Counseling in New York — Existential, Narrative & Mindfulness-Based Therapy
I work with adults across New York City and the surrounding area — Manhattan, Brooklyn, and clients who commute in from further out — through weekly telehealth sessions. Most of the people I see are not in crisis. They are, by most external measures, doing well: the job is solid, the relationship is stable, the apartment is the one they wanted. What brings them to therapy is usually quieter than a crisis — a persistent sense that something isn't quite settled, even though nothing is obviously wrong.
New York has a particular way of absorbing that feeling. The pace of the city rewards forward motion and has very little patience for the question of what the motion is for. Someone can spend a decade doing everything right — the right job, the right neighborhood, the right trajectory — and arrive at a point where the achievement has stopped answering the question it was supposed to answer. That's often where our work starts.
Who I work with in New York
I work primarily with professionals in finance, law, technology, healthcare, and academia, along with writers, therapists, and graduate students — people whose lives look put-together from the outside and who are privately working through a decision, a pattern, or a low-grade sense that something is off. Sessions are conducted entirely by telehealth, which means the work fits around a schedule built around long hours and little unstructured time.
From the blog
A few pieces written specifically for clients navigating this in New York:
- Why do I feel like something is wrong even when nothing is? — On the gap between a life that checks every box and a feeling that won't resolve.
- Why do I feel stuck between staying and leaving? — On decisions that stay open long after the reasoning is clear.
- When Getting There Doesn't Settle It — On what happens after the goal you were working toward finally arrives.
- The Moments the Story Can't Hold — On the practiced version of your own story, and what it leaves out.
- What You're Loyal To Without Knowing It — On relationship patterns that repeat despite being clearly seen.
- I Just Got a Call From My Doctor and I Can't Stop Thinking About It — On sitting with uncertainty in the space before an answer arrives.
Rates & practical details
My New York practice operates on a private-pay basis, at a rate of $180 per session. 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.
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.
Frequently asked questions
Are you licensed to work with me if I live in New York?
Yes. I am licensed to provide counseling in New York and see clients there via telehealth, provided you are physically located in the state during our sessions.
Do you accept insurance in New York?
My New York practice is private pay only, and I'm not able to issue superbills for out-of-network reimbursement in this state.
What's the first step?
A complimentary 15-minute consultation, by phone or video, to talk through what's bringing you to therapy and whether we seem like a good fit.
What approaches do you use with New York clients?
Primarily existential, narrative, and mindfulness-based therapy, chosen based on what seems most useful for what you're working through rather than applied as a fixed framework.
Services in NY provided by Jonathan Walsh, LMHC, as an independent sole proprietor.