Vladimir Tikhtman
Structured, grounded therapy for adults and couples dealing with pressure, transition, relationship strain, and the parts of life that don't resolve with good intentions alone.
Adults and couples who want
clarity, not just support
You may be carrying more than anyone around you fully sees. Burnout that looks like competence. A relationship that went quiet without anyone noticing. Grief that didn't just pass. A growing sense that the life you built no longer reflects who you are, or who you're becoming.
This work is for people who want therapy that thinks clearly and still moves. Who need a therapist who can sit with complexity and keep a sense of direction. And for couples who want real traction, not another conversation that circles without landing.
Common themes in the work
- Depression and anxiety that coexist with responsibility, performance, and pressure
- Career and identity transitions, especially when the old structure no longer holds
- Relationship strain, recurring conflict, and emotional distance
- Grief, aging, later-life shifts, and questions of meaning and purpose
- Teens sixteen and older who need steadier thinking and language
Practical, direct, and willing to go deep
Sessions are designed to clarify the pattern, identify what's sustaining it, and work toward change that holds beyond the therapy room. The work is reflective but not vague. The point is to help you think more clearly, feel more grounded, and act with more intention.
Before becoming a therapist, Vladimir spent more than twenty years in hospital administration, healthcare technology, and strategy. That matters because many clients need someone who understands pressure, leadership, role strain, and the emotional cost of building something that eventually outgrew them, or that they outgrew.
Career, transition, and the bigger questions
Vladimir leads small groups for adults exploring career direction, working through professional transition, managing growth, and sitting with the existential questions that come with building or rebuilding a working life. Four 90-minute sessions for $250. New groups begin approximately every six weeks.