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Ernest P. Smith, LCSW-R, is a seasoned psychoanalyst with over 45 years of experience in mental health, criminal justice, education, and adolescent development. He holds a master’s degree in social work from Columbia University and is a graduate of the prestigious Training Institute of the National Psychological Association for Psychoanalysis.

Mr. Smith specializes in the treatment of anxiety, depression, substance abuse, and personality disorders, offering both short- and long-term therapeutic approaches for individuals, couples, and families. Utilizing techniques such as free association, interpretation, and clarification, he facilitates meaningful personality change and emotional growth.

In addition to his private practice, Mr. Smith serves as Clinical Consultant and Clinical Director at the Harlem Family Institute in New York City. In this role, he supervises candidates in psychoanalytic training, provides technical assistance to the administration, and ensures that the needs of the community remain central to the Institute’s mission.

Mr. Smith is particularly sensitive to LGBTQ+ issues and has a comprehensive understanding of multicultural concerns, ensuring his practice is inclusive and affirming. He is a member of the National Psychological Association for Psychoanalysis and has contributed to the field through clinical supervision and mentoring of professionals in training.

A licensed clinical social worker in New York State, Mr. Smith is committed to providing compassionate and insightful care tailored to each client’s unique needs.

Louis Pansulla, has over 35 years of experience providing clinical, community-based, and academic experience, working principally with LGBTQI+, BIPOC, and other ‘marginalized’ communities.

Louis is on the core faculty in the doctoral program at the Institute for Clinical Social Work (ICSW) in Chicago and also teaches in the analytical programs at the Institute for Contemporary Psychotherapy (ICP) in New York, where he served as clinic director.

He has presented at both national and international conferences, with particular focus on Relational theories, psychoanalysis, sexuality and gender, and ‘othering’. Louis maintains a full-time private practice and clinical supervision in Brooklyn and Philadelphia, Pennsylvania.

To schedule an appointment with Louis or another member of the team at Harlem Family Services, call the office or request an appointment online today. 

Neil Altman, PhD, is a seasoned psychoanalytic psychotherapist at Harlem Family Services, located in the East Harlem community of Manhattan in New York City.

Dr. Altman has many years of experience in community-based work, in public clinics, and in private practice. He is currently co-chair of the section on Community Psychoanalysis of the American Psychoanalytic Association. He is a member of the faculty at the William Alanson White Institute in New York City and at the Massachusetts Institute for Psychoanalysis in Boston. He is an Honorary Member of the William Alanson White Society and Visiting Faculty at Ambedkar University of Delhi, India. 

Dr. Altman is Editor Emeritus and Associate Editor of Psychoanalytic Dialogues, and on the editorial staff of The Journal of Infant, Child, and Adolescent Psychotherapy; The Journal of Child Psychotherapy; and The International Journal of Applied Psychoanalytic Studies. He is the author of "Psychoanalysis in Times of Accelerating Cultural Change: Spiritual Globalization" (2015), "The Analyst in the Inner City: Race, Class and Culture through a Psychoanalytic Lens" (2010), and "White Privilege: Psychoanalytic Perspectives" (2020). He is the co-author of "Relational Child Psychotherapy" (2002). Dr. Altman has published more than sixty articles in peer-reviewed journals.

Catherine Roca, LMHC, is a licensed mental health counselor and the founder of Roca Mental Health Counseling, PLLC. She brings compassion, expertise, and a client-centered approach to her work at our multidisciplinary chiropractic practice in Prince’s Bay, Staten Island. With a strong commitment to creating a safe and supportive environment, Catherine helps clients navigate challenges, discover resilience, and take meaningful steps toward lasting change.

Throughout her career, Catherine has gained extensive experience working with individuals facing a variety of mental health concerns, including insomnia, trauma, addiction, and co-occurring disorders, autism spectrum disorder (ASD), and severe and persistent mental illness (SPMI). She also specializes in supporting clients living with anxiety and depression, offering evidence-based strategies that promote healing, growth, and empowerment.

Her counseling philosophy centers on meeting each client where they are, while helping them build on their strengths and develop effective tools to improve their mental health and overall well-being. By providing a compassionate and nonjudgmental space, Catherine empowers her clients to overcome obstacles and create healthier, more fulfilling lives.

At our Staten Island practice, Catherine collaborates closely with our multidisciplinary team to ensure holistic care that addresses both mental and physical health, giving clients the support they need to thrive.

Christina Borghese, LPC, LCADC, ACS is a therapist and clinical supervisor at Relief Mental Health in Red Bank, New Jersey. She provides in-person and virtual therapy for individuals ages 12 and older, treating anxiety, depression, trauma, PTSD, family conflict, self-esteem, and life transitions. Christina uses evidence-based approaches including CBT, motivational interviewing, person-centered therapy, solution-focused therapy, and trauma-focused care. Her approach is goal-oriented, practical, and rooted in a strong therapeutic relationship. She is aligned with body positivity and offers inclusive, affirming care. Christina helps patients identify what's holding them back, build on their strengths, and make meaningful progress. When talk therapy alone isn’t enough, she collaborates with other providers to integrate additional treatment services at Relief such as medication management or transcranial magnetic stimulation (TMS).

