Sūkshma means subtle in Sanskrit. We are committed to helping you attend, with care and curiosity, to those most subtle aspects that influence all parts of your life and relationships–your mind, emotions, and inner experience.
We offer ways for you to harness the power of the subtle for greater self-empowerment and happiness through: psychoanalytic psychotherapy, powerful breathing practices, and the wisdom and guidance of holistic life coaching.
Regaining contact with the subtlety of our experience brings wellness in the form of balance, intuition, spontaneity, and contentment. Negativity in our thoughts and emotions is a sign we have accumulated more stress than we have been able to process. As a result, the mind can become gripped with confusion, conflict, depression, self doubt, and many forms of pain or numbness. In this state, we reach out for a way to release what we’re holding, to distill, and clarify in order to feel better and more “our self”. This partly comes when we can put words to our inner experiences through free association and taking risks in self-expression with a safe other.
We believe therapy is, like much of life, about relationship: a space where the dynamics that arise between you and your therapist can become the path to growth.
Our clinicians are trained in:
Psychodynamic, psychoanalytic psychotherapy
Breath-centered awareness practices
Attachment focused, trauma informed approaches like EMDR
This integration allows the mind, breath, and nervous system to align — supporting healing that is both psychological and somatic.
We work with individuals experiencing:
Anxiety & depression
Life transitions
Relationship issues
Mood disorders
Loss & grief
Trauma and early attachment wounds
Individual Therapy
Individual therapy offers a relational experience unlike any other. It is a space devoted entirely to exploring the landscape of your own mind, with its intricate weave of thoughts, feelings, memories, and patterns of being.
Through an attuned and intimate therapeutic relationship, you begin to encounter yourself in a new way and open space for awareness, vitality, and transformation.
At Sukshma Therapy, our work is relational, playful, and dynamically unique to each therapist and client relationship. Rooted in contemporary psychoanalytic understanding, we listen closely to the meanings that surface in your words and silences, allowing the unconscious to speak and bring healing to long-held pain.
This process makes the abstract concrete, reveals the poetry within the prose of ordinary life, and reconnects you to the subtle current of your own soul so that you can live with greater truth, creativity, and ease.
Couples Therapy
Relationships are among the most powerful arenas for growth and self-discovery. Each partnership is co-created: a living mirror and teacher for both people.
In couples therapy, we help partners (and at times close friends, family members, or collaborators) deepen the conversation, cultivating curiosity and compassion in place of reactivity. Together we explore new ways of relating that honor each person’s individuality while nurturing connection and shared understanding.
From this perspective, dissatisfaction or codependency are not failures but calls to transformation—to move from fear of separateness toward love, appreciation, and a more conscious bond with ourselves and each other. Sometimes the “we” must evolve. Change may be needed within each person or within the relationship. Through this process, we learn to embrace the aliveness and dynamism of growth, discovering the creativity, skill, and intelligence that emerge when love becomes an active practice.
Therapy for Adolescents and Families
The transition from childhood into adolescence is a profound and sometimes challenging passage. Through our approach, families learn to communicate with greater openness, empathy, and flexibility.
Adolescence can bring confusion, intensity, and new emotional terrain for both the young person and their family. We form a compassionate and steady alliance with the adolescent, supporting them as they navigate their inner world and develop a deeper sense of self. Our families, through improved communication, strengthen the vital bonds of trust and understanding that sustain loving relationship and promote growth.
Life Coaching
Sometimes we need practical guidance, and someone who truly understands our goals, strengths, and blind spots to help us stay accountable and move through obstacles. This support can apply to any area of life: relationships, career, creativity, or personal growth.
A skilled life coach helps translate insight into action, allowing both the inner and outer aspects of life to evolve in harmony. Nancie brings decades of experience and a rare intuitive clarity to this work. She sees each client as a whole person and walks beside them, step by step, to align their life and goals with their deepest values so that flourishing becomes natural.
Yogic Breathwork
We also offer bimonthly SKY Breath courses, led by Pear, to teach evidence-based yogic breathing techniques. These practices have been shown to reduce stress, enhance emotional regulation, and support long-term mental well-being.
The course, which teaches pranayama and Sudarshan Kriya Yoga, is an optional way to supplement your work with your practitioner. The courses are open to all — clients, clinicians, and the public.
If you’re interested in working with one of our therapists, or in joining an upcoming breathwork course, we’d love to hear from you.
Discover our dedicated team of experienced practitioners, committed to supporting your mental well-being.
Pear Wilson, LCSW
Psychotherapist
Pear works with individuals, couples, families and adolescents, offering analytic and depth oriented psychotherapy along with pranayama, advanced breathwork, and EMDR. Pear specializes in treating depression, anxiety, relationship issues, ADHD, complex trauma, fertility and postpartum issues
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Pear began her journey as a psychotherapist in 2014, earning her master’s degree from Smith College School for Social Work, widely regarded as the most psychodynamic clinical social work program in the country. Drawn to psychoanalysis from an early age, Pear was deeply interested in understanding the unconscious dimensions of human experience.
