SOMA·ATHENE · Concierge Therapy
In-home, travel-available intensive clinical work for individuals and families navigating crisis, transition, or complexity. One to two clients at a time. Full attention. No waiting room.
Who This Serves
Concierge therapy is not for everyone. It is for people whose lives, complexity, or privacy needs require something that standard clinical formats cannot provide.
01
C-suite leaders, founders, and high-performers navigating burnout, acute crisis, or the kind of psychological weight that doesn't fit neatly into a 50-minute slot. Work happens on your schedule, in your environment.
02
High-net-worth couples for whom weekly couples therapy feels insufficient — or where logistics, travel, or privacy make standard clinical access impractical. Intensive work wherever you are.
03
Founders, executives, and investors navigating the psychological aftermath of a major business exit, liquidity event, or identity transition. The external success is real. So is what it cost.
04
Families with multi-generational trauma, addiction histories, or high-stakes dynamics that require a clinician willing to enter the system — literally — and work with it from the inside out.
What's Included
No restrictions on format, location, or scheduling. The clinical container shapes itself around your life — not the other way around.
James comes to you. Your home, your office, your environment — the context in which the work needs to happen.
Domestic travel included in the flat rate. International travel negotiated separately. If you're there, the work can be there.
Evidence-based trauma processing modalities deployed intensively — not once a week, but as the work demands.
James's proprietary clinical method for restructuring the internal narrative that sustains the presenting problem.
Where applicable — engaging key family members, understanding system dynamics, working with relational patterns directly.
Mornings, evenings, weekends. Sessions run as long as the work needs them to. No artificial 50-minute cutoffs.
Within the contract period, James is available for crisis support outside of scheduled sessions. This is part of the commitment.
Structured as weekly, biweekly, or monthly intensive engagements. Longer contracts available on request.
The Difference
No waiting rooms. No shared spaces. No risk of encountering someone you know. The entire clinical relationship exists outside the standard institutional context — because for some clients, that matters.
Weekly therapy is built for maintenance. Concierge is built for transformation. When sessions happen daily — or multiple times a day — the therapeutic momentum is fundamentally different.
Seeing a client in their actual environment — their home, their relationships, their daily structure — provides clinical information that no office-based session can replicate. The work becomes more accurate.
One to two active concierge clients at a time. Your case is not one of thirty. James's clinical attention is not divided. This is the structural difference between boutique and standard care.
Narrative Integration — James's clinical framework — is not available in standard clinical settings. It is the product of years of intensive work with complex presentations and is deployed most effectively in this format.
Within a concierge contract, the clinical relationship extends beyond scheduled sessions. If something arises mid-week, mid-day, mid-crisis — the line is open.
Investment
Concierge therapy is a significant investment. It is priced to reflect the clinical depth, exclusivity, and personal availability it requires.
All rates are flat. No per-session billing, no hourly clock. The work runs as long as it needs to. Payment in full or structured in two installments (50% to confirm, 50% at start).
These rates exist because the format demands them — not as a positioning strategy. One to two clients at a time, full crisis availability within the contract, domestic travel included, and clinical attention that is genuinely undivided.
If this investment is not accessible right now, the right path may be our standard intensive format or weekly clinical sessions. We'll be direct with you about what we think serves your situation best.
Payment plans and structured contracts are available for longer engagements. This is a conversation we're glad to have.
The Structure
This is a representative structure — every engagement is calibrated to the client's needs. The sequence shifts. The depth does not.
Day 1
Extended intake — history, system mapping, presenting dynamics, and an honest orientation to what the week will require.
Days 2–3
EMDR, Flash Therapy, and Narrative Integration sessions — often multiple per day, sequenced to build momentum rather than reset it weekly.
Day 4
Processing what has emerged. Family or partner sessions if applicable. Consolidating gains before the final day.
Day 5
Departure planning, continuation roadmap, and a clear structure for what follows the engagement — whether ongoing sessions or independent continuation.
Throughout
James is available between sessions within the contract period. What arises between sessions is part of the clinical material — not an interruption of it.
Structure adapts daily based on what the work requires. No two engagements follow the same arc.
Your Clinician
Credentials
James B. Skelton has spent over a decade working with individuals, couples, and families at the sharp edge of psychological complexity — addiction, relational trauma, family system rupture, and the kind of crisis that doesn't wait for a Tuesday at 3pm.
His clinical method, Narrative Integration, addresses the internal story that sustains presenting symptoms — the unconscious architecture of how someone understands themselves, their relationships, and what's possible. It is deployed most effectively in intensive formats where sessions can build on one another without a week of ordinary life interrupting the momentum.
Concierge clients receive James's direct line, full attention within the contract period, and a clinical relationship that extends into their actual life — not just the room they happen to share on a given Tuesday.
Questions
Begin Here
A 20-minute conversation to understand your situation and assess mutual fit. No commitment. No pressure. Just an honest conversation about whether this is the right format for what you're navigating.
James will reach out within 24 hours of your submission to schedule the call. The conversation is direct — what you're navigating, what you need, and whether a concierge engagement is the right fit.
James takes on one to two concierge clients at a time. Not every inquiry is the right fit — and we'll tell you that honestly. If another format serves you better, we'll say so.
Everything shared in this form is held in strict confidence. No third-party sharing. This process is HIPAA-aware from the moment you submit.
Concierge slots are limited. If you have an urgent timeline, note it in the form — James will prioritize review of time-sensitive inquiries.
James will be in touch within 24 hours to schedule your discovery call.