Avi Miodownik, Psy.D.

I'm a clinical psychologist licensed in New York and New Jersey. I work with adults and couples navigating the moments when life stops making sense - a relationship that's fracturing, a role that no longer fits, a loss that's changed everything, or simply the accumulating weight of a life that needs to be reconsidered.

Much of my work centers on grief and loss in its many forms - the death of a parent, spouse, or child; grief following a diagnosis, whether cancer, chronic illness, or life-altering injury; the anticipatory grief of watching someone decline; the slower grief of a marriage ending or a career collapsing. I work with older adults navigating the transitions of later life: retirement, relocation, cognitive changes, end-of-life concerns, and the questions about meaning that tend to surface in those chapters. Caregiving, and the grief that comes with it, is terrain I know well. I also work with couples facing illness, loss, or major life change - and with people at midlife reconsidering who they are and what they want.

I work psychodynamically - which means I'm interested in patterns, where they come from, and what they're protecting. I also draw on Emotionally Focused Therapy (EFT) with couples, and Cognitive Behavioral Therapy and Acceptance and Commitment Therapy when they fit. But more than any specific method, I believe good therapy requires genuine curiosity about the particular person in front of me.

My practice is affirming of all identities - including LGBTQ+ individuals and couples, and members of the Jewish community.

---

---