Continuity. Discretion.
Senior clinical judgment.
Private clinical care for complex lives. Hudson & Sound provides senior psychotherapy, behavioral advisory, and coordinated systemic support for executives, founders, adolescents, and families across Manhattan, Westchester, and Fairfield County.
Seamless NY & CT Care Transitions
Direct Virtual Access • Standard Hours
Reserved Capacity • Priority In-Situ Triage
100% Cash-Pay & HITECH § 13405(a) Protection
Private clinical care designed for complex lives.
Executives, founders, and affluent families rarely benefit from standard, insurance-driven therapy. They require uncompromised privacy, rigorous clinical diagnostics, and seamless continuity of care without the fragmentation of conventional healthcare models.
At Hudson & Sound Advisory, you receive senior, discreet, continuous clinical care from one trusted professional. We provide discreet, rigorous outpatient psychotherapy for individuals, and the surrounding family ecosystem when required.
Dual-State Continuity: With full clinical licensure in both New York and Connecticut, we eliminate administrative friction for clients commuting between Manhattan and Fairfield County. Your clinical care transitions fluidly without interruptions.
Whether engaging through Tier 1 Focused Care for scheduled outpatient psychotherapy or upgrading to Tier 2 Concierge Care for priority triage and dedicated Care Coordination, the practice adapts to the speed and complexity of your life. Operating strictly cash-pay, we execute statutory privacy elections under HITECH § 13405(a), ensuring your diagnostic records remain fully sovereign and insulated from commercial insurers and centralized Health Information Exchanges.
Clinical Leadership
Over two decades of practice mastery and clinical precision.
Brian A. Tessier brings over two decades of senior diagnostic expertise and behavioral advisory to the executive domain. An alumnus of New York University (MSW, '07), he maintains active clinical licenses in both New York and Connecticut—providing uninterrupted, dual-state 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, the Lead Clinician offers a level of systemic diagnostic and practice insight that standard private practitioners simply do not possess.
Operating as a clinical diagnostician and advisor, he engineers integrated care plans that guide individuals and their surrounding families through challenging times with evidence-based precision, deep empathy, absolute operational boundaries, and resiliency.
Brian A. Tessier, MSW, LCSW
Founder & Lead Clinician • NYU MSW ('07) • Dual NY & CT LicensureDiagnostic & Behavioral Scope
Systemic Capabilities.
Comprehensive outpatient assessment, psychotherapy, and discrete behavioral advisory 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.
Young Adults
Clinical support for emerging adults facing critical life transitions. We deliver outpatient psychotherapy to address failure-to-launch dynamics, providing stabilization during transition and navigating the unique pressures of family expectations.
Executives & Founders
Behavioral advisory tailored for individuals requiring strict privacy. We provide discreet support during high-pressure periods to improve decision-making, resolve C-suite burnout, and navigate complex marital strain.
Coordinated Clinical Support
We stabilize the surrounding environment alongside the individual. Serving as your central clinical coordinator, we align concierge physicians, legal advisors, and wealth managers under a unified, discreet plan.
Confidential Case Studies.
How executives and families utilize Focused Care and Concierge Care to resolve complex clinical breakdowns.
Founder Burnout & Anxiety
A founder undergoing a corporate liquidity event experiences acute decision fatigue and severe anxiety. Splitting time between a Manhattan office and a Greenwich estate, 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 strict statutory cash-pay privacy protections, providing continuous care across NY and CT borders.
Prep School Academic Freefall
An adolescent at an elite prep school experiences severe school refusal and emotional dysregulation. Initial virtual sessions escalate into a broader family crisis requiring home deployment and school negotiation.
Our Intervention: Following an in-home evaluation, the family upgrades to Tier 2 Concierge Care. We deploy care directly to the home while coordinating collaterally with school administrators under Priority Same-Day Triage protocols.
