Continuity. Discretion.
Senior clinical judgment.
Private psychotherapy and clinical advisory for complex lives. Hudson & Sound offers thoughtful, senior-level care for people whose personal and professional lives leave little room for fragmentation. Care is private, direct, and grounded in a steady clinical relationship—with interdisciplinary coordination added only when it genuinely helps.
Seamless NY & CT Care Transitions
Direct Virtual Access • Standard Hours
Standing Appt • Monthly Membership
Priority Access • Family Coordination
Thoughtful clinical care, tailored to the realities of high-pressure life.
Executives, founders, and 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.
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 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 our premium memberships for guaranteed capacity and ecosystem coordination, the practice adapts to your life. We execute statutory privacy elections to ensure your diagnostic records remain insulated from commercial insurers to the maximum extent permitted by law.
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 the clinical jargon.
Brian A. Tessier, MSW, LCSW
Founder & Psychotherapist • NYU MSW ('07) • NY & CT LicensureClinical 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 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 the unique pressures of 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 C-suite burnout, and navigate complex marital strain.
Coordinated Support
We support the surrounding environment alongside the individual. Serving as your lead clinical coordinator, we align concierge physicians, legal advisors, and wealth managers under a unified plan, executing releases of information as directed.
Confidential Case Studies.
How executives and families utilize our multi-tier practice architecture 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. 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 Estate Reorganization
An ultra-high-net-worth 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 to Tier 3 Estate Advisory. We deploy directly to the estate for in-situ stabilization, clinically onboard collateral family members, and align estate counsel under robust, ongoing Care Coordination.
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 |
Limited Openings
Tier 1: FocusedExpert care strictly on your terms, with zero monthly retainer.
$450
/ session
|
15 Residencies Cap
Tier 2: ContinuityProtected weekly appointment and limited asynchronous support.
$2,800
/ month
|
Flagship
Reserved Residencies
Tier 3: EstateThe clinical quarterback for high-complexity portfolio networks.
$4,500
/ 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 Asynchronous brief check-ins | |||
| Interdisciplinary Care Coordination Physicians, Legal, Schools | Billed @ Admin Rate | 30 Mins Included / qtr | Unlimited Bundled |
| In-Situ (In-Home) Dispatch Travel & Logistics Surcharge | +$450 / Dispatch | +$450 / Dispatch | 1 Included / mo |
| Tactical Override (TO) Activation Unscheduled / Acute Clinical | +$1,000 Surcharge | +$1,000 Surcharge | Surcharge Waived |
| Executive Administrative Governance Extended proxy/doc review | $250 / hr | $250 / hr | Fully Bundled |
| Select Tier 1 | Select Tier 2 | Select Tier 3 |
Gateways & Specialized Protocols
Universal one-time deployments and situational legal frameworks applicable across all tiers.
Provisional Intake Evaluation
Comprehensive diagnostic evaluation required prior to active care admission. Base rate applies to virtual execution. In-home intake requests incur the standard $450 In-Situ Dispatch Surcharge.
Legal & Forensic Alignment
Depositions, attorney alignment sessions, 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 active FFS rates.
Acceleration Protocol Surcharge
One-time mobilization surcharge for expedited off-market intake evaluation when the active capped roster is strictly full.
Application Gateway
Request Placement Inquiry
Select your preferred practice engagement tier. Submissions are reviewed directly by clinical leadership within one business day.