A family was traveling from Park Slope to Midtown, an hour and fifteen minutes each way, for a 45-minute session. They were paying a premium fee, losing a full Wednesday afternoon, and there was no good reason for it.
Dr. Z couldn’t think of a single person in Brooklyn offering high-quality CBT at a reasonable fee with evening availability. So she stopped waiting for one to appear.
The goal was always to create a practice that worked at every level, including excellent client care, a sustainable career for clinicians, and a model that didn’t require burning anyone out.
You sat on the couch, talked about your week, and maybe felt a little lighter walking out. Until the same patterns, anxieties, and arguments were back two days later.
This is likely because a lot of therapy is supportive without being strategic. It helps you process. It doesn’t help you change.
At Helm, every clinician is trained in methods that support real, noticeable progress. We give you a toolkit you can actually use on a random Wednesday when life decides to show up uninvited.
I spent years in academic medical centers, places with brilliant people and broken systems. I watched clinicians who cared deeply burn out trying to do good work inside structures that made it nearly impossible. I watched families jump through hoops for care that should have been easy to find.
The family from Brooklyn was the moment I stopped just noticing the problem and started doing something about it. Because I’m a mom, and I’ve fought hard for services for my own kid. I know what it feels like to need something and not be able to find it, and to wonder why something so important has to be so hard to access.
Helm exists because it should. Families in Brooklyn deserve excellent, evidence-based care close to home, at a fee that doesn’t require impossible tradeoffs. Clinicians deserve to do the work they trained for without being ground down by the system around them.
Dr Elaina Zendegui
Licensed Clinical Psychologist | Founder & Clinical Director
01 – THE TEAM /// Good Humans Who Happen to Be Great Therapists.
Every clinician at Helm trained at top institutions and works closely with our founder, Dr. Elaina Zendegui, a Mount Sinai-affiliated psychologist, researcher, and mom who built this practice because Brooklyn families deserved better access to excellent care.
Elaina Zendegui, PsyD
12+ Years Of Experience
Licensed Clinical Psychologist | Founder & Clinical Director