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Concierge-Level Psychoanalytic Care
For more than three decades, Dr. Charles W. Washam has practiced according to a model of care emphasizing continuity, availability, personal attention, and sustained clinical responsibility.
In contemporary language, this may be described as concierge-level psychoanalytic care. For Dr. Washam, however, it is not a luxury tier, a premium package, or an additional service fee. It is the ordinary standard of a serious psychoanalytic practice.
At Washam Psychoanalysis, concierge-level care is not an upgrade. It is the standard of care.
Patients are not treated as isolated appointments on a calendar, but as persons whose emotional lives, relational histories, marriages, families, and crises require continuity of understanding over time. When clinically appropriate, Dr. Washam provides thoughtful responsiveness between sessions by telephone or text, particularly during periods of emotional strain, marital conflict, family crisis, or psychologically significant decision-making.
This level of care reflects a longstanding psychoanalytic and pastoral commitment to presence, containment, and professional responsibility. It is especially valuable for individuals, couples, and families seeking a treatment relationship marked by discretion, seriousness, emotional availability, and continuity.
Concierge-level care may be especially meaningful for high-functioning professionals, physicians, attorneys, executives, clergy, couples in marital crisis, families experiencing estrangement, and court-involved family systems requiring greater continuity of clinical attention.
This model does not mean unlimited therapy by telephone or text, nor does it replace emergency medical, psychiatric, or crisis intervention services. Rather, it reflects a practice model in which patients receive unusually attentive, responsive, and individualized psychoanalytic care within clear professional boundaries.
Concierge-level continuity of care is included as part of Dr. Washam’s practice philosophy and is not billed as a separate premium service.
Between-session communication is intended for clinically appropriate continuity of care and is not a substitute for emergency medical, psychiatric, or crisis intervention services. Individuals experiencing an acute emergency should contact emergency services or go to the nearest emergency department.