
Worried-Well Psychological Services · Telehealth across New York
Therapy for High-Achieving Men in New York Carrying the Weight of a Life No One Fully Sees.
Work with a gay therapist who understands the specific pressures high-achieving men face navigating identity, relationships, and the cost of keeping things private. Completely confidential.
Request a Consultation
Book a free 15-minute consultation.
Patrick helped me get to the root of my problem quick and he was also very kind. I felt comfortable opening up to him about things I told only a few people before. It helped to not feel so alone.
What to Expect
A clear, considered path forward.
From the first call to your first session, every step is designed to feel calm, private, and unhurried.
01Schedule a Consultation
Book a free, confidential phone call at a time that works for you.
02Speak With a Psychologist
A licensed psychologist will listen, assess your needs, and answer your questions directly.
03Begin Your Work Together
If it feels like the right fit, we'll schedule your first appointment and get started.
The Name
The people we often work with.
The name Worried-Well reflects the people we often work with: individuals who are functioning, achieving, and outwardly doing well, but who know internally that stress, anxiety, self-criticism, avoidance, or emotional strain are taking a toll.
Our practice is built for adults who want therapy that is thoughtful, nuanced, and clinically grounded — not generic coping-skills work. The clients we see tend to be intelligent, busy, and skeptical, and the work meets them there.
What We Do
A focused practice, not a generalist one.
Each area below reflects work we do regularly with high-achieving adults across New York.
01
Individual Therapy
Insight-oriented therapy for anxiety, perfectionism, avoidance, and self-criticism.
02
Couples Therapy
Working through communication, distance, and patterns that keep repeating.
03
Adult ADHD & Testing
ADHD therapy and careful diagnostic assessment for adults.
04
Therapy for Professionals
Discreet, sophisticated therapy for lawyers, doctors, founders, and executives.
05
Therapy for Gay Men
Affirming, nuanced therapy that takes the whole person seriously.
06
OCD & Obsessionality
Careful work with intrusive thoughts, rumination, and the need for certainty.
Our Therapists
Two clinicians, one standard of care.

Founder · New York Licensed Psychologist
Dr. Patrick Mele, PhD
Integrative, psychodynamic, and CBT-informed therapy for adults. Clinical focus on ADHD, perfectionism, obsessionality, anxiety, burnout, and the inner lives of high-achieving professionals.

Therapist at Worried-Well
Andrew Pistachio
Warm, thoughtful, affirming therapy for adults. Particular clinical focus on working with gay men — identity, intimacy, family dynamics, shame, belonging, and perfectionism.

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