Different people need different things at different times.

Some clients come to therapy in the fire of crisis. Here we will work to identify the "fires", understand their nature, and possibly extinguish them, contain them, or transform them into something more manageable.

Perhaps things are falling or have already fallen apart. Then we might work with grief and loss, learn to be present with the devastation, and identify the opportunities for new growth and renewal.

Some clients may be interested in releasing patterns, coming to terms with difficult realities, or learning to integrate emotions without letting them become destructive forces.

Many clients may in fact be highly functional in their lives, outwardly successful, and perhaps much admired by others. Yet internally there might be a sense of being held back, private frustration, or perhaps what used to be satisfying now feels uninteresting or even stultifying. These are excellent subjects for therapy. We may understand the drains on one's energy, identify a personal transformation that is occurring, discover new sources of vitality, or unlock more of one's creative potential.

And sometimes, clients are looking to come to terms with existential truths in their lives or simply curious about discovering their inner depths.

These are just a handful of types of therapy that we can engage in together. Traversing these journeys of self discovery with the assistance of a steady witness, facilitative partner or trustworthy guide can leave you feeling more connected, at ease, and joyful in life.

People involved with entrepreneurial ventures and technical fields face unique kinds of stress and challenges. Work-life balance, uncertainty about funding and the future, changing work roles and team dynamics, and the pressures of producing results for investors can leave talented individuals looking for a sanctuary that holds confidentiality, supports self-inquiry, and enhances clarity.

With an appreciation for the technical fields and experience with startups, I am comfortable assisting clients in these situations. I cultivate an expanded awareness space with clients in which emergent issues can be given the consideration they deserve. Not only does this process often enhance clients' effectiveness in their pursuits, many clients consider attending to their mental and emotional health a key contributor to quality of life and important to their overall satisfaction and well being.

For decades, I have worked with successful and talented founders and leaders in venture capital, technology, software, engineering, hedge funds, and various startups to assist them in their unique situations.

MacAndrew practices psychotherapy with adults from his office in Boulder, Colorado and remotely via video-based therapy.

He has broad clinical experience and exceptional training in a variety of settings including: university research clinics, hospital-based behavioral medicine, college counseling centers, inpatient treatment centers, emergency rooms, community-based clinics, and private practice.  As a Clinical Fellow at Harvard Medical School, MacAndrew practiced psychoanlaytic depth-oriented psychotherapy with individuals through Beth Israel Deaconess Hospital’s outpatient psychiatry clinic and primary care division as well as focalized work with cardiovascular and pulmonary medicine patients. This training and experience has informed his development of compassionate, empirically supported approaches to helping individuals with a wide range of backgrounds, and with trauma and anxiety, in particular. 

He is a longtime student, practitioner, and teacher of meditation, and has published and presented nationally and internationally on mind-body connections in therapy, mindfulness and psychotherapy, and meditation training for counselors.

For two decades MacAndrew was core faculty at Naropa University where he was founding Dean of the Graduate School of Psychology and chair of the Contemplative Psychotherapy graduate program.

He has been retained by the Royal University of Bhutan to design and establish the counseling profession in the Himalayan kingdom of Bhutan. He is cofounder of the Naropa Center for Bhutan Partnerships.

In other parts of his life, MacAndrew enjoys telemark skiing, mountain biking, backpacking, overlanding, and working on his cars.

Education:
Tufts University, B.A.
The University of Tulsa, M.A. 
Temple University, Ph.D.
Harvard Medical School, Clinical Fellow

Specializing In:
Individual, Depth-Oriented Psychotherapy
Body-Mind Connections
Meaningful Living
Entrepreneurs, Founders, and Clients in Technical Fields
Life Transition
Trauma
Anxiety