1. Introductory Consultation: We'll start with a complimentary consultation to get acquainted and assess our compatibility.

2. Initial Appointment: If we mutually agree to move forward, we'll schedule your first session. During which, I'll ask questions to learn more about who you are.

3. Personalized Treatment Plan: Together, we'll create a customized treatment plan that aligns with your needs and vision for the future.

4. Ongoing Sessions: We'll meet regularly, typically weekly, to tackle challenges, rehearse coping skills, and work towards your goals.

Most of us face struggles at some point in our lives. Sometimes, all we need is to take better care of ourselves or talk to a close friend or relative. But, when those things don’t make a difference and our struggles start to interfere with our day-to-day, then it might make sense to consider seeing a licensed therapist.

Three questions I often suggest people ask themselves if they are thinking about going to therapy are:

1. Is my problem distressing?

2. Is my problem persistent?

3. Is my problem interfering with multiple aspects of my daily life (work, relationship, health, etc)?

If you’re answering “Yes” to those questions, you might want to consider seeking some professional support. Ultimately, there is no cut and dry answer to this question and making the decision to go to therapy is a deeply personal one. If you're feeling stuck and unsure of how to move forward, therapy can be an invaluable resource.

Intake Session: $300

Individual Therapy: $250

30-Minute Parent Check- In Sessions: $175

Like many private practices, Alexandra Selnick LCSW PLLC, operates as an out-of-network provider, which means I am not contracted with any insurance company. However, I am committed to helping you maximize your out-of-network mental health coverage. If you are looking to receive reimbursement from your insurance, I can provide you with a superbill that includes all of the necessary information for self-claim submission.

There are a variety of reasons I do not take insurance.

1. Privacy Concerns: Insurance companies require therapists to assign a "Diagnosis Code" which becomes part of your permanent medical record. Some people feel uneasy about this, as it may affect them later on. I also don’t believe you need a diagnosable condition to go to therapy.

2. Limited Control Over Treatment: Insurance companies may become overly involved in a client’s treatment, requiring session information and placing restrictions on session numbers, potentially compromising the client's best interests. I prefer to have the freedom to work with clients in the manner that best suits their needs.

3. Administrative Burden: By avoiding insurance companies, I save time on extensive paperwork, phone calls, and complex billing processes. This allows me more time for professional development, staying updated on the latest literature, and self care. My client’s deserve the best version of their therapist, and this extra time allows me to show up for them.

I recommend you call the number on the back of your insurance card to ask if your plan includes out-of-network benefits for mental health services. If you have a PPO that includes behavioral or mental health insurance benefits, you are likely eligible to receive reimbursement. But, I can’t guarantee any rate of reimbursement.

I also recommend using the website Nirvana to check your out-of-network benefits and see what you will be reimbursed by your insurance company.

Do I have out-of-network mental or behavioral health coverage?

Do I need to meet an out-of-network deductible? If so, what is it?

At what rate will I be reimbursed?

Is there an annual limit on the number of sessions of the total amount reimbursable? If so, what is the limit?

Are virtual outpatient therapy sessions covered by my plan?

Is pre-approval required before obtaining out-of-network services in order to be reimbursed?

What is the process for getting reimbursed?

Due to license restrictions, I'm unable to meet with clients who are not located in the state of New York.

All sessions are exclusively held virtually via a HIPAA compliant video platform at this time.

Yes, virtual therapy has been shown to be as effective as in-person therapy for many individuals. Numerous studies have demonstrated comparable outcomes between virtual and traditional therapy formats across a range of mental health concerns, including anxiety, depression, and trauma. Virtual therapy offers convenience, flexibility, and accessibility, allowing clients to access therapy from the comfort of their own homes.

Individual therapy sessions are typically 45 minutes long. If I am meeting with parent’s of teenager I am working with, then our calls will usually be 30 minutes.

I start new clients with weekly appointments, to maintain consistency and momentum in our work together. As our relationship develops and your needs evolve, we can adjust the frequency of our sessions accordingly. Your comfort and progress are my top priorities, and I am committed to finding the best schedule to support your growth and well-being.

Once your session time is booked, it's reserved exclusively for you. I require at least 24-hours notice for any rescheduling or cancellations.

If you cancel or reschedule with less than 24-hours notice, you'll still be charged the full session fee.

If you're late for a session, you may join at any time within your designated period, but the session will end as scheduled, and you'll be responsible for the full fee.

A Good Faith Estimate is a document provided by healthcare providers, including therapists, that outlines the anticipated costs of medical services.

Under the law, I am obligated to give clients who don’t have insurance or who are not using insurance an estimate of the bill for my services.

The purpose of a Good Faith Estimate is to help clients understand the potential costs associated with their healthcare services upfront, allowing them to make informed decisions about their care.

For questions or more information about your right to a Good Faith Estimate, visit this website.