The initial evaluation is a 60-minute appointment with a fee of $350. It gives us time to discuss what brings you to psychotherapy, what you hope to understand or change, and how well my approach fits your needs. It is also an opportunity for you to experience how I work and ask questions that are important to your decision.

Scheduling this appointment does not commit either of us to ongoing psychotherapy. Near the end of the appointment, we will discuss the most appropriate next step—continuing together, meeting again for further evaluation, or considering another clinician or service.

If we decide to continue, standard sessions are 45 minutes and are generally scheduled weekly. A different frequency may be considered when clinically and practically appropriate. The length of treatment varies according to your needs and goals.

If you have a question that is not answered on my website, you may include it in the request form. I will review your request and respond with next steps.

If your question would be better addressed in conversation, I may arrange a brief 10-minute phone call.

All appointments are held through a secure telehealth platform configured for HIPAA-compliant use. You must be physically located in New York, California, or Hawaiʻi at the time of each session.

I use a platform called SimplePractice for telehealth sessions and other practice-related functions. SimplePractice maintains a Client Help Center with instructions and troubleshooting resources for the Client Portal, telehealth, appointments, forms, billing, secure messaging, and the mobile app.

Please become familiar with these resources and consult the Help Center first for technical or platform-related questions. If you have a question specific to my practice or your care that is not addressed there, please contact me.

Sessions with me are conversational and balance focus with exploration. I listen closely, ask questions, and offer observations rather than taking a largely silent role or following a preset script.

At times, I may invite you to slow down and retrace how a thought, feeling, or reaction unfolded. This can bring overlooked details into view. As we revisit encounters that feel especially charged or significant, recurring themes may emerge and become a focus of the work. We may also consider what unfolds between us, since it can illuminate relational patterns that arise elsewhere in your life.

When an issue calls for a more immediate response, we may think concretely together about options, tradeoffs, and next steps. The work can move between reflection and action at a pace that feels manageable and useful.

Psychotherapy works best when there is enough consistency for the work to develop over time. If we decide to work together, I reserve a recurring weekly appointment for you, and ongoing treatment depends on our being able to meet with reasonable consistency.

Occasional schedule changes, as well as mutually discussed breaks for holidays or other personal matters on either side, are a normal part of treatment. Frequent cancellations or repeated rescheduling, however, can make it difficult to maintain the continuity of the work.

Scheduled sessions are the primary setting for psychotherapy. Between-session contact is generally limited to scheduling and other practical matters unless we have discussed another arrangement. My practice does not provide ongoing clinical support or crisis care between appointments.

Psychotherapy requires a sustained commitment of time and financial resources. Before beginning, consider whether the fee and regular meeting schedule are sustainable for you.

The fee for the initial 60-minute evaluation is $350. Standard 45-minute psychotherapy sessions are $300. Payment is due at the time of service. Appointments must be canceled or rescheduled at least 48 hours in advance to avoid being charged the full appointment fee.

I reserve a limited number of reduced-fee appointments. These appointments are currently full.

If you are uninsured or do not plan to use insurance, you have the right to receive a Good Faith Estimate of anticipated charges.

I am an out-of-network (OON) provider and do not bill insurance companies directly. If your plan includes OON behavioral health benefits, your insurer may reimburse a portion of the fees you pay. Reimbursement depends on the terms of your plan and is not guaranteed.

I recommend contacting your insurer to ask about your OON deductible, reimbursement rate, claims process, and telehealth coverage.

Upon request, I can provide a superbill for you to submit to your insurer. Submitting claims for insurance reimbursement requires a diagnosis, which we can discuss during the first appointment.

I do not offer couples or family therapy, services for children or adolescents, formal psychological testing or forensic services, formal assessment or specialized treatment for neurodevelopmental conditions, or emergency or crisis care.

I determine suitability on an individual basis, considering your presenting concerns and the type of care needed. If your needs fall outside the scope of my practice, I may be able to suggest appropriate referral resources.