Reading

Meet The Psychotherapist Who Specializes in Artists: David Neale-Lorello

Previous Story
Article Image

Endless Story: Decades-Spanning Survey of OSGEMEO [...]

Next Story
Article Image

BmoreArt’s Picks: February 25 – March 3

David Neale-Lorello is a renaissance man. Even as a child, his interests were vast and reflected a deep curiosity about a wide range of topics: cartooning, entomology, embroidery, model airplanes, electric train sets, dioramas, kite making, and Dungeons & Dragons. His resume is similarly eclectic and reflects his willingness and ability to acquire very specialized skills ranging from assisting a pastry chef to refinishing and repairing pianos. 

He attributes the scope and intensity of his interests in part to his autism (a recent diagnosis), but he also grew up in an environment that modeled and fostered an appreciation for creativity and exploration.

He explains, “Both of my parents were creative. My mother sang, painted, and worked with textiles and my father was a musician in his youth and, as an adult, a hobbyist mechanic, electrical engineer, and mathematician. He used these skills creatively, building a replica race car (Ford GT40) and designing, building, and writing software for a personal computer in the 1970s, before there was such a thing. Both parents were music lovers… our house was always filled with music.” 

Whatever the cause, Neale-Lorello has always been happiest in a creative environment and surrounded by creative people. These days, Neale-Lorello spends his spare time making instruments and composing music. His instruments include traditional pieces like a kalimba (thumb piano) and a guitar, as well as pieces entirely of his own invention. Many of his designs are in response to a need for a particular sound he wants to use in his own recordings. These recordings are largely ambient, and when he is not at his day job or building an instrument, chances are he is at his computer composing.

In his day job, creativity is just as important as it is in his studio, though perhaps not in the traditional sense. According to Neale-Lorello, psychotherapy itself “is an act of creativity,” requiring the therapist to be alert and empathetic to the patient’s experience, attuned to even their most subtle actions and reactions and able to respond accordingly. Furthermore, Neale-Lorello specializes in treating artists, so many of his patients are musicians and painters and writers. Neale-Lorello is able to relate to those patients in a very genuine way because of his own background in the arts.  

Neale-Lorello attended college to study classical viola, but he gave it up before graduating, in part due to a toxic conservatory culture and undiagnosed ADHD, both of which made the experience difficult for him. In his time as an undergrad, though, a reading of Carl Jung’s Memories, Dreams, Reflections piqued his interest in the field of psychotherapy. Initially he dismissed the idea, balking at the prospect of so much schooling, but when his daughter was born, he reconsidered. At age 40, Neale-Lorello returned to get the undergraduate credits he would need to attend school to become a licensed psychologist. It took him twelve years to get the degree, but he did it and now proudly claims ten years as a practicing psychotherapist. 

David Neale Lorello in studio, photo by Justin Tsucalas
A bowed psaltery, commonly used for folk music. It has a rich, bright, ringing tone due to its steel strings.
David Neale-Lorello in studio, photo courtesy of the artist.
Anyone who has developed a creative focus to any significant degree has developed skills that apply outside that focus: concentration, ability to tolerate failure, problem-solving, making novel connections, to name just a few.
David Neale-Lorello

Bmore Art: In your clinical work as a psychologist, you specialize in working with artists. What led you to this focus? Are there common issues that you notice among creatives?  Are there differences in the way you approach working with artists as opposed to non-artists?

David Neale-Lorello: Although my patients don’t always come to me with this as their presenting concern, I find almost all creatives struggle with some degree of doubt or second-guessing about their creative process or output. Of course, my sample is biased: the folks who seek psychotherapy do so because there is some problem they want to address. More than that, though, all creatives that I know have a need to be creative, a drive that I call “Gotta Dance!” as in Gene Kelly in Singin’ in the Rain . . . Sometimes it’s strong enough that a person builds their life around it; sometimes it’s more subtle or nestled among other needs, so the person spreads their energies across several domains, but there’s always that need to create.  

