Most clients meet with their therapist once a week. That consistency helps the work stick. If you need something different, we’ll talk about it together.

We offer two distinct environments for your care:

● The North Salem Sanctuary: A private, physical office designed for quiet and reflection.

● New York Virtual: Seamless, HIPAA-compliant tele-therapy available for residents across New York State.

Please reach out for more information about our availability.

A scheduled appointment means we reserve time only for you. If you miss your appointment or cancel with less than 48 hours notice, you will be responsible for a missed session fee of $100. Generally, your insurance company does not reimburse for missed sessions and the fee will be charged to your card on file.

Yes, current regulations require that you’re in New York for us to work together, even via telehealth.

North Salem Psychotherapy is a boutique practice designed as a private sanctuary for life’s

most intense transitions. Unlike high-volume clinics, we prioritize a low-volume, high-touch

model. This allows us to focus on Identity and Regulation rather than just symptom

management. We provide a sophisticated environment where mothers, teens, and parents can

build the internal capacity necessary to navigate a complex world with confidence.

Choosing a private-pay boutique practice is an investment in clinical freedom and total

privacy. When you pay out-of-pocket, your care is directed by you and your therapist—not a third-party payer.

● No Mandated Diagnosis: Insurance companies require a mental health diagnosis to "justify" treatment. We believe transitions like Matrescence or Adolescence are profound human experiences, not necessarily "disorders." Private pay allows us to work without labeling you.

● Ultimate Confidentiality: Because we do not share your records with insurance databases, your treatment remains entirely private. This is a significant advantage for high-achieving professionals and teens mindful of future collegiate or career applications.

● Individualized Care: We are not restricted by insurance-mandated session limits.

We determine the frequency and depth of your care based solely on your unique needs.

We operate as a primarily private-pay practice to ensure the highest level of clinical privacy and specialized care.

● Out-of-Network: For clients with PPO plans (such as BlueCross BlueShield, UnitedHealthcare, or Cigna), we provide Concierge Out-of-Network Billing. We handle the complexity of your claims for you, ensuring you receive your maximum reimbursement directly from your provider without the administrative burden.

● In-Network: We maintain a very limited number of in-network spots for Aetna members to support accessibility within our community. Please inquire about current availability for these specialized spots.

Our fees reflect the specialized expertise of our clinicians and our commitment to an individualized, sanctuary-grade experience.

Clinical Director: $250 per 50-minute session.

Associate Specialist: $175 per 50-minute session.

We have moved away from the "trauma-only" narrative to focus on Capacity. Whether you are a mother recalibrating her sense of self or a teen navigating a high-pressure environment, our work is about building the internal tools required for your specific stage of life. We treat the whole person, not just a set of symptoms.