Family Reorganization
A family undergoes a volatile estate reorganization. Interpersonal tension threatens alignment while financial and legal advisors operate in separate silos without clinical guidance.
Our Intervention: Admitted directly to Tier 2 Concierge Care. Collateral family members are clinically onboarded. We align estate counsel and wealth managers under unified Care Coordination, utilizing professional alignment during critical transitions.
Care Models & Fees
Focused & Concierge Care.
A streamlined dual-structure model separating direct fee-for-service clinical care from dedicated capacity governance, priority triage, and Care Coordination.
Tier 1: Focused Care
Fee-for-service virtual psychotherapy and clinical advisory during standard hours. Designed for individuals seeking senior clinical diagnostic expertise and total privacy for targeted personal challenges.
- Pure Fee-For-Service: Billed per active 60-minute virtual session with zero monthly retainer overhead.
- Dual NY & CT Licensure: Uninterrupted virtual delivery across New York and Connecticut jurisdictions.
- Tactical Overrides Access: Ability to activate off-calendar, after-hours, acute, virtual mobilizations via activation surcharge.
- Strict Data Sovereignty: 100% Cash-Pay under HITECH § 13405(a) statutory elections—practice does not utilize superbills or submit CPT codes to insurers.
Tier 2: Concierge Care
Capacity governance, priority triage, in-situ care access, and Care Coordination with the client’s approved professional network. Designed for complex estates requiring multi-stakeholder alignment.
- Monthly Base Access Retainer: Secures 1 of only 15 active practice positions worldwide. (Includes one 60-minute Virtual Clinical Visit per month; subsequent sessions billed at FFS rates).
- Priority Same-Day Triage (SLA): Guaranteed clinical review and direct response from the Lead Clinician within 4 business hours during standard operational windows.
- Asynchronous Logistical Triage: Direct secure portal access for administrative updates, scheduling, and secure document transmission. (Active clinical processing requires a billed session).
- Bundled Care Coordination: Routine monthly interdisciplinary alignment (brief proxy emails and monthly liaison calls) with concierge physicians, estate counsel, and school leadership. Extended forensic analysis is billed separately.
- Dual-State Estate Deployment: Exclusive access to in-home or executive suite deployment across Manhattan, Westchester, and Fairfield County. (In-situ deployment is strictly reserved for Tier 2 active residents).
Master Rate Schedule Matrix
1. Provisional Intake Gateway
Provisional Intake Assessment
Rigorous diagnostic formulation and systemic assessment required prior to active care admission. In-home estate deployments are reserved strictly for the Tier 2 Concierge pipeline.
2. Tier 1: Focused Care (Zero Retainer)
Virtual Clinical Visit
Scheduled 60-minute clinical psychotherapy session via encrypted portal.
Executive Admin Governance
Extended proxy consultations (>20m), document analysis, and provider liaisons.
Tactical Override (TO)
Unscheduled/acute off-calendar mobilization. Subject to clinician availability.
3. Tier 2: Capacity Governance
Monthly Base Access Retainer
Secures 1 of 15 capped roster slots, Priority Same-Day Triage, and Care Coordination. (Includes one 60-minute Virtual Clinical Visit. Subsequent sessions billed via FFS menu below).
4. Tier 2: Concierge Clinical Menu
Virtual Clinical Visit
Scheduled 60-minute clinical psychotherapy session via encrypted portal.
In-Situ Mobile Visit
Scheduled 60-minute clinical psychotherapy session deployed to home or executive suite.
Tactical Override (TO)
Unscheduled mobilization subject to clinician availability.
5. Premium Ancillary Fees & Structural Guardrails
Legal & Forensic Alignment
Depositions, court appearances, and pre-litigation consultation. Billed against an upfront non-refundable $10,000 legal retainer.
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 FFS rates.
Acceleration Protocol
Surcharge for expedited off-market intake assessment evaluation when the active Tier 2 Concierge Residency roster is at full capacity.
Application Gateway
Request Executive Briefing
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.