Like I said, though, most folks don’t come to me specifically with creative issues; rather, they come with the same kind of concerns about relationships, mood or anxiety problems, work/life balance challenges, etc., that are common across psychotherapies. However, their creative background can be an untapped resource that we use to address those non-artistic issues. Anyone who has developed a creative focus to any significant degree has developed skills that apply outside that focus: concentration, ability to tolerate failure, problem-solving, making novel connections, to name just a few.  Along with more conventional psychotherapeutic approaches, I help my patients apply those skills to their presenting concerns.  

Finally, although I don’t have access to research on this now, it’s been my clinical experience that there is a higher rate of neurodiversity among creatives compared to the general population. As a recently diagnosed neurodivergent person myself, I have discovered that many of what I had been taught to think of as eccentricities of the creative mind are better appreciated as facets of neurodiversity. This is a current focus of my own development as a psychologist, as well as a personally relevant interest.  

How do your experiences as a musician and luthier inform your work as a psychologist and vice versa?

On the occasions that I work specifically with musicians, it helps that I literally speak the language, but even when that’s not the case, I often use examples or analogies from my own experience to demonstrate concepts or coping strategies. It’s my job to communicate about psychological concepts or the creative process, and understanding these things helps me present analogies or metaphors to illustrate them for my patients. Even lutherie provides useful metaphors—and most of my patients much prefer that to sports metaphors! As I mentioned above, artists often have skills and attitudes in common, regardless of their creative media, so my experiences as an artist help me to build rapport and convey concepts.  

Regarding vice versa, I strive to walk my talk: if I don’t practice the skills and concepts I offer to my patients, my words have no power. Psychotherapy is not theory; it’s practice. So, when I’m working with someone on an issue—especially if I share that issue with them—I work to listen to myself as if someone was giving me that same feedback. It’s one of the principal reasons I became a psychologist: I wanted a job that demanded that I adhere to my values.  

Could you describe your work as a musician? What is your focus and how does making music fit into your day-to-day life?

The work I do now, which is purely for my own interest, is a result of my eclectic musical interests and experiences. Playing semi-professionally as a violist exposed me to the world of classical music which I still love; indeed a few pieces by György Ligeti remain seminal influences on me: “Atmospheres” and his Requiem, particularly the “Lux Aeterna.” You can also hear (to an embarrassing degree) my love of Steve Reich in some of my work. I was fascinated, from the time of its release, with Wendy Carlos’ “Switched On Bach” as well as Isao Tomita’s work in the 1970s, and most of my music includes electronic sounds. 

Overall, though, and in keeping with the Ligeti examples, I am most fascinated with musical texture and timbre. I was pleased to learn (relatively late in life) that the genre of Ambient music, while technically not about timbre, is practically all about exactly that. So, some of my output has been comparatively classical in sound and structure, but most of it for the last few years has been focused on texture and color and, by default, falls into the Ambient category.  

I also have an interest in field recording, which, while very different from a production perspective, is very much driven by that same interest in texture and color.  

I tend to work with a combination of recorded or sampled acoustic instruments (often my motivation for making an instrument is to either try to get a particular sound or to explore how a given design will sound) and electronic instruments. I rely heavily on a digital audio workstation and programmable MIDI to perform my ideas: through age and neglect, I have long since lost nearly all of my technical skills, so a computer functions as a kind of musical prosthesis. As most of my music is not rhythmic, I am able to perform some components myself, which is satisfying, but ultimately it is tone color I am most interested in and the tools I have generally work well in that regard.  

In terms of my day-to-day musical life, and like most aspects of my life, I’m very streaky: I have a music studio and a workshop, and I tend to spend a stretch of days’ free time in one or the other. Indeed, time spent doing one often refreshes my interest in the other. I find my most creative times are often late evening (I’m a night owl). It is a benefit of living alone that I can make noise either in the studio or workshop and not disturb anyone! Lately, I’ve been focused on writing a requiem for my late father, who died in 2018. It’s a project I’ve been picking at off and on for over a year and I’m close to completing it. I hope to finish it this spring. 

David Neale-Lorello in studio, photo by Justin Tsucalas
Rotola, an original instrument designed by David Neale-Lorello. It is performed by holding the bow with the left hand and cranking the body of the instrument with the right.
I hold the opinion that at least some of the so-called problems stereotypically associated with creative types are likely to be a function of unrecognized missing support and/or understanding.
David Neale-Lorello

How did you get into instrument making? Could you describe the process a little?

