Starting Therapy and Cost
How to Choose a Therapist in NYC
Practical things to weigh when choosing a therapist in New York City: fit, training, format and cost.
Start with what you want help with
Before scrolling through profiles, write one or two sentences about what is going on. Maybe you feel like a failure even though you are trying your best, or you and your partner keep having the same fight. That short note helps you notice which therapists actually work with your concern.
Check license and training
In New York, look for a license such as LMFT, LCSW, LMHC or psychologist, and check that the therapist is licensed in the state. Ask which methods they use and how they apply them. A clear, plain answer is a good sign; vague language is worth questioning.
Fit matters as much as credentials
You should feel able to be honest, including about what is not working in therapy. Some people want a therapist who shares parts of their background or culture. Others care most about style, such as warm and direct. It is reasonable to talk with a few people before deciding.
Format, schedule and location
Decide whether you want in person, online or both. If you work long days, ask about evening appointments. Consider whether the office location is realistic for weekly visits, and whether online sessions are available anywhere in New York State on the weeks you cannot travel.
Cost and insurance
Ask the fee, session length and cancellation policy up front. Private pay practices may offer superbills or tools like Thrizer for out-of-network benefits. Knowing the real weekly cost helps you choose something you can sustain. Details for this practice are on Rates and Insurance.
Use the free consultation
A short phone call lets you ask questions and hear how a therapist responds. I offer a free consultation of 15 minutes to talk about what is happening and whether my approach may fit. If it does not seem right, I am happy to say so and point you in another direction.
Questions About This Topic
What questions should I ask in a consultation?+
Ask how they work with your concern, what a first session looks like, the fee, and how they handle scheduling and cancellations.
What if the first therapist is not a good fit?+
That happens. It is fine to say so and look for someone else; a good therapist will understand.
Does a therapist need to share my background?+
Not always, but it can matter. Ask how they approach culture and identity in their work.