Understand the pattern and choose what comes next.

Couples therapy at AtReef Therapy is $350 per 60-minute session, and individual therapy is $300 per 60-minute session. AtReef Therapy is a private-pay practice and does not accept or bill insurance. For current fees and payment information, visit the rates page.

No. AtReef Therapy is a private-pay practice and does not accept or bill insurance for individual or couples therapy. Payment is due at the time of service.

Possibly. If your insurance plan includes out-of-network mental health benefits, you may be eligible for partial reimbursement. I can provide a superbill when appropriate for you to submit to your insurance company. You are responsible for verifying your benefits, submitting claims, and understanding your plan's reimbursement requirements. Reimbursement is not guaranteed and is determined entirely by your insurance company.

Yes. AtReef Therapy is a telehealth practice based in Cambridge, Massachusetts. Sessions take place by secure video, and clients must be physically located in Massachusetts at the time of the session.

Therapy sessions are 60 minutes. Many clients begin with weekly sessions so there is enough continuity to understand and change recurring patterns. Frequency may change over time based on your goals, progress, availability, and what is most useful for the work.

The free 30-minute video consultation is a conversation about what brings you to therapy, what you want to change, and whether my approach feels like a good fit. There is no obligation to continue. If we decide to work together, we can then schedule your first therapy session. Learn more about the consultation.

AtReef Therapy works with adults and couples across Massachusetts who may be doing well professionally while feeling stuck in anxiety, burnout, perfectionism, recurring conflict, emotional distance, intimacy concerns, betrayal, or major life and relationship decisions. Therapy can also focus on self-understanding, personal growth, and changing patterns that insight alone has not shifted.

Individual therapy integrates relational and depth-oriented work with evidence-informed approaches including CBT and DBT. The work focuses on understanding the patterns beneath your thoughts, emotions, relationships, and behavior while also developing practical ways to create meaningful change outside the session.

Couples therapy at AtReef Therapy integrates Gottman Method Couples Therapy with relational, depth-oriented, and evidence-informed approaches. The work is active and structured, with attention to recurring conflict patterns, emotional connection, communication, intimacy, trust, and the deeper dynamics shaping the relationship.

Previous therapy not helping does not necessarily mean therapy cannot be useful now. We look at what helped, what felt missing, what remained unchanged, and what you need from the work this time. My approach is active and relational, with an emphasis on understanding patterns while also working toward meaningful changes outside the session.

Both partners need to be willing to participate, but you do not have to begin couples therapy with the same level of certainty. A consultation can make room for each person's concerns, expectations, and hesitation. If one partner does not want to participate, individual therapy may be a more appropriate place to begin.

Therapy should lead to meaningful changes outside the session, not only useful conversations during it. Depending on your goals, progress may look like less escalation, better repair after conflict, clearer boundaries, reduced anxiety, stronger emotional connection, or different decisions under pressure. We review what is changing and adjust the work when something remains stuck.