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Contact USThe Office of East River Counseling
Please reach out with any questions and concerns, or if you would like to schedule an initial consultation.
Reply within 2 business days
Free 15-20 min consultation
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FAQQuestions, answered honestly.
If you don't see what you're looking for, just ask in your email — no question is too small or too logistical.
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We're in-network with several major plans (Aetna, Cigna, United/Optum, Oxford, Empire BCBS, Oscar). If yours isn't listed, we can usually help you use out-of-network benefits — most PPO plans reimburse 50–80% of our fee.
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Most clients notice some relief in the first 4–6 sessions, often around having a regular place to put things. Deeper change — patterns shifting, old wounds settling — usually unfolds over months. We'll check in regularly on what's working.
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Yes — well-designed studies consistently show telehealth therapy is as effective as in-person for most concerns, including anxiety, depression, and trauma work. It also removes commute time, weather, and the "I'm too tired to go" barrier that ends a lot of treatment early.
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A lot of our clients have. Tell us about it on the consult — what felt off, what you wished had happened — and we'll talk honestly about whether this work might land differently. Fit matters, and you're allowed to be picky.
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We don't prescribe, but we work closely with psychiatrists and psychiatric NPs we trust and can refer you out. Medication and therapy are often more effective together than either alone, and we'll think it through with you.
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Outpatient telehealth isn't designed for acute crisis care — if you're in immediate danger, please call or text 988 or go to your nearest ER. Between sessions, we'll build a safety plan together so you have clear steps and resources when things get heavy.