Consultation Services with Amy Tierney, LCSW
Professional Consultation for Mental Health Providers Who Work with Twins and Multiple Birth Families
Understanding Twin Dynamics
Twins are conceived in relationship to one another, and this fundamental reality shapes every aspect of their development, personality, early family relationships, and sense of self. The profound psychological implications of being a twin are sometimes overlooked in therapy, yet they are essential to understanding twins' unique and complex developmental and relational experiences.
WHO I WORK WITH
I offer professional consultation to licensed clinicians and mental health professionals who work with twins and families of twins and multiple birth children, as well as to those who wish to deepen their understanding of twin dynamics.

Areas of Expertise
Consultation offers the opportunity to explore and expand your understanding of:
Twin Dynamics
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The significance of the twin bond
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Developmental and relational experiences unique to twins and multiples
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Attachment and individuation challenges
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​The psychodynamics of twinship
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Parenting dynamics unique to twins and multiples​
Twin Loss and Bereavement
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The impact of twin loss—from in utero through adulthood
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The complex emotions unique to twin bereavement
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Implications for the grieving process
Clinical Considerations
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​Identifying and working with twin transference
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Twinship in the therapeutic relationship
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Effective relational interventions that facilitate movement
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Development of case conceptualization
My Approach
Throughout my career, I’ve participated in numerous Psychodynamic and Relational Psychotherapy Consultation Groups, which have been invaluable in shaping my clinical practice. These ongoing collaborations reflect my commitment to consultation as essential to ethical and effective work. I bring this same spirit—curiosity, warmth, collaboration, and a pursuit of excellence—to consultation with colleagues.
