Gender and sexuality expansive therapy recognizes gender and sexuality as a part of your identities, regardless of your sexual orientation and/or gender identity (or lack thereof). Regardless of what you come in to talk about, we keep in mind how gender and sexuality may impact you – even if it is not your focal point. We also provide a space to explore gender and sexuality for everyone, regardless of your sexual orientation or gender identity.

All of our clinicians work from anti-oppression, anti-racist, and intersectional foundations. We understand that we live in a white supremacist, capitalist society, where certain identities are valued over others and treated differently. We understand how these systems can impact every aspect of your life, well being, and mental health. We hold space for you to explore the impacts of these systems in your life, and we work together to figure out best ways to manage and navigate the symptoms that come from having marginalized identities that are not always respected or valued in our society.

We recognize that as a for-profit group practice, we are inherently a part of the white supremacist, capitalist systems (insurance, medical, increased operating costs causing increased rates, etc.). We strive to be as anti-oppressive, anti-racist, and intersectional as possible while working within this system by explaining as clearly as possible any systems you interact with within our practice and try to disrupt unhealthy power dynamics as much as possible within the therapeutic relationship.

We first schedule a video or phone consultation to see if we may want to work together. If we decide to move forward, we then pick a set time to meet for each week. The first 1-3 sessions are intake and diagnosis to get a better understanding of you and your history, and to provide diagnosis which is needed for billing purposes. After the intake session(s) you decide what you want to explore from session to session.

The first 1-3 sessions are also designed to assess fit for you and your therapist. If either you or your therapist feel that working together is not a good fit, you can be transferred to another clinician within Bloom Psychotherapy NYC depending on clinician availability, and fit on a case by case basis. We can also refer you out to another therapist/practice/clinic depending on your needs.

Individual sessions are 45 minutes.

If meeting with a child or adolescent for the first time, the first half of the 45-minute session is with parents/ guardians and the second half is with the child. Subsequent sessions are with the child alone for 45 minutes, with check-ins/collateral/family sessions with the parents and/or whole family as needed.

Family, Couples, and Intimate Relationship sessions are 60 minutes.

Groups are 60-90 minutes depending on the group.

We use the Anti-Oppressive Rate Scale (created by Kenya Crawford, LMHC) to figure out your fee per session.

Please answer the following questions to see which level you qualify for under the anti-oppressive rate structure. CLICK HERE TO SEE HOW YOUR ANSWERS REFLECT WHICH PAYMENT LEVEL YOU MAY BEST FIT. If you believe the payment level does not best fit your needs, please let us know when you reach out to us to set up a session and we can process further. CLICK HERE TO SCHEDULE A PHONE CONSULT TO GET STARTED:

• Are you and your family homeowners or landowners? (This question does not apply to those who are Native or Indigenous)

• Have you attended private education institutions or do you have an advanced degree?

• Are you able to make minimum payments on bills or credit cards?

• Have you been able to easily access and afford health insurance for yourself and your family members?

• Do you have zero to no debt and/or do you have disposable income?

• Do you have a safety net composed of “financially stable” or wealthy family and friends?

• Do you have U.S. Citizenship?

• Does your income only support you, and not other loved ones?

• Have you or do you expect to inherit money or property?

• Have you (or could you have attended college and/or graduate school?

Please note that within our Anti-oppressive Rate Scale, we do not look at tax documents or pay stubs to verify your income, but instead work on the honor system that you can pay the maximum amount you can afford. Please know what is in your budget for weekly sessions. You can let us know where you land on our sliding scale during the phone consultation, and ask for a fee adjustment at any time in the work with your therapist.

Please let your therapist know during consultation if you need the reduced fee services for QTBIPOC community.

We are able to work with your out-of-network benefits. We no longer accept in-network insurances.

Please make sure that your insurance allows for out-of-network benefits. When working with you out-of-network, you are responsible to submit claims to your insurance company. We support you with this by providing you a Superbill or statement to submit to your insurance company, who will then reimburse you. We request that you please pay us in full at the time of session.

*We are unable to work with any clients who are covered by any form of Medicaid, regardless of if you plan to pay out-of-pocket or use insurance, due to Medicaid policy requirements.*

If you need to cancel a session, you must cancel at least 48 hours before your scheduled appointment. If you cancel within less than 48 hours or do not show up to your appointment without notice, you are still required to pay the full cost of your session. We allow late cancelled or no-show sessions with no charge for illness or emergency only. If you do need to cancel or miss a session, regardless of the reason, you are still expected to reach out to your clinician and inform them as soon as possible.

Rescheduling sessions is at the discretion of your therapist. There will be times your therapist will not be able to reschedule due to their schedule, in which case you will have to pay for late cancelled sessions even if you intended to reschedule. Additionally, rescheduled sessions must fall within the same week as the cancelled session.

If your therapist cancels session there is no charge.