Therapy for Women in Midlife in New York and Florida

I currently work with clients virtually through a secure, HIPAA-compliant video platform.

To participate in therapy, you must be located in New York or Florida at the time of the session.

The first step is to schedule a brief consultation call.

This gives us an opportunity to talk about what is bringing you to therapy, what you are looking for, and whether my experience and approach appear to be a good fit for your needs.

If we decide to move forward, we will schedule a longer initial intake appointment.

The initial intake appointment is approximately 60 minutes and is generally more structured than ongoing therapy sessions.

We will discuss what is bringing you in, relevant parts of your history, your current concerns, and what you would like to be different. We will also begin identifying priorities and discussing what our work together may look like.

You do not need to prepare a complete history or know exactly what your goals are before the appointment.

Ongoing individual therapy sessions are generally 45 or 60 minutes.

Sessions typically occur weekly at a standing appointment time.

The length of therapy varies depending on your goals, history, current circumstances, and the depth of the work you would like to do.

Some people enter therapy to address a particular transition or decision. Others want to explore longer-standing relationship, identity, or emotional patterns.

We will talk openly and collaboratively about your progress and the direction of the work throughout therapy.

Weekly sessions provide consistency and allow us to build on the work from one appointment to the next.

Especially at the beginning, meeting weekly helps us better understand the patterns affecting you and maintain momentum as you begin making changes.

Appointments must be canceled or rescheduled at least 48 business hours in advance.

Appointments canceled after that period are charged the full session fee.

Because your appointment time is reserved specifically for you, late cancellations generally cannot be filled by another client.

I am an out-of-network provider and do not accept insurance directly.

This means payment is due at the time of your appointment. Depending on your insurance plan, you may be eligible to receive partial reimbursement through your out-of-network mental-health benefits.

Choosing to work outside of insurance also allows for greater privacy and flexibility in determining the focus, length, and structure of therapy.

Possibly. Coverage varies significantly between insurance plans.

Some plans provide partial reimbursement after you meet an out-of-network deductible, while other plans do not include out-of-network mental-health coverage.

I recommend contacting the Member Services number on the back of your insurance card before beginning therapy.

Your out-of-network benefits are usually pretty straightforward to use. To make things even simpler for you, I’ve partnered with a company, Mentaya, who will submit your claims to your insurance company at no cost to you.

Should you decide to submit on your own, most insurance companies have you upload your monthly superbill online and then they will mail you a check with your reimbursement.

It’s always a good idea to call the number on the back of your health insurance card listed under Member Services.

You can ask them the following questions:

• Do I have out-of-network outpatient mental health coverage? Am I able to use these benefits for telehealth?

• What is my out-of-network deductible?

• How much of my deductible has been met this year?

• Do I need a referral from an in-network provider to see someone out-of-network?

• What percentage of outpatient psychotherapy sessions are covered per session?

• How much will I be reimbursed for a 45 minute psychotherapy session (CPT code: 90834)?

• How do I submit claim forms for reimbursement?

• How long does it take for me to receive reimbursement?

You may want to ask:

• Do I have out-of-network outpatient mental-health benefits?

• Do those benefits cover telehealth psychotherapy?

• What is my out-of-network deductible?

• How much of that deductible have I met?

• What percentage of the allowed amount is reimbursed after the deductible?

• What is the allowed amount for CPT code 90834?

• What is the allowed amount for CPT code 90837?

• Do I need a referral or prior authorization?

• How do I submit claims for reimbursement?

Ask the representative to explain both the reimbursement percentage and the plan’s allowed amount. Your reimbursement is generally calculated using the allowed amount, which may be lower than the full session fee.

I work with Mentaya, an optional platform that can help eligible clients submit out-of-network claims and manage insurance paperwork.

Participation is completely optional. I do not receive a financial benefit from your decision to use the service.

You may also choose to submit claims independently using a superbill.

The amount varies by plan and cannot be guaranteed in advance.

Your reimbursement may depend on:

• Whether you have out-of-network coverage

• Your remaining deductible

• Your coinsurance percentage

• Your insurance company’s allowed amount

• The service and billing code used

Your insurance provider is the best source for a personalized estimate.

I maintain a limited number of reduced-rate spaces. These spaces are currently full (as of Jul 2026).

For lower-cost therapy options, you may find the following directories helpful:

• Open Path Psychotherapy Collective

• Open Counseling

• Local graduate training clinics

• Community mental-health organizations

Therapy is private and confidential, with certain legal and ethical exceptions.

These exceptions may include situations involving imminent risk of serious harm, suspected abuse or neglect of a child or vulnerable adult, or a valid legal requirement.

We will review privacy, confidentiality, and its limits before beginning therapy.

My practice does not provide emergency or crisis services.

If you are in immediate danger or experiencing a mental-health emergency, call 911, go to the nearest emergency room, or call or text 988 to reach the Suicide & Crisis Lifeline.