PRIVATE INTEGRATIVE MEDICAL & PSYCHOTHERAPY PRACTICE · NEW YORK
Unhurried medicine and depth psychotherapy, practiced under one quiet roof.
Serene unites board-certified internists, doctoral psychologists, and clinical nutritionists in a collaborative private practice where consultations last sixty minutes—never fifteen.
CLINICAL BOARD
MD · PsyD · MSc, RD
STANDARD INTAKE
60 Minutes · 1:1 Unhurried
INSURANCE & BILLING
HSA/FSA · 60–80% PPO Back
NEXT AVAILABILITY
Thursday · Suite 4B & Video

01 / CLINICAL DEPARTMENTS
Four disciplines working from a single shared chart.

DEPT 01–04 · COLLABORATIVE CARE BOARD
01
Integrative Psychotherapy & Nervous System Care
Evidence-led relational and somatic therapy for anxiety, life transitions, emotional exhaustion and recurring relational patterns.
02
Preventive & Lifestyle Medicine Consultations
Whole-person medical assessment examining sleep, stress physiology, metabolic markers and sustainable daily habits.
03
Restorative Nutrition & Mindful Metabolism
Non-restrictive clinical nutrition supporting steady energy, digestive comfort and a calm relationship with food.
04
Sleep Architecture & Burnout Recovery
Structured behavioral and physiological support for unrefreshing sleep, racing evenings and nervous-system fatigue.
02 / CLINICAL PRESENTATIONS
You do not need a neat diagnostic code to begin care.
I. AUTONOMIC NERVOUS SYSTEM
The Hypervigilant Nervous System
When cognitive problem-solving refuses to switch off at night, leaving your body locked in sympathetic activation.
PRESENTATIONS
Persistent worry · Executive burnout · Somatic tension · Panic
II. METABOLIC & CIRCADIAN
Physiological & Sleep Depletion
When rushed 10-minute checkups tell you your labs are normal, yet you wake unrefreshed and crash each afternoon.
PRESENTATIONS
3:00 AM awakenings · Afternoon fog · GI inflammation · Thyroid & iron
III. DEPTH PSYCHOTHERAPY
Relational & Identity Thresholds
Unhurried psychodynamic space to examine attachment patterns, bereavement, parenthood, and personal boundaries.
PRESENTATIONS
Life transitions · Attachment patterns · Unspoken grief · Caregiver shifts

FIG 02 — PRIVATE CONSULTATION ROOM · ZERO FLUORESCENT LIGHTING
03 / THE FIRST CONSULTATION
What happens inside a sixty-minute clinical intake.
Conventional healthcare fragments your mind and body into rushed 12-minute slots. Our initial intake is structured as a comprehensive, unhurried clinical conversation.
MIN 00 — 15
Lived History & Nervous-System Mapping
We begin without clipboards or screens between us—understanding your symptoms, sleep quality, work rhythm, and prior care.
MIN 15 — 40
Diagnostic, Biomarker & Relational Synthesis
For medical and nutrition intakes, we review prior labs and physiological markers; for psychotherapy, we trace relational patterns.
MIN 40 — 60
Written Care Plan & PPO Superbill Setup
You leave your first session with a clear written clinical roadmap, recommended cadence, and automated monthly insurance setup.
04 / CLINICAL LEADERSHIP
Licensed specialists who confer together on your care.

Dr. Clara Vance, PsyD
Clinical Director · Integrative Psychologist
Clara integrates relational psychotherapy with somatic nervous-system care, helping adults move through high-pressure transitions with clarity and self-compassion.
Anxiety, Burnout Recovery & Relational Therapy
English, Portuguese

Dr. Julian Mercer, MD
Integrative & Lifestyle Medicine Physician
Julian bridges conventional internal medicine with evidence-based lifestyle interventions, focusing on restorative sleep, cardiovascular longevity and metabolic vitality.
Preventive Health, Sleep Physiology & Stress Resilience
English, Spanish

Maya Lindqvist, MSc, RD
Clinical Nutritionist & Somatic Counselor
Maya helps patients rebuild a peaceful, energizing relationship with food through practical clinical nutrition and nervous-system awareness.
Restorative Nutrition, Digestive Calm & Energy Balance
English, Swedish
05 / TRANSPARENT FEES & REIMBURSEMENT
Private-pay clarity with PPO reimbursement.
Operating outside insurance networks allows us to dedicate a full hour to every patient. We accept HSA/FSA cards directly and issue itemized CPT/ICD-10 superbills monthly.
PSYCHOTHERAPY (50M · CPT 90834)
$185
LIFESTYLE MEDICINE MD (60M · CPT 99205)
$260
CLINICAL NUTRITION (60M · CPT 97802)
$170
15-MIN CLINICAL TRIAGE CALL
COMPLIMENTARY
FREQUENTLY ASKED CLINICAL QUESTIONS