The origins of all your appetites begin at the breast…

Dr.Gamache, PhD

Psychoanalytic Clinical Sexologist based in New York City


“How you learned hunger at your mother’s breast became the template for how you approach all desires throughout life.” Dr. Gamache

“We are first penetrated by the breast…”- Dianne Elise

This isn't metaphor-it's neurobiology. The patterns established during feeding-how you recognized hunger, expressed needs, experienced satisfaction-got encoded in your limbic system at a pre-verbal level.

These same patterns influence, your sexual desire and functioning, what you choose as a career and how fulfilled you feel. The way in which you experience and know your relationship needs and how you express them as well as your boundaries, your creative impulses, how you express them and your capacity to know and pursue what you want.

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The focus of Dr. Gamache’s work premises desire and it’s origins. The way you learned your first appetite-hunger at the breast-established the template for how you approach all desire throughout life. How you recognize what you want. How you express it. Whether you trust it will be met. Whether you feel entitled to want at all. These patterns were encoded in your limbic system long before you had words or conscious memory. They operate below awareness, shaping every choice you make.

Coming Soon:

Dr. Gamache’s book on reclaiming your desires….

Dr. Gamache’s work is greatly inspired by Hyman Spotnitz, Christopher Bollas, Thomas Ogden, D. W. Winnicott, Dianne Elise and Shere Hite.