1. What do I do when I come in for therapy?

All you need to do is come in and bring yourself. This includes whatever feelings, thoughts, moods, etc., come along with you. Therapy is a place where you can talk about anything you wish, sort through whatever life issues need attention, and have support and help in dealing with these issues. You’re welcome to talk, not talk, sit up, lay down…whatever you need.

2. Do I need to come prepared for each session?

Not at all. Some people feel more comfortable coming in with something ready to talk about. But this isn’t necessary, by any means. Even when people come in with nothing at the front of their minds, this often still leads to productive sessions in therapy. There is no one way to arrive for a therapy session. Any way you enter a session is welcome and has its place in our work.

3. What is “Relational” Therapy?

Relational therapy is a contemporary psychoanalytic school which I have found to be a highly effective form of therapy. It is not the psychoanalysis that people think of when they imagine the classical Freudian days. With a Relational approach, there are two people in the room (whereas in Freud’s days there was a “patient”, and a blank slate). With Relational therapy, we will have an eye towards your life history and how various patterns have repeated over time — emotional patterns, relational patterns, psychological patterns, and others. We will also pay attention to how and when these patterns play out and re-enact in the therapy (as we become aware of them) and, therefore, open up new ways of responding to patterns that have over time worked against you in your life.

This being said, I practice from an “Integratve” approach. While I generally will use a Relational foundation, I prefer to utilize what seems most appropriate for each person I work with. Therefore, at times I may bring in cognitive-behavioral therapy, affect regulation, trauma techniques, and other tidbits from other schools of therapy that can be helpful to your situation.

4. I have a fear of flying. I have tried other approaches to get over this and nothing has worked. How is the Balanced Flying Method different from working with any other approach? 

Unlike other approaches, the Balanced Flying Method is unique in that it comprehensively addresses fear of flying from four angles that tend to feed this phobia. Other approaches generally only acknowledge one or two components of this issue. The Balanced Flying Method helps people overcome fear of flying by combining: 1) Normalization (training the brain on a subconscious level to understand flying as routine); 2) Flying Education; 3) Tools and Techniques (grounding and calming techniques to address perceived threats, catastrophic thought processes, and physiological anxiety); and 4) Underlying history (learning what’s happening underneath this process — which is different for each person).

The Balanced Flying Method is an individualized approach, which allows us to take into account, and respond to the psychological and emotional needs of each person. This has been a highly successful method — 95% or more have experienced a significant reduction in anxiety, while 99% or more have experienced at least mild reduction in anxiety. Some people have actually become excited about flying after working through this process.

5. If I leave a session feeling unwanted feelings at times, does this mean the therapy isn’t working?

This is often a confusing point for people in therapy. Some people feel that good therapy means you always leave sessions feeling better, relieved, and happy. However, therapy helps us shine a light on areas of our lives that can be contributing to feelings of pain, or other difficult emotions. When these come up in the context of therapy it can mean we’re in the midst of working through something emotionally relevant. These moments are great opportunities for progress to be made. Bringing your frustrations into the room is always welcome with me, and it often leads to us identifying something for us to put attention towards in service of helping you. Even with difficult feelings sometimes present, a person should still overall feel a sense of support and care from their therapist, even if negative feelings do surface for a period of time here and there. If a person feels unsupported on a regular basis by their therapist, then this would be a concern.

6. I see you offer long-distance video coaching. Does this work as well as being in your office?

I have seen similar levels of effectiveness working with people in the office and working with people online. I do not see one as being more (or less) effective than the other, which is why I work comfortably in either or both ways (some people I see only in the office, some only online, and some a mix of both). While it is nice to be in the office together if it is possible, this isn’t always possible if people don’t live in the area. I have found both to be different roads to similar destinations.

7. I want to work with you but I am outside the country. Do you see people outside of the U.S.? 

Yes. As long as we can connect online (via FaceTime, VSee, or Skype), then we can work together as a coaching.

8. I want to work with you, but I don’t know if I can afford it. What are my options?

There are several options to make it possible for us to work together:

  1. Out of Pocket — if you’re able to pay the fee out of pocket, this is generally the easiest way because it avoids the complications that can happen with insurance.
  2. Out of network insurance coverage (New York only) — if your insurance plan has out of network coverage, it’s possible you could receive some reimbursement for our sessions, which would reduce your out of pocket contribution to the fee. I will provide you a statement each month that you could submit to your insurance (or at times I’m able to electronically submit them for you).
  3. Sliding Scale — If you’re unable to pay the full fee, and will not receive any coverage from insurance, a sliding scale can at times be considered if there is financial need. My practice holds a limited number of sliding scale slots and, therefore, this would be subject to availability, as well as some other factors. If a sliding scale slot is not available at the time you contact me, I do keep a running waiting list.
  4. In-Network with Blue Cross Blue Shield (New York only) — if you have BCBS coverage, you would only be responsible for a copay out of pocket, based on your insurance coverage. However, please note that I do not accept insurance for the Balanced Flying Method fear of flying coaching.

If you are interested in us working together, you’re welcome to contact me and we can discuss your financial situation.

9. Which methods of payment do you accept?

Available payment methods vary based on our mode of work:

In-person: Cash, Check, or Online QuickPay (from any US Bank account); Venmo as backup.
Online, within the U.S.: Check or Online QuickPay; Venmo as backup.
International: Paypal only (Paypal should allow you to pay with credit cards or bank transfers).

10. What is your cancellation policy?

  • Cancellations within 24-hours of an appointment are automatically billed. However, if we are able to reschedule the appointment within three (3) days of the appointment, then we can still meet for the session. This is a courtesy reschedule since it’s a late cancellation. Therefore, the session would be billed whether or not it is able to be rescheduled. If a session is cancelled after the session time has already started, then the courtesy reschedule is forfeited.
  • Cancellations greater than 24-hours of an appointment have a reschedule policy. This means that all cancellations are attempted to be rescheduled for either a different day in the same week, or moved to a different week. If an early cancellation cannot be rescheduled within a month of the original appointment, then it is billed. Four (4) early cancellations per treatment year (that aren’t able to be rescheduled) will be waived.

11. We are in different time zones. How is this handled? 

Generally, I do my best to keep on top of our time zone differences and consider this when working out times for scheduling. However, time zones throughout the world change the clocks (forward or backward) on different dates. Therefore, I ask that you please keep me informed of your local time changes in advance so we can discuss the schedule and make sure we’re on the same page.