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Our first session is an opportunity for us to get to know one another and begin understanding what brings you to therapy. We'll talk about what has been on your mind, what you may be hoping to understand or work through, and what feels important for you at this point in your life.
You don't need to arrive with a clear agenda or know exactly where to begin. Sometimes, simply starting with what you're feeling in the present moment—whether that's anxiety, frustration, sadness, or uncertainty—can open up a meaningful conversation. We can take our time getting acquainted and allow the conversation to unfold naturally. It's also an opportunity for you to ask questions and get a sense of whether working together feels like a good fit.
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There is no single approach that works for everyone. Therapy is a collaborative and evolving process, shaped by your experiences, needs, and what emerges in our work together.
My approach draws on psychoanalytic and somatic perspectives, as well as EMDR, Brainspotting, and talk therapy. We may draw from different modalities over time or find that a particular approach resonates more deeply with you. Rather than following a fixed formula, we'll remain curious about what feels meaningful and helpful as the work unfolds.
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Weekly sessions are generally recommended, particularly at the beginning of therapy, as meeting consistently allows us to build a therapeutic relationship and create continuity in the work. The frequency of sessions may shift over time depending on your needs, circumstances, and the nature of what we're working through together.
When possible, I aim to reserve a consistent appointment time each week so that therapy can become a regular and meaningful part of your routine.
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Individual sessions are 45 minutes, and couples sessions are 60 minutes.
The length of time someone spends in therapy varies depending on their needs, circumstances, and what they hope to explore. Some people come to work through a particular concern or life transition, while others are interested in a longer process of understanding longstanding patterns, relationships, and their sense of self.
Understanding ourselves more deeply takes time. Many of the habits, beliefs, and emotional patterns we carry have developed over years, sometimes across generations. Therapy offers an opportunity to gradually peel back these layers, making sense of what we've carried and creating room for new ways of relating to ourselves and others.
There is no predetermined timeline. We'll continue to check in about the work and what feels meaningful and helpful as we go.
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I offer psychotherapy through secure video sessions, as well as in-person sessions for clients in the Hudson Valley, depending on availability.
Many forms of therapy, including EMDR, Brainspotting, IFS, and talk therapy, can be conducted effectively through telehealth. Meeting from a familiar environment can offer a sense of comfort and ease, allowing you to settle in and engage in the work at your own pace. Online sessions also offer greater flexibility, without the added time and demands of commuting.
Whether we meet online or in person, my hope is to create a space where you feel comfortable enough to slow down, be curious, and allow yourself to be fully present.
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I would love to work with you. My fees are discussed individually during an initial consultation, taking into consideration your circumstances and the availability of reduced-fee spaces. I aim to make the work accessible while honoring the time, care, and commitment that psychotherapy involves.
Please feel free to reach out to discuss fees and find out whether working together might be a good fit.
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I do not participate directly with insurance plans and am considered an out-of-network provider. Depending on your insurance plan and benefits, you may be eligible for partial reimbursement for psychotherapy services.
Upon request, I can provide documentation for you to submit to your insurance company for potential out-of-network reimbursement. Reimbursement policies vary, so I encourage you to contact your insurance provider before beginning therapy to understand your specific benefits.
When contacting your insurance company, you may find it helpful to ask:
Does my plan include out-of-network mental health benefits?
What is my annual out-of-network deductible, and how much of it have I met?
What percentage of psychotherapy fees does my plan reimburse?
Is there a limit on the number of sessions covered per year?
Does my plan require preauthorization?
What is the allowed or usual and customary rate for psychotherapy?
Does my plan cover services provided by an LMSW practicing under supervision?
Are telehealth sessions eligible for reimbursement?
What documentation is required to submit a claim?
Payment is due at the time of each session. If you choose to seek reimbursement, you will be responsible for submitting the documentation to your insurance company and for any portion of the fee not reimbursed.
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I ask for at least 48 hours' notice by email if you need to cancel or reschedule a session. Cancellations made with less than 48 hours' notice will be charged the full session fee, except in the case of an emergency.
Your scheduled session time is reserved specifically for you. If you arrive late, you are welcome to join at any point during the session, but we will still end at the originally scheduled time. The full session fee will apply, as the time has been set aside for you.
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Confidentiality is an essential part of the therapeutic relationship. As a social worker, I have an ethical and professional responsibility to protect your privacy and treat what you share with care and respect. My hope is that this understanding creates the space for you to speak openly and explore your experiences without fear of judgment. Information may be shared only with informed consent.
There are certain legal and ethical exceptions to confidentiality, including circumstances involving serious risk of harm to yourself or others, suspected abuse or neglect where reporting is required by law, and certain court orders. I will discuss these limits with you at the beginning of our work so that you understand your privacy and what to expect.
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2025
123 Demo Street New York, NY 12345
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“Working with Agnes has been life changing. I can’t say enough positive things about the course of my life direction being moved in positive ways.”
-- Recent Client