I’ve been fascinated by how instruments work since I was in high school and someone gave me a copy of The Physics of Music, a compilation of articles up to that time from Scientific American. Unfortunately, as exciting as the book was, it was very technical and math-heavy (Scientific American was a very different publication then) and I was intimidated by that aspect of it. After I left music school, I worked as a piano technician, rebuilding antique instruments and player pianos; this was very satisfying on many levels, but I ultimately left that to pursue bread making (which is another story).

Later, I became interested in violin making—especially viola making, not only because it’s my instrument, but because the viola presents some specific acoustic problems, being small for the pitch register in which it operates. I investigated it and how one might become a luthier, but ultimately didn’t pursue it.  

Meanwhile, my fascination with timbre and its stepchild, electronic sound design, often led me to imagine how I might make a sound that I had auralized and I began to imagine such instruments and how they might be made. I had learned about people like Lou Harrison and Harry Partch in music school, so I knew there was a precedent. At the time, I was not writing music either, so I felt like I wouldn’t know what to do with a thing if I built it; it wasn’t until about 2010, when I was in my late 40s, that I started writing my own music.  

So, my interest remained just that until the COVID-19 pandemic, when I decided, “fuck-it!” I would just build some of the instrument ideas I had. The first of these was a bowed clock chime, which was just a simple soundbox to which I attached the chimes and experimented with bowing them. I’ve made several recordings with this instrument and, simple as it is, it is one I am especially proud and love the sound of. Since then, I’ve put together a workshop/lutherie in my basement and built some instrument kits: a bowed psaltery, a Stratocaster knock-off, and a kalimba.  

The most sophisticated instrument I’ve designed and built, so far, I call a rotola. Technically, it is a cylindrical zither with ten strings that can be tuned to the same note or differently and which has a bow that wraps around to contact half the strings at a time. It is sounded by cranking the cylinder so the strings cross the bow, rather than the conventional other way around, and is intended as a resonant drone instrument, although it can arpeggiate, depending on how it’s bowed. I spent about three years designing it and experimenting with different construction methods. My first published use of it will be in the requiem I mentioned above, but I enjoy it as a meditation aid.  

For the future, I have plans to expand the bowed clock chime (which, technically, is a close relative of the nail violin), to build an electric cello (which should be easier for me to play than viola), and to make a full-size version of the rotola (the one I’ve built is primarily proof-of—concept). There are other designs in my head as well; we’ll see what I can get to!

There is a stereotype that artists tend to be highly emotional and prone to depression. Do you see any truth to this? If so, why do you think this is the case? Conversely, do you observe any negative impacts to mental health that result from the pursuit of a life in the arts?

Those are important questions and dear to my heart. While the stereotype is not helpful (as they tend not to be), there is research indicating a relationship between creativity and certain mental health challenges. As an example, I would direct you to a wonderful graphic memoir called Marbles by Ellen Forney, in which she shares intimately about her experience as an artist with bipolar disorder.  

As I said above, I have a sense (as opposed to empirical research) that neurodiversity among artists is higher than the base rate. Certainly, ADHD is more common in my practice than I see in others, but that may be more of an effect of match than target population. As a person with ADHD myself, I understand and relate to other people with ADHD and so they are more likely to be comfortable with me. 

This, however, brings us to an important point: much neurodivergent behavior and experience is incorrectly pathologized. Folks with ADHD or who are on the autism spectrum (some definitions of neurodiversity also include bipolar disorder and schizophrenia) think and experience the world differently from neurotypicals (people with the most common brain structure) but that difference is not a brokenness. Instead, most of the issues arising from these differences are a function of the fact that a world built by neurotypical brains does not automatically account for the needs of non-neurotypicals. Think wheelchair ramps or the square peg and round hole: is the peg wrong because it doesn’t fit the round hole? Is the hole wrong? Neurodiversity asserts that neither is the case: they just don’t match each other. 

So, I hold the opinion that at least some of the so-called problems stereotypically associated with creative types are likely to be a function of unrecognized missing support and/or understanding. I am currently looking into research on this topic.  

