Understanding the pain, understanding the problem, and most importantly understanding the process for change and acceptance by the individual is the professional expertise provided by Dr. Silbert. Her educational and employment background is the foundation for a holistic approach to care. Integration of medicine, psychology, sociology, and most importantly family and couple dynamics promotes successful intervention. The therapeutic process integrates psychodynamic, cognitive, and behavioral theories to promote understanding and change for individuals and couples for a variety of issues and problems.