David M. Freshwater LMHC Book a free consult

Confidential · Private pay · Remote

Uncover and work through the unconscious root causes

Lacanian psychoanalysis with David M. Freshwater, LMHC.

If your last therapy was mostly checking in about your week and learning some coping skills, this is a different, deeper, more meaningful kind of work.

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Fifteen minutes, free.

David M. Freshwater, LMHC.

What brings people here

Anxiety that never fully switches off

There before anything has happened, and there when your life is objectively fine. You know the techniques by now. Anxiety is a signal. The work is finding out what it’s signalling.

Depression you can’t account for

Sadness would make sense; you’d know what to do with it. This is the absence of feeling, in a life you can see is a good one, which adds guilt to the numbness.

Trauma that hasn’t finished

Something from before that isn’t over. It surfaces in the body, in what you avoid, in reactions that belong to another time and arrive anyway.

Relationships that keep repeating

With one person over years, or with someone new each time, the shape holds. Wanting more than they’ll give, or going cold as soon as they get close. Something in you keeps steering it there.

Watching yourself do it anyway

You know what you want, and you sabotage it just enough to make it hard. Books, coaching, coping skills: none of it reaches whatever makes the decision.

Wanting to know yourself

Plenty of people arrive with no clinical problem at all. They want to work out what they actually want, as distinct from what they’ve absorbed from everyone else.

Different starting points, and the work tends toward the same thing. Symptoms tend to ease as the reasons behind them come into view. The past loses some of its grip, and you become more free in your choices.

What a session is like

Start anywhere.

Psychoanalysis is a practice of speech. One person speaks; the other listens to what gets said, and to what escapes saying, so that you can come to know something of the truth of your desire.

You talk without editing, including the parts that seem off-topic, petty, or embarrassing, and I help you to hear the parts of yourself that have gone quiet within you.

The premise

Symptoms, dreams, parapraxes, slips of the tongue, the patterns of a whole life: they’re all saying something if you’re willing to listen.

Sessions typically run between twenty and fifty minutes. I’ll often stop on a question rather than tie things off, because a lot of the work happens in the days afterward while you’re still turning it over.

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Who I am

David M. Freshwater, LMHC.

I’m David M. Freshwater, a licensed mental health counselor in Massachusetts, license #10001743. I hold a master’s in mental health counseling from Brooklyn College and a bachelor’s in psychology from Columbia University. I’ve been doing clinical work since 2017 in community mental health clinics and private practice.

I work in the Lacanian psychoanalytic tradition because it worked on me. Symptoms I had carried for years, that no other kind of therapy had touched, went away as I spoke freely and worked through what was underneath them. I live in Northampton, MA with my wife and kids. When I’m not working, I enjoy meditating, reading, and playing board games.

A shelf of psychoanalytic books: Lacan’s Écrits, Freud’s The Interpretation of Dreams, Verhaeghe, and several volumes by Bruce Fink.

FAQ

What does it cost?

Typically $200 a session. The fee is negotiable for those coming more than once a week.

How often would we meet?

At minimum, once a week, at a regularly scheduled time. Meeting more frequently deepens the process, and the fee is negotiable if you do.

How long is a session?

Typically twenty to fifty minutes. The Greeks had two words for time: chronos, the time a clock measures, and kairos, the right moment for something. Sessions end on the second kind. When something lands, that is where we stop, so it stays with you.

Where do sessions happen?

Remotely. By video or phone.

Do you take insurance?

I’m an out of network provider. I can provide you with monthly superbills that you can submit yourself.

How long does the whole thing run?

There’s no set number of sessions and no discharge date. It ends when you decide.

Who do you work with?

Adults, eighteen and over.

Where can I learn more?

I post about this work on TikTok, at @davidmfreshwater. If you have a question this doesn’t answer, the consult is a good place to ask it, or you can call or text me at (786) 527-1616.

Book a free consult