She has worked as a psychotherapist since 1967 and was part of the Behavioral Sciences faculty at College of Marin, Kentfield, CA from 1970-1984. She was often a panelist at conferences of the American Psychiatric Association discussing the interface of psychotherapy and meditation and in 1996 was part of the 26-member delegation of American Buddhist teachers meeting in Dharamsala with the Dalai Lama to discuss issues of teaching Buddhism in the west. She has also spoken at many Jewish meditation conferences discussing the interpolation of mindfulness and loving kindness practice into Jewish religious practice. She helped design the Institute for Jewish Spirituality, was a member of its first faculty, and co-leads an annual training retreat for rabbis who are teaching mindfulness.