacy. We provide discreet support during high-pressure periods to improve decision-making, resolve executive burnout, and navigate complex interpersonal strain.
Custom Clinical Deployments
While your care remains anchored by your primary clinician, complex family dynamics often require a broader perimeter. Operating beyond the standard solo practice, we assess unique vulnerabilities and can curate, deploy, and coordinate a bespoke team of specialized independent professionals on a case-by-case basis.
Confidential Deployment Briefs.
Operational examples of multi-tier practice architecture resolving complex clinical breakdowns.
Acute Occupational Stress & Burnout
Vulnerability: A fund partner undergoing a major portfolio transition experiences severe decision fatigue, sleep collapse, and acute psychological strain, threatening their fiduciary performance. Splitting time between a Manhattan office and a Fairfield County residence, the client requires rigorous, diagnostic-level psychotherapy without exposure to insurance databases or corporate boards.
Deployment: The client enters via a Provisional Intake Assessment. Virtual, evidence-based psychotherapy sessions are deployed dynamically as their schedule permits under Tier 1 Focused Care. Mandatory HITECH § 13405(a) privacy protocols are executed immediately, guaranteeing absolute diagnostic sovereignty and corporate insulation.
Adolescent Dysregulation & Academic Freefall
Vulnerability: An adolescent at an elite prep school exhibits severe school refusal, mood volatility, and clinical emotional dysregulation. The family requires a predictable, senior clinical anchor to stabilize the adolescent, alongside direct interdisciplinary coordination with the school's administration.
Deployment: Admitted to Tier 2 Executive Continuity. We lock in a protected weekly virtual placement to deliver consistent, direct psychotherapy. The monthly retainer bundles quarterly Care Coordination, enabling the practice to interface directly with school leadership to enforce behavioral boundaries and maintain a unified systemic strategy.
Acute Systemic Decompensation
Vulnerability: A principal family member experiences a profound behavioral decompensation and withdrawal, destabilizing the entire family system. While outside proxies manage legal and financial affairs, the family requires rigorous, direct clinical psychotherapy for the principal and immediate behavioral containment for collateral members.
Deployment: Admitted to Tier 3 Integrated Clinical Advisory. The practice executes direct, intensive outpatient psychotherapy for the principal via In-Situ deployments. Simultaneously, we conduct an ecosystem-wide clinical assessment and deploy specialized independent clinicians to collateral family members—acting as the singular clinical architect to align treatment and prevent systemic enabling.
Levels of Integration
The Master Comparison Ledger.
High-net-worth clients do not simply purchase clinical hours; they secure clinical bandwidth, discretion, and systemic agility. Review our practice integration levels and specialized protocol surcharges.
| Scope & Deliverables |
Tier 1: Focused CareTactical, direct-access clinical judgment for founders, executives, and leaders who require uncompromised privacy without an ongoing retainer. Engagements are booked on an as-available basis.
$450
/ hour
|
Tier 2: Executive ContinuityA monthly continuity retainer that secures a guaranteed anchor in your week. Provides predictable clinical access, priority scheduling, and establishes robust behavioral boundaries amidst volatile schedules.
$2,800
/ month
|
Flagship
Tier 3: Integrated AdvisoryCoordinated family systems care. We act as your primary clinical architect. Includes up to 4 hours of fluid clinical bandwidth (virtual in 30m+ blocks, or In-Situ in 60m+ blocks with travel surcharges waived), plus unlimited Care Coordination.
$5,000
/ month
|
|---|---|---|---|
| Active Clinical Bandwidth Psychotherapy & Deployments | Billed as required ($450/hr) | 4 Hours (Weekly Anchors) | 4 Hours Fluid Bandwidth / mo |
| Protected Schedule Placement Guaranteed weekly access | |||
| Fair-Use Secure Messaging Up to 2 brief queries/week (24hr response) | |||
| Interdisciplinary Care Coordination & Planning Physicians, Legal, Schools, Proxies | Billed @ Admin Rate ($250/hr) | Included Quarterly | Unlimited Bundled |
| In-Situ Mobile Deployments Travel & logistics surcharge | +$450 / Dispatch | +$450 / Dispatch | Fully Bundled (Surcharges Waived) |
| Tactical Override (TO) Activation Unscheduled / Acute Clinical Mobilization | +$1,000 Surcharge | +$1,000 Surcharge | Surcharge Waived |
| Select Tier 1 | Select Tier 2 | Select Tier 3 |
Tier 1: Focused Care
Tactical, direct-access clinical judgment for founders, executives, and leaders who require uncompromised privacy without an ongoing retainer. Engagements are booked on an as-available basis.
Tier 2: Executive Continuity
A monthly continuity retainer that secures a guaranteed anchor in your week. Provides predictable clinical access, priority scheduling, and establishes robust behavioral boundaries amidst volatile schedules.
Tier 3: Integrated Advisory
Coordinated family systems care. We act as your primary clinical architect. Includes up to 4 hours of fluid clinical bandwidth (virtual in 30m+ blocks, or In-Situ in 60m+ blocks with travel surcharges waived), plus unlimited Care Coordination.
Gateways & Specialized Protocols
Universal one-time deployments applicable across all tiers.
Provisional Intake Assessment
Comprehensive evaluation required prior to active care admission ($1,500 Virtual / $1,950 In-Situ). The assessment includes a diagnostic formulation, initial recommendations, and a determination of whether the requested care model is clinically appropriate. The base fee is not credited toward subsequent monthly memberships.
Member Integration (MI) Surcharge
One-time clinical onboarding fee to evaluate and integrate a collateral family member or proxy into the care ecosystem. Subsequent sessions billed at active FFS rates.
Acceleration Protocol Surcharge
One-time mobilization surcharge for expedited off-market intake evaluation when the active capped roster is strictly full.
Legal / Forensic / Alignment Block
Dedicated interdisciplinary strategy sessions integrating your physicians or advisors. Legal and Forensic services are excluded from standard tiers and billed at an executive administrative rate requiring an upfront retainer.
Application Gateway
Request Placement Inquiry
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.