Our Therapeutic Approach

The Center for Optimal Living offers comprehensive, individualized therapy for the full range of substance abuse and mental health issues. We address both simultaneously in our approach. Daytime and evening appointments are available. Please call 212-213-8905 x2 or email info@cfol.org to request additional information or set up a consultation.

The Center for Optimal Living will help you to figure out whether moderate, less harmful substance use or abstinence is best suited for you, and pursue your chosen goal. Our approach utilizes Integrative Harm Reduction Psychotherapy (IHRP), developed by our founder and director, Dr. Andrew Tatarsky.

The cornerstone of IHRP is a collaborative therapeutic relationship that “starts where the person is.” This relationship supports the development of practical skills and strategies to manage urges, cravings and difficult emotions, based on mindfulness and other self-management strategies. IHRP also focuses on increasing patients’ capacity to reflect on the meanings and functions of problematic behaviors and the development of alternative, healthier solutions.

We provide specialized services to adults, adolescents, couples and families, and as such our treatment options include individual, couples, family and group therapy. We also offer educational and supportive sessions for family members and significant others who wish to gain a better understanding of our approach to addressing substance use issues. We develop individualized treatment plans, which range from intensive to less intensive, depending on your personal needs.

Our holistic approach considers that you may benefit from referrals for medical, psychiatric, nutritional, exercise, acupuncture, massage, or yoga consultations. These referrals are provided on an as-needed basis.

Our Treatment Options

Comprehensive evaluation

We believe that the initial evaluation process should itself constitute the starting point of each patient’s treatment. We evaluate each individual sensitively and respectfully, seeking to learn about their unique set of needs and perspectives. Our goal is for both patient and clinician to emerge with a framework for the journey they wish to take together, and the basis of a healing, collaborative relationship.

Individual psychotherapy

The majority of our patients, whether adults or adolescents, work with a member of our clinical team on a one-to-one basis. This provides the opportunity to develop a truly individualized, collaborative therapeutic relationship. All of our clinicians work with individual patients.

Group therapy

We offer group therapy to support individual psychotherapy and create a more intensive level of care, if needed. Group therapy can also be utilized in conjunction with services from providers outside the Center. All of our groups are mixed, with some members pursuing moderate drinking or substance use and some abstaining from substances.

Read more about the specific groups that currently meet at the Center.

Couples therapy

Many people whose substance use or other mental health issues impact their intimate relationship find it valuable and healing to attend therapy with their partner. Several of our clinicians have extensive experience of working with couples.

Family therapy

Substance use and other mental health issues can often directly or indirectly impact every member of the family. That’s why we provide families with the chance to work together in a therapeutic, healing environment. Several of our clinicians have extensive experience of helping families to address a range of issues and become closer in the process.

Please call 212-213-8905 x2 or email info@cfol.org to request additional information or set up a consultation.