Jacob Howe, MD

Jacob Howe

Psychiatrist, MD

Accepting new clients for daytime appointments



Young adults / college students (18 - 24)

Specialties & expertise

  • Existential challenges / crises

  • Chronic illness

  • Substance use

  • Anxiety

  • Depression

  • Bipolar disorder

  • Insomnia

  • Trauma

Professional statement

Dr. Howe is a psychiatrist in Brookline, MA with expertise in anxiety, depression, bipolar disorder, sleep-related issues, trauma, and substance use disorders. He received his MD from the University of Massachusetts Medical School, and completed both his adult psychiatry residency and addiction psychiatry fellowship at Harvard Medical School programs. In addition to his private practice, he is a staff physician at Brandeis University's student Counseling Center. He also enjoys teaching Cambridge Health Alliance psychiatry residents, as an Instructor in Psychiatry at Harvard Medical School.

In his Brookline practice, Dr. Howe provides talk therapy for all his clients, and is dedicated to creating a positive therapeutic relationship with his clients so that they can work within a nonjudgmental and productive space. For those who have conditions that could improve with medication treatment, he offers the convenience of both therapy and medications. He values the part that talk therapy plays in treatment, and prioritizes a balance between therapy and medications in reaching clients' personal goals. While Dr. Howe is double board-certified in adult and addiction psychiatry, the focus of his Brookline practice is therapy.


Existential challenges / crises – Questioning purpose, spirituality, existence; finding one’s path and voice, especially when it differs from society's expectations
Chronic illness – Managing chronic illness; receiving a diagnosis, contemplating and processing related emotions, viewing through a holistic lens
Substance use – Prevent and reduce challenges related to tobacco, marijuana, and/or alcohol, such as anxiety, depression, and challenges in relationships

General expertise

Anxiety – Generalized anxiety, social anxiety, panic attacks
Depression – Sleep and energy disruption, overall mood disturbance, inability to enjoy yourself, and difficulty being motivated, amongst many other symptoms
Bipolar disorder – Using coping and preventive strategies to stabilize swings between elevated mood or irritability and depressive episodes
Insomnia – Sleep hygiene; sleep issues related to anxiety and life transitions
Trauma – Including dealing with past sexual assault, childhood trauma, environmental trauma (e.g. witnessing/experiencing violence), PTSD (post traumatic stress disorder)


Dr. Howe is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.

Out-of-pocket fees

  • Initial session: $495/session (80min)

  • Ongoing sessions: $300/session (50min)

Therapist's note: If your insurance plan covers "out-of-network" services, Dr. Howe can provide billing statements with the information necessary to request reimbursement from your insurance company.

Message to clients

"The decision to enter psychotherapy is often a deeply personal one, and even taking steps toward it can require a great deal of insight and strength.  Choosing a therapist is an important part of the process, as research has consistently shown that the therapeutic relationship between patient and therapist is the most important predictor of positive outcomes.

I consider it a privilege to facilitate patients’ realization of their therapeutic goals using evidence-based treatments.  In my Brookline practice, I provide my patients with a comfortable and empathic environment in which to engage in therapy.  Many benefit from psychotherapy alone.  When indicated, I offer integrated psychotherapy and medication treatment.  Together, we determine the best treatment plan for you."

Treatment approaches

Supportive TherapySupportive psychotherapy is used primarily to reinforce a patient’s ability to cope with stressors by giving clients the opportunity to express their feelings and thoughts about the issues. Clinicians help patients learn how to move forward and make decisions or changes that may be necessary to adapt, either to an acute change, such as the loss of a loved one or severe disappointment, or to a chronic situation, such as an ongoing illness. (learn more)
Psychodynamic TherapyThe aim of psychodynamic therapy is to bring the unconscious mind into consciousness - helping individuals unravel, experience and understand their true, deep-rooted feelings in order to resolve them. It takes the view that our unconscious holds onto painful feelings and memories, and that the defenses we develop to ensure these difficult memories do not surface from our unconscious often do more harm than good. (learn more)
Internal Family SystemsIFS is a type of therapy that views the mind as a combination of relatively discrete subpersonalities each with its own viewpoint and qualities that interact with one another. IFS aims to understand how these collections of subpersonalities are organized and promote harmony among them.
Motivational interviewing Motivational interviewing is a form of collaborative conversation for strengthening a person's own motivation and commitment to change. It is a person-centered counseling style for addressing the common problem of ambivalence about change by paying particular attention to the language of change. It is designed to strengthen an individual's motivation for and movement toward a specific goal by eliciting and exploring the person's own reasons for change within an atmosphere of acceptance and compassion. (learn more)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)

Education and work experience

Private Psychotherapy & Psychopharmacology Practice, 2016 - Present
Brandeis University Counseling Center, Staff Psychiatrist, 2019 - Present
Cambridge Health Alliance, Medical Director of Dual Diagnosis & Primary Care Addictions, 2015 - 2019
Hallmark Health System, Staff Psychiatrist, 2014 - 2016
Family Doctors, LLC, Psychiatric Consultant, 2014 - 2015

Partners Healthcare, Fellowship, Addiction Psychiatry, 2014
Cambridge Health Alliance, Residency, Adult Psychiatry, 2013
University of Massachusetts Medical School, MD, 2009
Amherst College, BA, History, 2004



Professional endorsements

In addition to his academic qualifications in psychiatry and addiction psychiatry, Dr. Howe is a thoughtful, skilled, warm and empathic clinician. He strives for excellence in everything he does. He consistently shows unwavering dedication to his patients. I find him a delight to work with and feel privileged that we have the continued opportunity to work together.

I would unequivocally recommend patients to Dr. Howe with complete confidence that they would get the best possible care. He has impeccable judgment and the highest of ethical standards. I know that if he believed that a patient would be better served under someone else’s care, he would not hesitate to make this recommendation and make every effort to assist in an appropriate referral.

What topic(s) would you refer clients to this therapist for? General psychiatric diagnosis (depression, anxiety, trauma, bipolar disorders), co-occurring substance use disorders
— Janice Kauffman (2017)
I have worked closely with Dr. Howe in the past, and can say with confidence that he is excellent clinically, down to earth, personable, and respectful towards patients. He is fair and balanced in his professional style, and especially skilled in psychopharmacology, psychotherapy , and addiction treatment. I recommend him without hesitation to anyone needing his services. He is a top notch psychiatrist.

What topic(s) would you refer clients to this therapist for? Depression, anxiety, substance abuse, trauma
— Dr. Laura Warren, MD (2017)
Dr. Howe is a dedicated psychiatrist who brings a detailed, thoughtful approach to his patients. He cares deeply about his work and thinks comprehensively about all aspects of a person’s history — environmental, social, cultural, psychological, and biological — that may impact emotional well-being.

What topic(s) would you refer clients to this therapist for? Mood disorders, life stressors, anxiety, substance use disorders
— Amber Frank, MD (2017)