Common Questions


1.     How do I get started?

Getting started can be as simple as picking up the phone and calling me at 917.267.9356 to schedule an appointment or filling out the form online here.  We’ll find an agreed upon time for an initial session and go from there.

If you’re on the fence about whether or not therapy is right for you, or if I’m the right fit, I offer a free 15 minute phone consultation to answer any of your questions and discuss your needs.  

2.     What’s the general process of how therapy goes?

Once you schedule your initial appointment I'll send you all of the initial paperwork and intake information ahead of time through the use of a secure online portal so that you can fill it out at your own pace.  I ask that you complete all of the initial paperwork prior to our first meeting, and at the start of your first session we will review it together briefly so I can answer any questions you have.  From there we can get started talking about whatever the specific issues is that brought you in.  Sessions are generally 45- 50 minutes long.  

Assuming all goes well at our first meeting and it feels like a good fit, we’ll set up a regular weekly appointment time that works for us both & get started.  There is no set end date for therapy, and the overall number of times we meet really varies from person to person.  Therapy is not necessarily meant to be a lifelong process, it’s meant to help you get extra support and build the necessary tools and resources to continue living your life in a happy, positive and productive way on your own.  There is no hard and fast rule about the length of time someone spends in therapy, but it will be a part of the conversation we have over time as we periodically review your goals and progress.

3. Is therapy confidential?

Mostly, yes. The therapeutic relationship is similar to other protected professions in that there is 'doctor-patient' privilege.  This means that I do not share your personal information or the things discussed in our therapy with anyone, unless there is a potential threat of danger to yourself or someone else. These 'exceptions to confidentiality' are outlined in full in the intake paperwork.

4.     Do you take insurance?

At this time I’m currently an out-of-network provider and do not take insurance.  Many insurance companies will reimburse you for some of the cost with an out-of-network provider and I am happy to provide you with what's called a superbill for this.  If you're unsure about whether or not your insurance company will reimburse you and this is something you're interested in, it's best to call the number on your insurance card first before setting up an appointment to discuss this with them directly.

Payment is due at the time of service and can be made via cash, check, or credit card through a secure app designed just for therapists called IvyPay.

5. Why don't you take insurance?

Most health care plans today (insurance, PPO, HMO, etc.) offer limited coverage and/or reimbursement for mental health services.  This means your choice of providers is limited to the insurance company’s list, and you may only be authorized for a certain number of sessions.  It is important to note that insurance companies require clinicians to give a mental health diagnosis (i.e. “major depression” or “obsessive-compulsive disorder”) for reimbursement.  This information is typically not kept confidential by the insurance company and can potentially be used against you when applying for disability or life insurance, applying for jobs, or in court cases.  Similarly, some psychiatric diagnoses are not eligible for reimbursement, meaning if you don’t have enough symptoms to meet a particular diagnosis your insurance won’t cover the cost. 

I do not take insurance in order to provide you with enhanced quality of care along with the following advantages:

  • You are in control of your care, including choosing your therapist, length of treatment, etc.

  • Increased privacy and confidentiality (except for limits of confidentiality).

  • Not having a mental health disorder diagnosis on your medical record.

  • Consulting with me on non-psychiatric issues that are important to you that aren’t billable by insurance, such as learning how to cope with life changes, gaining more effective communication techniques for your relationships, increasing personal insight, and developing healthy new skills.

6.     What is teletherapy?

Teletherapy is a means of doing therapy online via live video streaming, think Skype or Facetime, but through a different more secure platform.  Teletherapy allows you to get therapy from the comfort of your home and can be a great option for those with difficulty making it to an office appointment on a regular basis.  Everything else is the same as a regular face to face session. If this is something you're interested in I'd love to talk with you more about it and the pros and cons to this method.

Session cost is the same as listed above

7.     What's your cancellation policy?

I ask that you give at least 24 hours advanced notice if you can't make your appointment for the week.  I understand that sometimes life gets in the way and you might not be able to make it last minute, however appointments cancelled in less than 24 hours will be charged the full fee, unless in the case of emergency.  If you think that making it to a regular weekly appointment might be difficult for you I'm happy to discuss other options such as bi-weekly sessions or teletherapy.

8.  What if it feels like this isn't working?

I truly believe that having the most success in therapy is in part due to finding the right fit with your therapist.  Every therapist has their own style and method, and it's important that you feel comfortable with the style and fit of whoever you're working with.  If you feel like we aren't the right fit for some reason I completely understand and I'm happy to provide you with referrals for someone else.  

That being said, therapy is a process that is first and foremost dependent on you.  You are the one who has to show up every week, not just physically but emotionally as well, and that might be easier or harder some weeks.  Sometimes people may feel like therapy isn't working for them and it can often be because they may be struggling with letting themselves be fully open and vulnerable. It takes time to build up trust with someone new and it's important to be mindful of that especially in the beginning when you're feelings things out.  Keep in mind that change takes time; you didn't get to where you're at right now over night, so expecting therapy to change things overnight is unrealistic.  All I hope is that you show up with an open mind, open heart, and a willingness to explore.   

9. What if I have more questions?

Please feel free to reach out to me via phone or email to discuss any specific questions you have that aren't answered here.

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