How does therapy work?

Therapy is a path toward better mental health and improved quality of life. The steps look different depending on your goals, but along the way, you’ll be changing how you think, which can rewire your brain. Neuroplasticity refers to the ability your brain cells (neurons) have to restructure or rewire when your mind recognizes the need to adapt. That means your brain is changing all the time, and it can continue to develop new neural pathways whenever you build new habits and patterns of thinking. In sessions, you’ll learn strategies for processing emotions and experiences that will help you feel better, navigate obstacles effectively, and improve your relationship with self and others. The methods we’ll use can even affect the chemicals in your brain (neurotransmitters) that regulate mood, without the need for prescription medication. Think about the therapeutic space as an opportunity for you to work through anything that’s been on your mind with an empathetic thought partner who is here to give you tools to tackle challenges.

How does the free, fifteen minute consultation work?

We provide a free 15-minute consultation via phone or secure video for anyone who is considering therapy. We’ll get to know each other and talk through your goals and questions. Research indicates that your sense of fit or connection with your therapist is the strongest indicator of success, which is why we want to ensure you are making an informed decision.

How long are sessions? How often are sessions?

Individual sessions are 45 minutes and couples counseling sessions are 60 minutes. Typically sessions are weekly or biweekly. However, frequency and length of sessions can be adjusted depending on needs.

How does payment work? Do you accept insurance?

Out-of-pocket costs:

  • Individual sessions are $225 per 45 minute session
  • Couples sessions are $275 per 60-minute session

In-Network Insurance:

Although we do not accept in-network insurance, our services are eligible for out-of-network coverage. We do participate with Modern Health and Lyra. Check with your employer to see if they provide Modern Health or Lyra as a benefit.

Out-of-Network Insurance:

Services can be covered by out-of-network insurance. If you don’t know what your plan covers, please feel free to verify your out-of-network coverage HERE.

Thriving path therapy provides courtesy billing to assist with submitting claims for reimbursement on your behalf so you can focus on your care. Often out-of-network coverage subsidizes a significant portion of therapy costs.

We also offer sliding scale slots for those who are uninsured or underinsured on a limited basis.

Please contact us at or call (212) 380-7244 to discuss fees and insurance claim submission information.

How do I know if I need therapy?

If there’s any aspect of your life you wish was different, therapy could be a good option for you. Most of our clients are high functioning, successful professionals and couples who want to be better partners, friends, or versions of themselves. Many go to therapy even if they aren’t experiencing significant distress because they want an improved quality of life. Some seek out therapeutic support to manage stressors at work, relationship issues, traumas that have occurred, or emotions like fear and anxiety. At Thriving Path, we use a strengths-based, integrated care approach that focuses on what’s working well and how to do more of it, as opposed to the typical medical model, which presumes that something is “wrong” and looks for “pathologies” in the individual.

What will we do in our session?

The Methods page provides more detail about the types of strategies we may use in our work together. Depending on your goals, a session may involve visualization, reframing negative beliefs and thoughts, developing more empowered narratives about past experiences, communication strategies for couples, trying new ways to experience authentic self love, mindfulness strategies, etc. For more information, schedule a free fifteen minute consultation!

How many sessions do I need? How do I know when to stop?

This varies depending on your preferences and goals for therapy. We’ll work on the issues that matter to you and adjust the frequency and duration of sessions based on what makes the most sense with your schedule and finances. Our main goal is for you to feel better and achieve your desired outcomes. We value feedback, and encourage our clients to keep us up to speed on what is and isn’t working. We will ask if you’re ready to reduce or eliminate sessions if we notice that you are improving. It shouldn’t be hard or awkward to “break up” with a therapist, and we are happy to provide outside referrals. When you’re ready to end therapy, that’s what we’ll do!

What about medication?

Medication can be a great solution for some, but not the right fit for others. Some prescription pills can affect mood because neurotransmitters in psychiatric drugs are designed to manage the chemical levels of your brain with an artificial stimulus. There is also some research that indicates the positive benefits of microdoses of medical marijuana, ketamine, or psilocybin for PTSD and trauma. While we do not prescribe medication, the work we do is an evidence-based, essential partner to any medicinal treatment. In fact, research shows that the combination of therapy and medication leads to better mental health outcomes.

Is therapy confidential?

Yes, sessions are always confidential. What happens in our sessions stays in our sessions. The main exception is with regard to potential violence toward self or others, which the therapist must address as a mandated reporter.