Clear answers about cost, insurance, and how this works.

Every therapy or evaluation session is $325. A therapy booking begins with a full therapy session; an evaluation booking begins with the first evaluation appointment.

I do not offer free consultation calls. Most questions about my process and approach are answered on this website, and if it feels like we may be a good fit, you can schedule directly. If something is unclear, send a note through the contact form and I will give you a straight answer.

I am primarily an out-of-network provider. A limited number of therapy spots are available through Alma for UnitedHealthcare, Aetna, Cigna, and Optum plans, and for everyone else I provide superbills you can submit for out-of-network reimbursement. Adult autism evaluations are self-pay.

It depends on your benefits. Reimbursement is usually based on your plan's allowed amount, which may be less than the full $325 fee. Before we start, ask your plan whether you have out-of-network mental health benefits, what your deductible is, and what percentage of the allowed amount they cover.

My practice is fully virtual. I see clients throughout New York and Connecticut, where I am licensed, and Florida, where I am registered to provide telehealth.

All sessions are online. We meet by video from whatever private space works for you.

Once we schedule, you will receive practice paperwork by email. When it is complete, I will send a secure video link for the appointment. At the scheduled time, you join from a private place in the state where you are receiving services.

Most clients meet weekly. For many new clients, meeting weekly for the first six weeks gives us enough continuity to understand the pattern and begin the work. We can discuss whether that cadence fits your situation.

I cannot answer that honestly in a general FAQ. It depends on what brings you in, what you want to accomplish, and your own pace. We will check in often about whether the frequency of sessions, and therapy itself, still makes sense for you.

Each evaluation session is $325, and most evaluations take two to five sessions ($650 to $1,625 in session fees). An optional written report with findings and recommendations is an additional $950. Evaluations are self-pay, and you can use an HSA, FSA, credit, or debit card. The evaluation page walks through the whole process.

A good friend matters, and therapy serves a different purpose. I bring clinical training, ask questions a friend may not know to ask, and help you look at patterns over time. I treat what you share as confidential within the legal and ethical limits that apply to therapy. It also gives your friendships room to remain friendships.

For therapy, I can only work with clients in the states where I am licensed or registered, so New York, Connecticut, and Florida. If you live elsewhere, my self-paced courses are open to anyone: one for parents of sensitive children, and one for adults wondering whether they are autistic.

That is a real option, and therapy is not the right step for everyone. If you want support without scheduling sessions, a self-paced course may be useful, and the blog covers many of the questions clients bring to a first session.