Frequently Asked Questions

Answers to all of the most common questions.

Frequently Asked Questions

Answers to all of the most common questions.

An aerial view of Union Square city park with a statue in the middle and NYC skyline

General

When you initially reach out, you will nearly always hear from us within one business day, often sooner.

Office hours are by appointment. We have therapists who are available to meet Monday-Friday 8am-8pm. Please call 845-768-3585 ext. 1 to schedule an initial appointment.

We have in person availability at both our New York City and Hudson Valley offices. Our Union Square office is within walking distance of Greenwich Village, The East Village, Gramercy Park, Flatiron, Chelsea, NoHo & SoHo. Our Kingston office is within driving distance of Catskill, Rhinebeck, Saugerties, Woodstock, Stone Ridge, Rosendale, Highland and New Paltz. Additionally we provide high quality, empathic care via a HIPAA compliant Teletherapy platform to anyone who resides in the state of New York.

Due to telehealth regulations and state licensing requirements, therapists can only provide services to people who are physically located (at the time of the session) in the state where they’re licensed. So if you’re a NJ or CT resident for example, but are interested in attending your sessions in person at either of our locations, we would be able to work with you. If you’re a student in NY but return to another state during school breaks, we would need to pause therapy during that time.

Please do! Our practice thrives on word of mouth referrals and they are one of the most significant gestures of the high quality work that we do.

The clinical team at Resilient Self Therapy works exclusively with people who are 18 years old and above. If you are looking to get support for your child or teen, we may be able to assist with a referral to trusted colleagues who have specialized training and experience in this area. We also know how hard it is to parent when worried about your child and are available to help directly if you’d like some additional support for yourself in this area of your life.

Our amazing administrative assistant, Hannah, can help you with all these sorts of things. While you’re welcome to ask your therapist admin questions, you can always email admin@resilientselftherapy.com and get help there. It’s great to CC your therapist on it too so everyone is in the loop. Inversely, you may see Hannah CC’d on emails, which is nothing to worry about.

Therapy

One of the greatest indicators of success in therapy is the relationship that you have with your therapist. While theoretical orientation, postgraduate training, niche, and years in practice are important, it often comes down to “the goodness of fit” between a therapist and a client that is the most essential component to healing. You are also welcome to reach back out to our clinical director for a re-match.

The first step is a 15-minute intro call with our Clinical Director who will take the time to assess what’s prompting you to reach out, gauge your scheduling and financial needs, answer any questions that you may have and pair you with the person on our team who is best suited to help. During that conversation we’ll either get you set up with your first appointment or provide a referral if we deem RST to be a poor fit for your needs. There will be some forms to complete ahead of your intake appointment, which you will receive via our HIPAA secure portal. At your intake appointment, your therapist will work to understand what’s motivating you to seek help, help you identify what successful treatment would look like for you, and begin to establish rapport. You can share what you feel compelled to share. Don’t worry if you don’t know what to talk about. You may at the end of the session feel an immediate ‘yes’ inside and wish to schedule another appointment. Or you may want to take some time to think about it. Either way is fine. It can sometimes take a few sessions to decide if you wish to commit to weekly sessions. It’s a unique relationship and making sure it’s a good fit is important.

At a minimum, sessions are once per week. It can also be beneficial to meet twice per week as this creates increased continuity and momentum of your work. We do not start with new clients on an every other week frequency, though sometimes after initial symptoms are reduced or some treatment goals have been met, we can discuss reducing the frequency of sessions.

For individual therapy, an initial consultation is 1 hour and ongoing individual therapy sessions are 45 minutes. For couples therapy, an initial consultation is 90 minutes and ongoing couple’s sessions are 1 hour.

The length of time that someone stays in treatment is unique and depends on factors such as what’s bringing you in as well as what your personal goals are. We believe that the decision to end treatment can be made collaboratively between you and your therapist, however, ultimately the choice to stop is yours.

Mostly, yes! We like to be very transparent about the instances in which we are required by law to break confidentiality. If you are at serious risk of harming yourself or someone else or if there is suspected abuse or neglect, we are not able to keep that a secret. If you would like for us to collaborate with another medical professional or another person, we have a Release of Information form for you to sign that grants permission to share information dictated by you.

It absolutely is and we’re here for all of it. Therapy takes a lot of effort, emotional bandwith, and the work that you put into it impacts what you get out of it. We believe in the transformational power of therapy and that you’re worth it. It’s common to feel a bit daunted by therapy, or even frustrated with the process at times. The thing is, what we also believe is that the courage that it takes to show up in therapy is always worth the alternative, having any regret over not having shown up enough for yourself, your relationships, or your life.

Fees & Payment

For more detailed information about our rates and costs, please visit our payment page.
For information about sliding scale, please visit our payment page.
  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
  • Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
  • For questions or more information about your right to a Good Faith Estimate, visit Link to CMS.gov No Surprises Act (opens in new window)www.cms.gov/nosurprises
  • When eligible, Your Good Faith Estimate can be found by logging into Link to Therapy Portal (opens in new window)your therapy portal account
  • If you have questions or concerns, please contact Hannah Houston at Email admin at Resilient Self Therapy (opens in email)admin@resilientselftherapy.com
In short, we accept all major credit cards as well as FSA/HSA as forms of payment. For more detailed information about payment please visit our payment page.
For more detailed information about our cancelation policy, please visit our payment page.

Insurance

We are not currently an in-network provider with any health insurance plans. If you have out of network benefits, we are able to help you in deciding if using out of network benefits is a good option for you. If so, we can provide the documentation necessary to submit claims for payment reimbursement.

When you use your out of network benefits for treatment at Resilient Self Therapy, you pay for sessions along the way and then submit claims to your insurance company at the end of each month, requesting reimbursement. Our administrative assistant will provide monthly superbills with all of the information needed to submit your claim. If you are unfamiliar with this process, we would be happy to orient you further and/or answer any questions that you may have. In the unlikely event that your insurance company denies your claim, you are responsible for the cost of the sessions that have occurred to date.

To determine if you have mental health coverage, the first thing you should do is check with your insurance carrier. The most common service codes that we use are 90791 (for the intake appointment) and 90834 (for routine 45 minute appointments with an individual), 90832 (for appointments 16-37 minutes in duration with an individual), and 90847 (for routine couple’s sessions). Check your coverage carefully by calling the number on the back of your insurance card and writing down the answers to the following questions:
  • Does my plan cover services for out-of-network mental health providers?
  • What is the deductible I have to meet before reimbursement can occur?
  • What percentage of treatment do I pay for when seeing an out-of-network mental health provider?
  • Does my plan reimburse for telehealth (both audio and visual) sessions?
  • Is it the calendar year that is used to de-mark coverage periods or another time specifier?
  • Which form do I use to submit a claim and where can that form be found? Is it the CMS-1500 form?
  • What mailing address do I send claim submissions to and/or is there an online portal that I can use to submit claims?

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