Practical Concerns

Do you take insurance?

I am not in network with any insurances. If you have out of network benefits, I can help you file out of network claims and get some of the cost of therapy reimbursed. I use Reimbursify to do this. You can verify your insurance benefits through my Services and Fees page if you aren’t sure if you have out of network benefits.

Can I pay with my FSA/HSA account or other method of payment?

Yes, you can pay with your FSA/HSA, credit card, or check. Fees are due when services are rendered.

What ages do you work with?

I work with adults ages 18 and up. In some circumstances I may work with individuals aged 17, for example if they have started college before turning 18.

Are there any conditions you don’t treat?

There are some conditions that I think need more services than a solo practitioner can responsibly manage. I’m always happy to talk to you about this during a consultation, but generally I do not manage eating disorders, substance use disorders, or psychotic disorders in my practice.

Do you specialize in any conditions?

I have a special interest in working with folks with OCD and doing couples/relationship work. I also specializing in treating members of the LGBTQIA community, folks who are poly/nonmonogamous, and folks who are kinky. But that doesn’t mean that if those identities don’t apply to you I wouldn’t work with you or wouldn’t be a good fit for you. I see people from all walks of life with many different concerns, from depression and anxiety, to existential questions, to general dissatisfaction with how life is going.

What hours are you available?

My practice is open Monday through Friday between 9-5 Eastern Time.

Can I see you if I’m not in Massachusetts?

Yes, I am licensed in Massachusetts, California, and New York. As long as you are physically located in one of those states, I can see you.

Questions About Therapy

How often would we meet?

I see people either weekly or every other week therapy. In order to facilitate sustained progress, I do not meet less frequently than every other week for therapy (except in extenuating circumstances such as vacation or illness).

Do you work with couples/throuples/polycules?

I do! I love working with couples/relationships. If you have particular questions about this, please reach out about how we might work together.

What is supportive therapy?

Supportive therapy is a type of psychotherapy that aims to help clients develop a greater sense of self-awareness and self-esteem. The therapist works with clients to identify and build upon their existing strengths and resources, while also providing guidance and support to navigate challenging situations. This approach can be particularly helpful for individuals struggling with stress, anxiety, or depression, as it provides a safe and supportive environment in which to explore difficult emotions and experiences. By helping clients to develop more effective coping strategies and problem-solving skills, supportive therapy can empower individuals to make positive changes in their lives and achieve their mental health goals.

What is psychodynamic therapy?

Psychodynamic therapy is an approach to therapy that focuses on exploring and working through underlying emotional issues that may be impacting a person's mental health. This type of therapy aims to foster a deeper understanding and awareness of the root causes of a person's struggles, which can help them gain insight and create lasting change. By exploring unconscious thoughts and feelings, psychodynamic therapy helps individuals to develop a greater sense of self-awareness and self-esteem, and to create a path towards growth and healing.

What is Cognitive Behavioral Therapy (CBT)?

Cognitive-behavioral therapy (CBT) is a type of psychotherapy that focuses on changing negative patterns of thinking and behavior. It's based on the idea that our thoughts, feelings, and behaviors are interconnected, and that by changing one of these components, we can improve our mental health. CBT is often used to treat anxiety, depression, and other mental health conditions. It typically involves working to identify negative thought patterns and develop strategies to replace them with more positive ones.

What is Acceptance and Commitment Therapy (ACT)?

Acceptance and Commitment Therapy (ACT) is a type of psychotherapy that focuses on helping individuals develop psychological flexibility by accepting their thoughts and feelings, and committing to actions that align with their values. ACT is often used to treat anxiety, depression, and other mental health conditions, and can be particularly helpful for individuals who struggle with self-criticism and perfectionism. By helping individuals to develop a more accepting and compassionate relationship with themselves, ACT can empower them to live a more fulfilling and meaningful life.

What is Exposure and Response Prevention (ERP)?

Exposure and response prevention (ERP) is a type of cognitive-behavioral therapy (CBT) that is often used to treat obsessive-compulsive disorder (OCD). ERP involves gradually exposing patients to situations or stimuli that trigger their obsessions, while helping them resist the urge to engage in compulsive behaviors. Over time, this process can help individuals develop greater control over their symptoms and improve their quality of life.

Questions About Medications

What’s the difference between a psychiatrist and a psychologist?

Psychiatrists are medical doctors who specialize in the diagnosis and treatment of mental illness. They are able to prescribe medication, and are also trained in therapy. While many psychiatrists don’t do therapy, some do. Psychologists, on the other hand, are trained professionals who focus on the study of human behavior and mental processes. They typically provide talk therapy and other non-medical treatments for mental health issues.

If I see you for therapy do I have to see you for medications?

In short, no. I will never push you to take medications. The benefit of working with a provider who can prescribe is that the option is on the table if it’s something you’re interested in.

How often would we meet for medication management?

It can be tough to give a precise estimate of this. It generally depends on how many changes we’re making to medications and when we might see the effects of those changes. When I first start working with folks it’s not uncommon to see me every 6-8 weeks. If you are on a stable medication regimen and not experiencing side effects, then we might see each other less frequently, for example every 3 months.

Can you prescribe for me if we only meet virtually?

For some medications, I could prescribe for you after a virtual appointment. The exception to this is for medications controlled by the Drug Enforcement Agency (DEA), commonly referred to as controlled substances. These are medications such as benzodiazepines (klonopin, xanax, ativan, etc) and stimulants (concerta, adderall, ritalin, etc). Per DEA regulations, we must meet in person at least once before I can prescribe these medications for you. For this reason, I am only taking new patients who need controlled substance prescriptions who reside in the state of Massachusetts.