Before becoming a therapist, Pear taught a meditation- and breathwork-based social-emotional learning program for groups of adolescents in schools across the country. After completing a postgraduate fellowship at the Wright Institute Los Angeles Psychoanalytic Training Clinic in 2018, she founded Sukshma Therapy.
Guided by a desire to discover practices that truly uplift the mind, Pear found that combining deep relational work with yogic practices that clarify the mental and emotional systems offers a powerful path toward greater consciousness and vitality. She believes that by tending to the roots of our being in this way, we cultivate resilience and aliveness within ourselves—and, in turn, within our collective life. This inner work feels especially vital now, as we navigate systems and technologies that can lead toward isolation, trauma, and psychic dullness.
Pear is also trained in attachment-focused EMDR, which she integrates into her therapeutic approach to help clients access, process, and integrate the emotions and associations linked to past trauma as they arise in the present. As a trained instructor of Sudarshan Kriya Yoga (SKY), she offers initiation into this powerful meditative breathwork practice through bimonthly workshops.
Pear works with individuals from all walks of life and understands trauma as an inherent part of the human experience. She believes that by facing what is most painful and frightening within ourselves, we open to the rich satisfaction of living as our true selves—each of us unique, precious, and capable of the sustained joy that is our birthright.
As a therapist Pear is curious and playful, and endlessly loves the process of unfolding with an individual their unique personality, intelligence and way of being and engaging with self and others.
Nancie DeSilverio
Life, Wellness, and Spiritual Coach
Nancie is a CCA-certified coach with certification in Life Coaching, Personal Development, Wellness, and Spiritual Life Coaching.
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For over 35 years, Nancie has guided individuals toward greater balance, clarity, and self-awareness. Her approach integrates classical inquiry, intuitive understanding, and the principles of Yoga Psychology—a framework that explores the mind, emotions, and behavior through the lens of yogic wisdom and philosophy.
A graduate of St. John’s College in Santa Fe, Nancie was trained in the Great Books tradition of Western Philosophy and the Socratic method—foundations that are core to Coaching technique, and continue to inform her deep-listening and insight-driven coaching practice.
Alongside her intuitive consulting practice, she has spent more than three decades devoted to the study and teaching of yoga and meditation, a path that continues to shape her work and way of life.
Through her coaching, Nancie supports clients in reconnecting with their inner wisdom, navigating life transitions, and cultivating an authentic, balanced way of being—one grounded in awareness and enlivened by contentment.
ASSOCIATES - COMING SOON
Frequently Asked Questions
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At this time, sessions with associates and Nancie are virtual. Pear offers in person sessions at her home office in Glassell Park, Los Angeles.
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We do not work in network with insurance. However, we provide monthly superbills if you would like to submit them to your insurance carrier for reimbursement.
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Associates’ fees are $145 for individuals and $165 for couples.
Pear’s fee is $225 for individuals and $250 for couples
Nancie’s fee is $225 for a single session with the option of packages
Sliding scale may be provided on a limited basis and per the discretion of each therapist
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Using simple breathing techniques, we can bring the body, the breath, and the mind together in the present moment. When we attend to our breath, even if just briefly, our thought patterns and mood may shift immediately and often dramatically.
This is an invaluable tool for mental health, and assists in increasing awareness and flexibility, therefore promoting growth in psychotherapeutic treatment.
Both analytic psychotherapy and breathwork can bring the mind into a meditative state, where stresses and impressions are able to be released, and the unconscious links between thoughts and feelings get broken down. These practices can lead to feeling renewed and energized. We may be more alive to our feelings and observations in the present moment, which can be as simple as crying when we feel sad, or suddenly noticing vivid details of beauty and life around us. In this heightened state of sensitivity, there is more energy and access to self-awareness, which allows us to integrate new ways of being.
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No, the breathing technique is learned separately and electively. We offer it as a powerful adjunct to weekly psychotherapy as a tool to relieve the buildup of stress, and increase energy and awareness. This practice helps your mind and being retain its subtlety as we navigate the daily intake of stressors.
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Psychoanalytic therapy is grounded in the understanding that much of our emotional life exists beneath conscious awareness. Originating from Freud’s early theories and evolving through contemporary practice, it explores how unconscious patterns shape our thoughts, feelings, and relationships.
In this approach, the therapist listens with depth and precision, offering reflections that help you understand yourself and your inner world more fully. Over time, this process supports greater emotional awareness, freedom of expression, and self-acceptance.
The dynamics that arise between you and your therapist become an essential part of the work—illuminating how you relate to yourself and others, and opening the possibility for genuine transformation.
