Do I even need therapy?
People often come to therapy during a difficult transition or rupture: a breakup, grief, illness, job loss, family conflict, burnout, or a major life decision.
Others come with something harder to name: a nagging sense that they are anxious, resentful, disconnected from themselves, or living in a way that no longer feels sustainable.
Both are good reasons to begin. Therapy can help you understand not only what is happening now, but the deeper patterns it may be bringing into view.
How long are sessions, and how often do we meet?
Sessions are 55–60 minutes. I work with people weekly, and sometimes twice weekly — that consistency is a big part of what makes therapy effective, so new work begins at a weekly cadence.
What time zones can you accommodate?
Based in Paris, I hold sessions across U.S. and European time zones. I generally offer appointments from very early morning to late morning in your local time, whether that’s Eastern, Pacific, or Central European. If those windows don’t fit your schedule, reach out anyway: I can sometimes be flexible.
What are your fees?
Twice weekly — $275 per session (55–60 minutes)
Weekly — $300 per session (55–60 minutes)
For established clients who later move to an every-other-week schedule, the rate is $320 per session.
Do you offer reduced fees or a sliding scale?
I keep a small number of reduced-fee (sliding scale) spots, reserved for people facing a recent loss or significant drop in income, and for those working in lower-paying nonprofit fields. Availability varies, so they’re sometimes full.
If you’re unsure whether to ask, a helpful question is this: would paying the full fee be a sacrifice, or an actual hardship? These spots are meant for the second. If a reduced fee would help, just mention it when we talk, and if there’s availability, we’ll find a rate that works for you.
Do you take insurance?
I’m an out-of-network provider, so I don’t bill insurance directly. Many clients still use their benefits: if your plan includes out-of-network coverage (most PPO plans do), it may reimburse a portion of each session — often somewhere in the range of 50–80% — once you’ve met your out-of-network deductible. The exact amount depends on your plan, and some plans (such as many HMOs) don’t include out-of-network benefits at all.
To make this straightforward, I provide a monthly superbill — an itemized receipt you submit to your insurer for reimbursement.
To find out what your plan covers, you can ask your insurer:
– Do I have out-of-network benefits for outpatient mental health?
– What’s my out-of-network deductible, and how much have I met this year?
– Once it’s met, what percentage of each session is reimbursed?
– Is there a maximum reimbursable (“allowed”) amount per session?
– Is there a limit on the number of sessions per year?
– How do I submit a claim, and is there a deadline?
If the answers are confusing, I’m happy to help you make sense of them.
Will I know my costs in advance? (Good Faith Estimate)
Yes. Under the federal No Surprises Act, clients who aren’t using insurance have the right to a Good Faith Estimate — a written estimate of expected costs — before treatment begins. I provide one to every self-pay client, and you can ask for an updated estimate at any time. You also have the right to dispute a final bill that exceeds your estimate by $400 or more.
Do you offer coaching?
Yes. Alongside therapy, I offer coaching for more focused, forward-looking work: thinking through a decision, navigating a transition, or working toward a specific professional or personal goal.
Coaching is a separate service from therapy. It isn’t psychotherapy, isn’t intended to treat mental health conditions, and isn’t billed through insurance. Coaching sessions are 75 minutes at $450, and you can book one directly, without a prior consultation call.
Are you licensed as a psychotherapist in France?
My clinical license is American: I’m a Licensed Clinical Social Worker in California and New York, and I provide psychotherapy under that license. In France, the titles “psychothérapeute” and “psychologue” are legally protected and require specific French qualifications and registration, which I don’t hold. Here I practice as a psychopraticienne. So if you’re based in France, that’s the most accurate way to understand my role: a US-licensed clinician working as a psychopraticienne, rather than a French-registered psychothérapeute.
I also don’t hold a French ADELI/RPPS registration, so sessions are not eligible for reimbursement by French health insurance or mutuelles.
Do you offer online or in-person sessions?
My practice is primarily online. When schedules and location allow, I also offer in-person sessions in San Francisco, New York City, and Paris.
Where are you licensed to practice?
I provide psychotherapy to adults located in New York and California, where I am licensed. I’m currently based in Paris and also work with Americans, expatriates, and internationally mobile clients living between cultures.
What approaches do you use?
My work draws on psychodynamic and attachment-based therapy and parts work to understand the roots of present-day struggles, alongside Acceptance and Commitment Therapy to support change in the present.
How do we get started?
We begin with a brief consultation to see whether this feels like a good fit. There’s no obligation to continue — it’s a chance to share what’s bringing you in, ask questions, and get a feel for how we might work together. You can set one up from the contact page.
Why aren’t there any reviews?
Fair question, and it isn’t for lack of clients I’m grateful to. Professional ethics across the therapy field — in social work, psychology, and counseling alike — discourage soliciting reviews or testimonials from clients, and flatly prohibit it with anyone currently in treatment. The reason is the power imbalance: a client could feel they ought to leave a glowing review, or that the relationship somehow depends on it, and that kind of pressure has no place in work that runs on trust.
I know that can feel a little cryptic when we’re used to checking reviews for everything under the sun, especially for something that asks for as much trust as therapy does — and where the field lands on this as norms shift, who knows. For now, the better way to get a feel for me is to read how I describe my approach here and to book a short consultation, so you can decide for yourself.
Is what we talk about confidential?
Yes. Therapy is confidential, with limited exceptions required by law (such as risk of serious harm to yourself or others). I’ll go over exactly what that means at the start of our work. [Confirm wording reflects your NY/CA and EU obligations.]