Another implicit facet of this question is the “you gotta suffer to sing the blues” argument, that creativity requires adversity. I reject this premise outright as incorrect, unfair, and injurious, as belief in it leads people, especially young people, to make decisions that not only are, as I say, injurious, but also likely to undermine their creativity. There is a romance about this, public conversations about Jackson Pollack or “The 27 Club” being ready examples. Yet, when you look closely, so-called creative suffering ends up being more prohibitive than inspirational. 

Creativity arises from what I call “motion toward,” that is clarity of desire followed by action relevant to that desire. Most of what our culture romanticizes as creative suffering muddies that clarity and inhibits action. As you can see, I feel strongly about this and my experience with my patients supports countering the perspective.  

In terms of negative impacts to mental health for a life in the arts, there are pitfalls in this as in any career. That said, there are some that are peculiar to it: most prominent, in my mind, is what I call conservatory culture. There is often a pseudo-Darwinism, a kind of toxic elitism embedded in art conservatories, and its students can spend their lives recovering—or fail to recover—from its abuses. It, too, is romanticized in film and other media, but it is a real thing. I’ve had several patients come to me either specifically because they were attempting to cope with it or having already given up on their studied art because of the pain that became associated with it in art school and hoping to move on to other endeavors, sometimes radically distant from everything they had loved prior to being at conservatory.  

I don’t argue that all conservatories are evil or that the system has no redeeming value; conservatory education has an important role in developing mastery. Rather, I think that, first, students seeking a conservatory education should take a caveat emptor approach. It is in a student’s interest to familiarize themselves with the culture of the institution they are applying to (I know that this isn’t always easy) and to consider whether its culture is a fit for how they learn best. Some folks thrive in a competitive environment; many creatives don’t. There are many ways to gain mastery in a creative field. I encourage people to find a path that best fits them.  

David Neale Lorello in studio, photo courtesy of the artist.
David Neale-Lorello in his woodworking workshop, photo courtesy of the artist.

What are some of the positive effects of creativity on mental health?

Creativity is part of resilience, which is considered a central aspect of mental wellness. We are creating all the time, problem-solving, playing, experimenting, interacting with others spontaneously, etc. Creativity is the weft across the warp of our lives. We cannot function without it.

I think your question really gets at the importance of recognizing when we are being creative—it’s an aspect of empowerment. In other words, taking on a creative practice helps exercise our creative muscles and the more we recognize how we deploy our creativity, the more we trust in it and the more we trust in it, the more we deploy it—in “an upward spiral of workability.”

Are there ways in which non-artists can incorporate creative practices into their lives to improve their mental health?

Definitely. There is vast literature on this subject. Probably the best known is a book called The Artist’s Way by Julia Cameron. A favorite of mine, musically oriented, is The Listening Book by W. A. Mathieu. There are also many books on more formal practices or experiences, such as Zen in the Art of Archery by Eugen Herrigel (I believe the first of the “Zen in the Art of ___” books), or memoirs like The Musical Life also by W. A. Mathieu. There are hundreds, if not thousands of such titles. I recommend people follow their noses.  

You can learn more about David Neale-Lorello here:

This story is from Issue 18: Wellness, available here.

Related Stories
Bloomberg Philanthropies’ $1M Public Art Challenge “encourages mayors to partner with artists, elevating the creative sector when developing solutions to significant urban issues”

Inviting Light is transforming the Station North Arts District with five site-specific public art installations and a series of dynamic community events this year.

Towson University Exhibits Contemporary Artists with Historical Curiosities

Reverie & Alchemy, the group exhibition at Towson University, brings works by ten featured artists together with historical, even ancient, objects from TU’s multi-department collection.

How the Community Art Organization Earned Its Staying Power

Since the first classes Pupkin designed 25 years ago, the program has developed over 600 lesson plans—and in just the past year the organization provided 14,000 classes to Baltimore residents in schools, community centers, hospitals, shelters, veteran’s facilities, nursing homes, and more.

Baltimore art news updates from independent & regional media

This week's news includes: Cover girl Amy Sherald and her Whitney show, Malcolm Peacock at the BMA, Farmers' Market concerns, Lisa Gail Collins awarded literature prize from The Driskell Center, local craft stores, Neighborhood Design Center's 2025 Placemaking Forum, and more!