My New York practice operates on a strictly private-pay basis, at a rate of $180 per session. I do not accept insurance in this state, and at this time I am not able to provide superbills for out-of-network reimbursement.

For clients who value privacy and autonomy in the therapeutic relationship, this arrangement carries its own benefits. Working outside of insurance structures means no diagnostic codes are required, no treatment information is shared with a third party, and the pace and focus of our work together is shaped entirely by what is happening between us — not by what a plan will authorize. Many clients find that this kind of confidentiality creates the conditions for deeper, more honest work.

In accordance with federal law, I provide all new New York clients with a Good Faith Estimate prior to our first session — a written outline of anticipated costs so there are no surprises. If you have questions about fees or would like to explore whether we're a good fit, I'd welcome a complimentary 15-minute consultation.