My fees are comparable to the usual, customary, and reasonable rates for psychotherapy in New York City. Fees are on a sliding scale based on your income, and subject to change.
Fees for consultation vary based on size, scope, and time commitment of the project. Please inquire.
Do you accept insurance
I am an out of network provider. I will assist you in submitting a bill to your insurance so that you may be reimbursed for a portion of the cost.
What forms of payment do you accept?
I accept all major debit and credit cards including health savings accounts from your employer benefits.
Are you available on evenings and weekends?
Yes! I understand that people, including myself, juggle many responsibilities. In order to accommodate schedules, I am available on weeknights in the evening and on Saturdays.
What types of people do you treat?
I provide cognitive assessment and psychotherapy services to adults age 18 and older with a range of presenting problems including trauma/PTSD, depression, anxiety, relationship difficulties, self-esteem troubles, grief/loss, life transitions, and identity and social justice issues.
I provide cognitive assessment to individuals (children, teens, and adult) age 7 or older who may have concerns about attention, hyperactivity, memory, reasoning, aging, head injuries, or other cognitive functioning concerns.
How do I know I need therapy?
Psychotherapy can benefit a wide range of individuals and groups. Some may have a history of mental illness, and others may be seeking services for the first time. Whatever the reason, trying therapy can be an invaluable experience. People find themselves seeking therapy when their usual coping resources fail, when they find themselves feeling powerless in the face of conflicts, when they are curious and seeking reflection, or need to arrive at a place of resolution with the help of a professional.
What is PTSD?
Post-traumatic stress disorder is a mental illness developed after experiencing or being exposed to a real or perceived threat to life and/or safety. In the past, it was commonly thought of as only occurring within military veteran populations. However, any type of threat or harm may lead to PTSD including physical abuse, sexual abuse, community violence, natural disasters, accidents, robbery, assault, imprisonment, torture, and more. Three general areas of PTSD symptoms include re-living the trauma, avoidance, and hyperarousal. These symptoms must last more than one month, cause clinically significant distress, and impair functioning. Some people may experience trauma, and not develop PTSD, but still benefit from trauma-focused psychotherapy to process difficult events in their past. See more information on our Resources page.
What can I expect in the first session?
Knowing what to expect in the first session can calm anxiety and help you mentally prepare for beginning the process of therapy. When we initially meet, I will welcome you to the office, we will clarify scheduling and fees, and have an initial intake session. During this 45 to 50 minute session, I will ask questions to gain familiarity with what presently concerns you, get a sense of how your history relates to the present problem, and collaborate with you to begin developing the most fitting course of treatment.
How long and how frequent are therapy sessions?
Therapy sessions will last 45 to 50 minutes, generally once each week. In some cases, multiple visits per week are indicated.
Is my information confidential?
In accordance with ethical and legal standards, the protection and privacy of your information is a priority. All of your information will be kept confidential with the exception of any indication of imminent harm to yourself or another person. In that case, I would be required to take the appropriate measures to report this information for your safety and the safety of others. Your information will not be shared with any other parties without your permission to release information. Your records will be kept in a protected electronic medical record.
What if I see my therapist in “real life”?
Although this is a big city, there may be moments when we run into each other outside of sessions. To protect patient confidentiality, if we see each other, I will leave it up to you to decide if you feel comfortable acknowledging me in public. We can discuss further during sessions.
Do you offer phone or video sessions?
(YES: Tylynn Preston, LMSW works virtually)
I do not. In order to help you benefit as much as possible from your investment in psychotherapy, it is important to me to have a space for you each week where we can meet face to face. Many aspects of communication can be lost or misread over the phone, text, or video.
Do you prescribe medication?
No. If you are interested in medication, I am happy to help you find a psychiatrist.
Whether this is your first encounter with therapy or not, I want to answer all of your questions.
