Professional Training

I offer workshops and trainings in the U.S. and internationally for groups that wish to get a deeper immersion in harm reduction philosophy, it’s epidemiological and outcome research support, theoretical basis and applications to psychotherapy and counseling. Harm reduction principles of starting where the patient/client is with no predetermined agenda about goals and strategies and embracing all positive changes as successes frame the process. The collaborative relationship enables decisions about about goals and strategies to be tailored to the unique needs of the person.

In my trainings I emphasize active group participation and teach both theory and technique. Trainings are delivered in the collaborative spirit of harm reduction. These trainings can be delivered from half day to five full day formats depending on the needs of the group. Trainings can be tailored to the specific needs of the agency and client population.

Training Modules

The following topics are covered in my Harm Reduction training program. Additionally, select modules can be taught individually.

  • History, Evolution and Basic Definitions of Harm Reduction Philosophy and Practices

  • Clinical Challenges and Limitations of Traditional Abstinence-only Treatment

  • Clinical and Epidemiological Rationales for Harm Reduction Psychotherapy

  • Theoretical Basis for Harm Reduction Psychotherapy

  • Psycho-bio-social Process Model of Problematic Substance Use

  • Multiple Personal and Social Meanings of Substance Use

  • The Transtheoretical "Motivational Stages of Change" Model

  • Overview of Integrative Harm Reduction Psychotherapy

  • The Seven Therapeutic Tasks of IHRP

  • The Primacy of the Therapeutic Alliance

  • Therapeutic Relationship as Agent of Change

  • Enhancing Self-Management Regulation Skills

  • Assessment as Treatment

  • Exploring and Embracing Ambivalence

  • Harm Reduction Goal-Setting

  • Techniques for Facilitating Positive Change

  • Incorporating Mindfulness in Individual and Group Psychotherapy


Organizational Consultation

Our training sessions are collaborative, making use of lecture, group discussion, skill demonstrations, interactive skill-building exercises and case studies to foster a deeper understanding of IHRP and promote its practice. Our training sessions can be delivered in formats ranging from half a day to five full days, depending on your needs. We tailor the content of training sessions to meet your specific requirements. We also provide ongoing or follow-up trainings, as well as ongoing trainings, consultation and supervision for the organizations we consult with. To find out more about the content, availability and cost of our training sessions, please contact us at or (+1) 212.213.8905 x2.


Psychotherapy & Counseling

I offer psychotherapy to individuals, couples, families and groups. 

Effective therapy “starts where the person is” in terms of your needs, goals, values, personal preferences, strengths and cultural background. This enables a collaborative therapeutic relationship in which we can together decide on the focus of the work and what strategies and approach will best meet your needs. Every positive change is viewed as a valuable part of the process of moving toward your personal goals. The integrative aspect reflects a belief that the personal struggles you bring to therapy may be related to problems in your thinking, feelings, body, relationships, spirituality, lifestyle and social context. I use strategies that address each of these areas that are relevant to your needs. 


Center for Optimal Living

Dr. Andrew Tatarsky, the founder and director of the Center for Optimal Living, has dedicated his career to improving treatment by giving patients the individualized, evidence-based care that they want and deserve.

To that end, Dr. Tatarsky has developed Integrative Harm Reduction Psychotherapy, an innovative and effective approach to the treatment of addictive and risky behaviors. This approach is described in his ground-breaking book, Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems, and in a series of professional papers and book chapters. The Center for Optimal Living, with its team of twelve dedicated clinicians, is the only private treatment center that offers this unique form of therapy.