Optimize your life without making it a therapy project.
Concierge CBT/DBT and high-performance coaching for intelligent, high-functioning people who want measurable change.
Private pay / out-of-network • Limited caseload • Miami in-person + virtual (select locations)
Clinical rigor. Coaching precision.
Board-certified,
skills-based
Concierge model, discreet
Structured,
results-oriented
Values-based,
meaningful growth
You’re successful on paper.
Capable. Rational. Driven.
And still—something is costing you—focus, emotional control, sleep, or the ability to perform without burning out.
You’re not here to talk. You’re here for a structured, results-oriented approach that creates change.
High performance often hides patterns like:
High performance can mask patterns that quietly erode your quality of life:
- Perfectionism that fuels anxiety
- Procrastination driven by avoidance
- Emotional reactivity under pressure
- Success without satisfaction
These are patterns—not flaws—and they’re changeable.
A Dialectical Synthesis
of Therapy + Coaching
Not “meet in the middle.” Not “either/or.” A more effective method emerges from the tension between two approaches:
- Clinical depth when symptoms and patterns require evidence-based treatment
- Coaching precision when your goal is optimization, execution, and growth
The result is a more comprehensive path forward: rigorous, practical, and built for real life.
Dr. Lisa A. Napolitano,
J.D., Ph.D., ABPP
Dr. Lisa is a behavior change expert and concierge psychologist known for a direct, pragmatic style, and for doing work that moves.
Her approach blends:
- Evidence-based CBT/DBT frameworks (skills-based, structured, outcomes-driven)
- Mindfulness, demystified and applied (attention, effectiveness, emotional mastery)
- Stress reactivity (irritability, rumination, volatility) in high-stakes environments
- Values-based strategy (alignment between what matters and how you’re living)
This is not “therapy culture.” It’s applied psychology for people who expect more from themselves, and their clinician.
A Structured Process for Measurable Change
Assess
Before your first session, you’ll complete targeted measures that establish a baseline so we work from data, not assumptions.
Clarify
We identify the core pattern driving the system (worry, perfectionism, emotional dysregulation, avoidance, impulsivity) and define success in concrete terms.
Execute
Sessions are active and skills-based. You’ll practice tools between sessions, refine strategy, and build change that holds, under real pressure.
Concierge access may be available between sessions for select clients, because the moment you need the skill is rarely the moment you’re in session.
Services
I primarily work with accomplished professionals. I see clients in person in Miami, and I work virtually with clients in select locations where appropriate.
When it’s the right fit, I also work with motivated college students, graduate students, and early-career professionals.
Choose the path that best matches what you’re working on right now:
Concierge Psychology
(CBT / DBT)
For clients who want evidence-based treatment for patterns that significantly interfere with performance, stability, or quality of life. Focused work for anxiety, depression, emotion dysregulation, impulsivity, substance-related concerns, major transitions, and entrenched perfectionism or avoidance.
Performance Coaching
(High Achievers)
For high-functioning professionals who aren’t broken—but know their current operating system is inefficient. Work focuses on mindset, emotional control, stress physiology, decision-making, consistency, leadership presence, and values-driven performance.
Trainings
and Webinars
For individuals and organizations seeking practical, skills-based education—not motivational fluff. Focused trainings on mindfulness, perfectionism, stress management, and performance under pressure.
Coaching Versus Therapy
Capable. Rational. Driven.
Not sure where to start? Start here.
Therapy may be the right fit if you’re dealing with a clinical disorder or significant impairment—depression, anxiety disorders, substance misuse, eating disorder behaviors, panic, or high-risk symptoms.
Coaching may be the right fit if you’re stable and high-functioning, but want to optimize performance, emotional control, relationships, or life satisfaction.
If you’re unsure, we’ll clarify the most responsible level of care without over-pathologizing what may simply be a performance and life-satisfaction problem.
Request a Consultation
This is a private-pay, out-of-network practice with a deliberately limited caseload.
If we’re not a fit, you’ll be referred to someone who is.