01
Depression
Support with low mood, diminished interest, hopelessness, isolation, and loss of meaning.
Therapy for life's most complex challenges
Facing our challenges can lead to a more meaningful life.
Compassionate therapy for older adults, people facing serious illness, those experiencing grief or loss, and anyone who wants to explore whether facing the fear of dying can help them live more fully.
Serving adults located in New York.
“Facing our challenges can lead to a more meaningful life.”Truly Living Talk Therapy
Older Adult Support
Compassionate care for life's later chapters.
Serious Illness
Emotional support alongside complex medical care.
Grief & Loss
Space to process loss and honor what matters.
Living More Fully
Explore mortality, meaning, and what it means to truly live.
About Truly Living Talk Therapy
Compassion. Perspective. A fuller life.
I’m Robert Smeltz, NP, PMHNP, ACHPN, a board-certified psychiatric and palliative care nurse practitioner. For more than 20 years, my work in palliative care has brought me alongside people and families during some of life’s most difficult and meaningful moments.
I learned that the end of life is not only a time of loss. It can also be a time when people clarify what matters, reconnect with important relationships, and discover a deeper sense of meaning. That experience now shapes my work as a psychiatric nurse practitioner and therapist.
I work with older adults, people living with serious illness, people experiencing grief and loss, and adults who want to explore their fear of death in order to live with greater intention, freedom, and purpose.
More About My ApproachTherapy services
Support for today's challenges—and life's larger questions.
Individual therapy for adults across a range of emotional and life challenges, with particular experience in aging, serious illness, grief, adjustment, and mortality.
02
Anxiety
Work with worry, fear, uncertainty, tension, and the impact anxiety has on daily life.
03
Adjustment Disorders
Navigate illness, retirement, caregiving, relationship changes, and other major transitions.
04
Grief & Loss
Process bereavement, anticipatory grief, ambiguous loss, and changing roles or identities.
05
Facing the Fear of Dying
Explore mortality in a supportive setting and consider how acknowledging life's limits may help you live more fully now.
Take the next step
You don't have to face this alone.
If you are looking for support with a current challenge—or simply want to explore how therapy might help you live with more intention—I invite you to learn more about becoming a patient.