California Psychology License PSY24370 and a 2010 PsyD from the California School of Professional Psychology at Alliant International University anchor the private practice of Emilie Sfregola, PsyD, located at 3576 Third Avenue in the Bankers Hill section of Hillcrest. Five years of postdoctoral training through the San Diego Psychoanalytic Society and Institute shape her psychodynamic approach to depression, anxiety, relationship conflict, and trauma, placing her practice within the small Hillcrest cluster of analytically-trained clinicians that also includes Jack Heinowitz, PhD. She works with adults, adolescents, and couples, and has a sustained clinical and research interest in early mothering, perfectionism, self-esteem, and womens psychological development through career and family transitions. Sfregola also teaches in the doctoral program at CSPP / Alliant and previously served as Co-Chair of the Womens Committee of the San Diego Psychological Association. Perinatal and early-mothering referrals frequently arrive from OB-GYN practices in the Hillcrest medical corridor, including the obstetric panel of Hilary Krause, M.D. The deepest work in this practice involves multi-year psychoanalytic treatment of adults whose recurring relational patterns trace back to early attachment ruptures, requiring multiple weekly sessions, transference interpretation, and tolerance for the slow pace of structural personality change.