He took a postdoctoral fellowship in clinical psychology in the University of Rochester School of Medicine in Rochester, New York. He divides his time between his private practice and teaching psychotherapy in the University of Nevada School of Medicine’s Department of Psychiatry. In addition he consults in project ECHO a program offered through the Office of Statewide Initiatives within the School of Medicine. Within Project ECHO, he provides professional support and consultation to providers of mental health services in rural areas of Nevada. His clinical interests include psychodynamic approaches to individual and couple therapy and psychodynamic conceptualizations and treatment of addiction, grief, and chronic illness.