Your Questions, Answered

I offer both private pay and in-network care with Blue Cross Blue Shield.

If you have BCBS, your sessions are billed through your insurance. If you don't, private pay is available at $200 for 50 minutes and $250 for 90 minutes and I provide superbills so you can seek reimbursement through your own insurance's out-of-network benefits, if you have them.

If you have questions about cost or what makes sense for your situation, bring it to the consultation. That's a reasonable thing to talk through. Superbills are available if you'd like to submit for out-of-network reimbursement through other insurance plans.

Sessions are conducted via a secure, HIPAA-compliant video platform. You will receive a link before each appointment. All you need is a private space, a reliable internet connection, and a device with a camera.

The research on telehealth for the conditions I treat (OCD, perinatal mental health, and reproductive health concerns) supports its effectiveness. For ERP in particular, telehealth can actually be an advantage: it allows us to work directly in the environments where your symptoms show up, rather than simulating them in an office.

For postpartum clients especially, telehealth removes a real barrier. You do not need to arrange childcare, commute, or leave the house on a hard day. That matters.

Standard sessions are 45 to 50 minutes. The Clarity consultation is 90 minutes. During active treatment — particularly for OCD using ERP — sessions may occasionally be longer, especially early in treatment when we are building your exposure hierarchy and practicing together.

Clients meet with me a single session, weekly, or biweekly. We will discuss the right cadence for you based on your presentation and goals.

I am licensed in New York and Vermont and hold a PSYPACT authority to practice, which allows me to provide telehealth services to clients across participating states.

Currently, I am available to clients in all PSYPACT-participating states. See the question below for a full explanation of what PSYPACT is and which states are included.

PSYPACT stands for Psychology Interjurisdictional Compact. It is an agreement between participating U.S. states that allows licensed psychologists to provide telehealth services to clients across state lines — without needing a separate license in each state.

Before PSYPACT, a psychologist licensed in a particular could only legally provide telehealth to clients physically located in that state. If a client traveled, moved, or was located in a neighboring state, that created a legal barrier to care.

PSYPACT removes that barrier for telepsychology — meaning that as long as both the psychologist and the client are in participating states, services can be provided legally and ethically regardless of which state the client is physically in at the time of the session.

What does this mean for you?

If you live in or are located in a PSYPACT-participating state, you are eligible to work with Invera Psychology via telehealth — even if that state is different from where I am licensed.

As of now, PSYPACT includes the following states and territories:

• Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia

• Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine

• Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire

• New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma

• Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah

• Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Please see psypact.org for more information and up-to-date map.

If you are unsure whether your state participates, feel free to ask during the consultation — or check the current map at psypact.org.

This is one of the most important questions to answer clearly, because it runs counter to how a lot of people think about therapy.

The 8 to 12 month frame is not arbitrary, and it is not a limit imposed for logistical reasons. It reflects how evidence-based, skills-focused treatment actually works and what the research says about when it is most effective.

Here is the underlying logic:

• Structured, CBT-based and ERP-based treatment is designed to teach you something; a new relationship with your thoughts, a new set of tools, a new way of responding to distress. That learning happens over a defined arc.

• Most of the meaningful work in this kind of treatment happens in the first several months. After that, continued weekly therapy often shifts from active skill-building to maintenance; which you can largely do on your own, with the tools you have built.

• Open-ended therapy, for the conditions I treat, has not been shown to produce better outcomes than time-limited treatment. In some cases, it can inadvertently maintain the problem.
  

What this means in practice: by the end of treatment, the goal is not that you feel good because you are in therapy. It is that you feel good, and you know why, and you know what to do when things get hard again.

What if I feel like I need longer?

We will talk about it; The 8 to 12 month frame is a typical range, not a hard stop. Some presentations are more complex, some life circumstances require more time, and there are cases where continuing makes clinical sense. The decision will always be made collaboratively, with clear reasoning, not indefinitely extended out of habit or without a plan.

There is also nothing wrong with returning to therapy later. Many clients come back at different life stages: a new pregnancy, a shift in their condition, a life transition. That is not a failure. It is a reasonable use of a useful tool.

There is no single threshold for readiness, and waiting until things feel bad enough is one of the most common reasons people delay getting help that would have been useful earlier.

That said, the kind of treatment offered here — structured, skills-based, and active — works best when you have some capacity to engage between sessions. That does not mean your life needs to be stable or that you cannot be struggling. It means you are at a point where you can show up, try things, and reflect on what is happening.

If you are not sure whether you are ready, the consultation is the right place to find out. We can talk honestly about where you are and whether this is the right fit right now — or whether something else needs to come first.