Continuity. Discretion.
Senior clinical judgment.
Private psychotherapy and clinical advisory for executives, founders, professionals, and families navigating high-pressure personal or organizational circumstances. Hudson & Sound offers thoughtful, senior-level care grounded in a steady clinical relationship—with interdisciplinary coordination added only when it genuinely helps.
Seamless NY & CT Clinical Continuity
Direct Virtual Access • Standard Hours
Standing Appt • Monthly Membership
Priority Access • In-Situ & Care Coordination
Thoughtful clinical care, tailored to the realities of high-pressure life.
Executives, founders, and complex families rarely benefit from standard, insurance-driven therapy. They require uncompromised privacy, rigorous clinical diagnostics, and seamless continuity of care. Treatment frameworks integrate Psychodynamic Insight, Structural Family Systems, and Evidence-Based Cognitive-Behavioral protocols tailored for high-functioning individuals.
The work is direct, thoughtful, and collaborative. Clients receive a consistent clinical relationship with enough flexibility to address the realities of demanding work, complex family dynamics, and periods of rapid transition.
At Hudson & Sound Advisory, you receive steady, continuous clinical care from one trusted professional. We provide robust outpatient psychotherapy for individuals, and support the surrounding family ecosystem when required—always with clear consent and defined clinical boundaries.
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, 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 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 family.
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.
Executives & Founders
Psychotherapy and advisory tailored for individuals requiring strict privacy. We provide discreet support during high-pressure periods to improve decision-making, resolve executive burnout, and navigate complex interpersonal strain.
Coordinated Support
We support the surrounding environment alongside the individual. Serving as your lead clinical coordinator, we align physicians, legal advisors, and trusted representatives under a unified plan with explicit written authorization.
Confidential Case Studies.
How executives, professionals, and families utilize our multi-tier practice architecture to resolve complex clinical breakdowns.
Founder Burnout & Anxiety
A founder undergoing a major business transition experiences acute decision fatigue and severe anxiety. Splitting time between a Manhattan office and a Fairfield County residence, they require senior clinical psychotherapy without an ongoing retainer.
Our Intervention: The client enters via a Provisional Intake Assessment. Weekly virtual psychotherapy sessions are scheduled under the practice’s private cash-pay model with mandatory HITECH privacy protection executed.
Prep School Academic Freefall
An adolescent at an elite prep school experiences severe school refusal and emotional dysregulation. The family requires a dedicated, ongoing clinical framework that provides stability week over week without constant scheduling friction.
Our Intervention: Following an evaluation, the family secures a Tier 2 Executive Continuity Membership. We establish a standing weekly clinical slot and provide limited between-session check-ins to maintain behavioral boundaries.
Family System Reorganization
A family navigating a significant transition experiences escalating interpersonal conflict while outside professionals work in parallel. The family requires structured consultation and a unified clinical perspective.
Our Intervention: Admitted to Tier 3 Integrated Clinical Advisory. The practice provides structured consultation, clarifies roles, and coordinates communication with authorized members of the care team.
Care Models & Fee Schedule
The 3-Tier Master Comparison Ledger.
A side-by-side breakdown of our practice tiers, clinical inclusions, and specialized protocol surcharges.
| Scope & Deliverables |
Tier 1: Focused CareA direct-entry fee-for-service model designed for scheduled virtual psychotherapy. Engagements are booked on an as-available basis, granting access to senior clinical judgment without long-term contractual commitments.
$450
/ session
|
Tier 2: Executive ContinuityA monthly continuity retainer that reserves a weekly clinical appointment, provides priority scheduling, and includes limited between-session support.
$2,800
/ month
|
Flagship
Tier 3: Integrated AdvisoryIncludes up to 4 scheduled psychotherapy sessions monthly (conducted virtually or in-situ by arrangement; travel surcharges waived), priority access, and bundled coordination. Additional clinical sessions are billed at active FFS rates.
$5,000
/ month
|
|---|---|---|---|
| Active Clinical Sessions Psychotherapy Base Rate | Billed Hourly ($450/ea) | Up to 4 Included / mo | Up to 4 Included / 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
A direct-entry fee-for-service model designed for scheduled virtual psychotherapy. Engagements are booked on an as-available basis, granting access to senior clinical judgment without long-term contractual commitments.
Tier 2: Executive Continuity
A monthly continuity retainer that reserves a weekly clinical appointment, provides priority scheduling, and includes limited between-session support.
Tier 3: Integrated Advisory
Includes up to 4 scheduled psychotherapy sessions monthly (conducted virtually or in-situ by arrangement; travel surcharges waived), priority access, and bundled coordination. Additional clinical sessions are billed at active FFS rates.
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.
Ecosystem Alignment Block
Dedicated interdisciplinary strategy sessions integrating your physician, advisors, or representatives to establish unified clinical oversight.
Application Gateway
Request Placement Inquiry
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.