Psychotherapy for individuals, couples, and families ready to change the patterns that keep them stuck

September 1, 2026 marks the completion of a two-year, full-time private practice postdoctoral fellowship with the Portage Bay Clinic (PBC). During my training I met for weekly in-person supervision with my primary clinical supervisor, Jeff Grant, PhD, who also led a once weekly case consultation group, on Zoom, with other PBC clinicians. When I began this fellowship, my primary task was to refine my evolving theoretical orientation as a clinician to fit with/address the clinical needs of patients in an outpatient private practice setting. So, I read and re-read various depth oriented theorists with a focus on British object relations, family systems, and various psychoanalytic approaches. Then and now my goal is to use theory to help inform an evolving clinical sensibility that feels genuinely my own.

Initially I made a conscious choice to focus on individual psychodynamic psychotherapy with adults and teenage patients. As my practice gained momentum and I grew more comfortable I realized a significant number of patients increased session frequency. Feeling a tentative yet strengthing sense of having had established the kind of depth-oriented practice I had, until then, seen only glimmers of unconscious clarity I then chose to open my practice to working individual with young children, seeing couples for short-term dynamic work, and, most excitingly to me looking ahead an influx of interest/referrals for family therapy. As my fellowship years come to a close I have gained and learned so much. I am thrilled to be continuing on this path where I will continue to offer psychotherapy services in my private practice under a new supervision arrangement. More updates to follow in the coming days.

Sincerely,

Dr. David Krom,

Posted: 8/22/26)

!Practice Update!

Clinical Training

My predoctoral internship was at the Outpatient Counseling Clinic at Vista Del Mar Child & Family Services, a federally funded community mental health agency in Los Angeles serving a chronically underserved population. Vista Del Mar integrates psychodynamic and psychoanalytic work with more standard evidence based approaches. I saw children, adolescents, and young adults for individual therapy. As part of the agency's dynamic treatment model, each child's individual therapy was paired with weekly "collateral" sessions with parents and caregivers (without child or adolescent patients present) to increase mutual understanding, foster more self-reflective parenting with the aim supporting caregivers, co-parents, or guardians along with child's primary treatment to improve family dynamics.

Before that, I spent two years at Fairfax Behavioral Health in Kirkland, working with adults and adolescents in partial hospitalization programs. In my second year I trained in psychological assessment through a weekly case consultation seminar led by a licensed clinical psychologist and the hospital's clinical director. There, alongside the full-time psychology interns, I focused on the use of projective measures (the Rorschach, the TAT, and the House-Tree-Person) to assist in differential diagnosis and inform treatment planning, with practical attention to the short-term treatment frame of both inpatient and partial hospitalization programs. My work with the MMPI extended that training as an area of independent academic interest. During that same year I co-led two to three therapy groups a week with inpatient adolescents.