Dominique McIntosh, MA, LPC, is a therapist at Relief Mental Health in Red Bank, New Jersey. She works with adolescents 16+ and adults facing depression, anxiety, mood disorders, grief, trauma, and suicidal ideation. Dominique creates a warm, judgment-free space where clients feel seen and understood. She avoids clinical jargon and uses humor when appropriate to build connection. Trained in psychodynamic therapy, CBT, DBT, and person-centered approaches, she tailors each treatment to fit the individual. Dominique holds a master’s in clinical mental health counseling and a bachelor’s in psychology from Montclair State University. She collaborates with other Relief providers to offer access to TMS, SPRAVATO®, and more.

I am a dedicated, curious and compassionate individual who was drawn to the profession of social work to help serve and make a difference in my community. With 10 years of experience in helping individuals navigate the daily stressors and challenges of life, I am forever grateful for the opportunity and privilege to help others. I hold a Master’s Degree in Social Work from Columbia University and obtained my clinical license in both New Jersey and New York state. 

My previous experience includes working at both the clinical and administrative level. My employment has crossed the non-profit sector, medical, in-home services, addictions treatment, forensics, as well as outpatient psychiatry. With additional certification, I am fortunate to supervise social workers in their journey of becoming independent practitioners. 

I have had the pleasure of working with a variety of beautiful humans from different walks of life with a range of mental health conditions. My approach includes a mix of evidenced based modalities to meet clients where they are at, collaborate together, empower them to learn more about themselves, develop healthier coping strategies, and build connections with more purpose in their daily lives.

I look forward to working together and thank you so much for letting me be a part of it. 

Stephanie Gaete, LCSW is a bilingual and deeply dedicated Licensed Clinical Social Worker at HQHT whose compassionate presence, breadth of clinical experience, and genuine investment in every client's wellbeing shine through in everything she does.

Stephanie earned her Master of Social Work from Sacred Heart University and her Bachelor of Arts in Sociology and Political Science from the University of Connecticut. Her career has taken her across some of the most demanding and diverse clinical settings in mental health, from crisis intervention to hospital based social work to school and family therapy programs.

Stephanie currently serves as an Outpatient Therapist at Express, Liberate, Explore LLC, where she facilitates individual and family therapy, evaluates mental health diagnoses, and creates and implements personalized treatment plans. Prior to this she served as Lead Social Worker for Effective School Solutions, delivering clinical interventions to support students' academic and mental health stability through group, individual, and family counseling.

Her clinical background also includes work as a Social Worker at Stamford Hospital, a Crisis Clinician providing mobile psychiatric crisis assessments for children at Community Health Center, and a Mental Health Counselor at IICAPS Family and Children Agency, where she conducted intakes, facilitated therapy sessions, and coordinated closely with families and providers. Earlier in her career she worked as a Direct Care Counselor at Mid Fairfield Child Guidance Center, supporting children through individualized crisis management plans and therapeutic group activities.

Stephanie is fully bilingual in Spanish, allowing her to connect meaningfully with a broader range of clients and families, and is trained in EMDR, bringing trauma informed care to every session.

Stephanie's warmth, clinical expertise, and genuine dedication to her clients make her an invaluable addition to the HQHT team. She is proud to walk alongside every individual and family she works with on their path toward healing.

Nathalia earned her Master of Social Work from Fordham University and her Bachelor of Arts in Psychology from the University of Connecticut. She is also a Connecticut licensed Massage Therapist, giving her a unique appreciation for the powerful connection between physical and emotional health and a truly holistic understanding of the mind and body relationship.

Her clinical experience spans outpatient mental health, domestic violence services, hospice care, and community mental health settings. She has extensive experience supporting individuals navigating trauma, anxiety, depression, relationship challenges, grief, life transitions, and the psychological effects of domestic violence. Her hospice background has also given her deep experience helping individuals and families navigate grief, serious illness, caregiving, and end of life transitions with compassion and dignity.

Nathalia is trained in Eye Movement Desensitization and Reprocessing (EMDR) and incorporates evidence based treatment approaches tailored to each client's individual needs. Her therapeutic approach draws from Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, mindfulness based interventions, psychoeducation, and strengths based therapy. She believes that every person has the capacity for healing and growth when provided with the right support and tools.

In addition to individual psychotherapy, Nathalia has experience providing couples counseling, crisis intervention, safety planning, support groups, case management, and interdisciplinary collaboration, bringing a truly comprehensive approach to every client she serves.

At High Quality Home Therapy, Nathalia is committed to helping clients achieve meaningful and lasting change by empowering them to overcome barriers, strengthen relationships, process trauma, and improve their overall quality of life. Whether someone is seeking support for PTSD, anxiety, depression, relationship concerns, or major life transitions, she partners with each client to develop personalized strategies that foster healing, resilience, and emotional wellness. Nathalia is proud to be part of the HQHT team and honored to walk alongside each person on their journey toward healing.