Two Service Types

Dr. Piatigorsky supports high-performance athletes through two distinct services, available separately or concurrently:

(1) Clinical Services for mental health and well-being, which involve evaluation, diagnosis, treatment, maintenance, and psychoeducation.

These constitute health care and therefore are limited by Dr. Piatigorsky’s licensures and authorizations. Available in California, Colorado, and PSYPACT member states in accordance with the Ethics Code of the American Psychological Association.

(2) Performance Consultation for athletic excellence and achievement, which involves sport-oriented mental and behavioral skills training.

This constitutes counsel (not health care) and therefore is not limited by Dr. Piatigorsky’s professional licensures or authorizations. Available nationally and worldwide in accordance with the Ethics Code of the Association for Applied Sport Psychology.

All services are delivered within Dr. Piatigorsky’s professional scope and areas of established expertise. Referrals are provided as needed..

Dr. Piatigorsky also provides clinical supervision and CMPC mentorship to graduate students, fellows, and professionals.

Service Structure & Delivery

To begin, prospective clients may contact Dr. Piatigorsky for a free informational meeting to determine whether his services are appropriate. If so, services may proceed with a comprehensive intake evaluation that informs a customized care or training plan.

Clinical Services are provided individually, whereas Performance Consultation may occur in individual, group, or team formats. Sessions last about an hour and are offered in person, via telehealth, or onsite at training or competition venues. Session frequency ranges from biweekly to quarterly, adjusted to needs and schedules, with single-session consultations or presentations available upon request.

Sessions open and close with a brief mindfulness practice. Individual sessions include a safety check, prioritized topics, weekly review, self-monitoring, homework, cope-ahead planning, and goal setting, with additions as warranted. Skills training is seamlessly woven throughout. Group or team sessions are structured to meet collective objectives.

For homework, clients self-monitor daily and master skills in real-life contexts. Many receive timely support through smartphone coaching.

Progress

To measure progress, clients participate in a standardized assessment protocol at baseline and quarterly thereafter. Repeated administrations capture within-person change over time and inform ongoing service delivery.

Emotional and behavioral functioning is broadly assessed across 18 dimensions with the Adult Self-Report (Achenbach & Rescorla, 2003) and supplemented by narrow-band measures of specific conditions, all of which demonstrate robust reliability, validity, and sensitivity to change.

Performance functioning is broadly assessed with the Dialectical Sports Skills Performance Index (DSS-PI), a self-report questionnaire developed by Dr. Piatigorsky. The DSS-PI measures these eight dimensions of performance: self-regulation, mental agility, consistency and execution, attention and focus, motivation, physiological intensity, interpersonal and team, and well-being and recovery. With ongoing psychometric refinement, the DSS-PI is not yet normed for population-level comparison.

Progress is further evaluated through symptom presentation, clinical interviewing, self-monitoring, goal development, care-team input, and sport-specific data. This multi-method snapshot accurately captures the current status of the client.

Fees

Fees are based on a sliding scale according to annual income. Dr. Piatigorsky is an in-network provider for the University of California Student Health Insurance Plan and for the United States Olympic & Paralympic Committee Elite Athlete Health Insurance.