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Psychotherapy & Psychoanalysis INC
Los Gatos, CA

In person and secure therapy by phone or video 

Free Sessions now offered to survivors of October 7th Hamas Massacre & families of those taken hostage 

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Meet Dr. Hirshfeld

I am a Lacanian Psychoanalyst and a licensed clinical psychologist in practice with infants, children, young adults, adults, couples & families. I acknowledge that suffering experienced in relation to anxiety, depression, relationship issues, developmental difficulties, marital distress, parenting, trauma, illness, medical conditions, physical pain experienced in relation to physical injuries, illness & other experiences can result in debilitating distress. Amongst other roles, I also have served as a founder of companies including Tech and understand the incredible toll & joy startup life takes.

In my practice I cognize that choosing a psychologist & treatment modality can be difficult and confusing. I am here to attempt answering questions you may have about the process of therapy, analysis, or brief analysis. 

Areas of expertise: assessment; treatment planning; trauma, secondary stress, burnout & compassion fatigue; psychoanalysis; brief psychoanalysis; treatment of ages 0-5; psychotherapy for children, young adults, adults, couples & families; consultation to clinicians, teachers, executives & institutions.

I have also authored manuscripts in the areas of child psychoanalysis, psychosomatic conditions, trauma & secondary stress & co-authored & implemented a Brief Lacanian Treatment Model & a "Lacanian Approach" model to the organization and its individuals. I also offer a weekly Lacanian Seminar for clinicians to help advance their knowledge of Lacanian & Freudian theory & practice. 

I have completed a postdoc fellowship @ Stanford Counseling & Psychological Services (CAPS); conducted extensive research @ PTSD Research Program, SFVA/UCSF; was a consultant to the Brief Lacanian Analysis Project @ MMH; served as Adjunct Clinical Faculty @ CIIS & as Faculty & VP @ Lacanian School of Psychoanalysis (LSP), & as a founder in Tech.

Services are offered in English & Hebrew by Dr Hirshfeld as well as Spanish by her Team. 


Our Services

Browse through the various services offered by Dr. Ayelet Hirshfeld & her Team 


As part of the onboarding process, an extensive clinical assessment will be conducted, in order to determine which treatment best fits your unique needs.

We also conduct forensic & pension & compensation exams. 

Other assessments that are offered include cognitive, personality, and neuropsych assessments.


I see patients in both brief and long-term individual psychotherapy. Patients present with different areas of concern or symptoms ranging from anxiety, depression, grief, work-related difficulties, burnout, parenting related difficulties, intimacy related concerns, trauma related symptoms etc. 


I see patients in both brief and long-term Lacanian Analysis. If you are interested in exploring the option of analysis, we will first meet for a few preliminary meetings in order to establish the modality and whether this is a good fit for your demand as well as explore your underlying desire. 

I have also developed a Lacanian Analysis EMDR informed Protocol that i have successfully implemented in cases of treatment resistant trauma persistent symptomatology.  


I see couples in both brief and long-term couple's therapy. In my work with couples i focus on helping couples understand how their individual histories, relationship with their parents, and insight into their own issues present themselves in relation to the other member of the couple, as well as develop compassion and emapthy into hearing one another vis a vis their unique personal and mutual couple's history. 


EMDR Therapy

I see adults in EMDR therapy aimed at helping clients process traumatic memories and stressors. EMDR therapy can also be used as an adjunct to talk therapy & psychoanalysis when unprocessed traumatic memories persist. Further, Dr Hirshfeld developed a Lacanian informed EMDR treatment protocol. 


I provide consultation to organizations & executives interested in promoting their management skills, and clinicians who provide psychotherapy and psychoanalysis. I have been a founder in the area of Health & Tech of various companies, and presently serve on the board of companies within the area of Health & Tech. 

Practice Areas
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