COLUMBIA UNIVERSITY TRAINED JOHNS HOPKINS TRAINED BOARD CERTIFIED PMHNP
GARDEN CITY OFFICE
Concierge Psychiatric Care
for High-Stakes Professionals
COLUMBIA UNIVERSITY TRAINED JOHNS HOPKINS TRAINED BOARD CERTIFIED PMHNP
GARDEN CITY OFFICE
Concierge Psychiatric Care
for High-Stakes Professionals
Conditions
Depression does not always look like sadness, and in accomplished people it often does not look like anything from the outside. The work still gets done. The obligations are still met. What goes quiet is everything underneath: interest, energy, the sense that any of it matters. Many people keep performing for a long time while privately running on empty, telling themselves it is just stress or a rough stretch.
The Lieberman Center treats depression and mood disorders as a private psychiatric practice built for demanding professionals. Care is delivered directly by Brad Lieberman, PMHNP-BC. The person who evaluates you is the person who treats you, with no intake coordinator and no rotating provider.
Depression frequently overlaps with anxiety and with burnout, and it can also be part of a broader mood pattern, which is why an accurate evaluation matters before deciding on a plan.
If you are ever in immediate crisis or thinking about harming yourself, please call or text 988, the Suicide and Crisis Lifeline, or go to your nearest emergency room. A Discovery Call is not the right route in an emergency.
The first task is an accurate picture. Low mood and low energy can come from depression, from thyroid or other medical contributors, from grief or a specific stressor, or can be one part of a wider mood pattern that changes the right approach entirely. Evaluation begins with a thorough clinical conversation about your history, how symptoms show up across your work and personal life, and what you want to change. The result is an honest assessment and a plan built around your circumstances, not a rushed conclusion.
Treatment is individualized and, by design, conservative. For many people, psychotherapy is central to lasting change, and it is often the foundation of the plan. Where it is appropriate, carefully monitored medication can be one part of treatment, and whether it has any role at all is decided together and reviewed over time. The goal is durable recovery and a return of the things depression quietly took, not a quick fix.
Many of the professionals the practice works with care about where their information goes. Because care is private-pay, no insurance claim is filed, so your diagnosis is not coded into a payer’s claims database or the data-broker networks that draw from it. Your care stays a direct relationship between you and your provider, not a data trail moving through third parties you never chose.
Is it depression, or just stress and burnout?
They can feel similar and often overlap, but they are not the same, and they respond to different plans. Stress tends to ease when the pressure does; depression tends to persist and to flatten your interest and energy even when things should feel fine. A careful evaluation is the way to tell them apart rather than guessing.
Will I have to take medication?
Not necessarily. For many people, therapy does much of the work, and medication is considered only where it is clearly warranted. Whether it has any role at all is a decision made together and revisited over time. The approach here is deliberately conservative.
Take the First Step
The first step is a brief fifteen-minute Discovery Call to discuss what you are experiencing and confirm the practice is the right fit. There is no charge and no obligation. Most new patients are seen within roughly forty-eight hours of that first conversation.