Deborah Pines headshot

I work with several types of people seeking help:


My work with individuals includes depression and anxiety disorders, as well as people with eating disorders, addictions, and those suffering from serious illness (see below). It is grounded in the relational model described above. At the same time, I draw on other approaches when they seem appropriate. For patients suffering from panic disorders or obsessive-compulsive disorder, for example, a blend of talk and cognitive therapy can be especially effective.

I also draw on my training in the Enneagram, which can provide a powerful source of insight for patients about their personality type, and its characteristic preferences and preoccupations.


I have done a great deal of work with couples at all stages of relationship, whether they are contemplating marriage, are in long-term marriages or committed relationships, or are trying to end marriages or relationships. I believe there are basic skills critical to any enduring relationship. A significant part of my work with couples is teaching them these skills and helping them to practice them both inside and outside of my office. Among the most fundamental skills couples often lack is the ability to listen to one another in an open and empathic way. Learning to do so can be transformational in itself.

Acute or Chronic Illness:

Anyone who suffers from a serious and/or long-term illness faces not just physical challenges, but also emotional ones. The latter often get overlooked in the focus on the immediate symptoms and suffering. The emotional challenges of illness take a significant toll not just on those suffering from them, but also on their family members and close friends. My work with these patients focuses on helping them to better understand what their illness means to them and to give them more effective coping strategies, not just physically and practically, but also emotionally. I do this work both with individuals and groups.

Eating Disorders

Eating disorders are types of addiction. The addict either withdraws from or never really develops intimate relationships with others. With eating disorders this withdrawal or avoidance may be seen as a false outward presentation of sociability to the world at large that belies the inner secret retreat to that singular, most important relationship—the relationship to food. The work that I do with people suffering from eating disorders is to maintain an acute respect for the power that bodily concerns can hold over the patient. His or her relationship to food may be thought of as a secret love affair—the challenge for the therapist is to unravel the language and mysteries of that devastating romance.


My coaching work with corporate executives focuses on helping them to build capacity and better manage demand across the four key dimensions of their lives: physical, emotional, mental, and spiritual. This work is grounded in the recognition that time is finite and that most executives are already working long hours and have no more time left in which to get more done. Energy, by contrast, is an internal resource that can be systematically expanded and regularly renewed. My coaching work is ultimately aimed at teaching clients how to build highly specific rituals – behaviors done repeatedly until they become automatic – in order to be more productive and more satisfied in all dimensions of their lives.

website designed by Carolyn Lambert © 2011