Reflections Mental Health Services

What is telehealth therapy?

Telehealth therapy is counseling that happens by secure video or phone instead of in person. You meet with your therapist from a private space, using your computer, tablet, or smartphone. Sessions are a lot like in-person therapy and stay focused on what you’re dealing with and what you want to change. They’re just more flexible to fit around your life.

Who do you work with?

Reflections Mental Health Services primarily works with adults. People come to us for many reasons, including anxiety, depression, trauma, relationship stress, work or school challenges, grief, and major life transitions. We’ll work at a pace that feels manageable and respects what you’ve been through.

Where do you provide telehealth therapy in New York?

We provide secure, HIPAA-compliant sessions across all 62 counties in New York State. Our licensed therapists serve individuals, couples, and families throughout New York City (Brooklyn, Queens, The Bronx, Manhattan, and Staten Island) as well as Long Island (Nassau and Suffolk Counties), the Hudson Valley, the Capital Region, Western New York, the Finger Lakes, the Southern Tier, the North Country, Central New York, and every upstate and rural region.

We see clients in Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Suffolk, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Westchester, Wyoming, and Yates Counties. All therapy is provided by clinicians licensed by the New York State Education Department.

Because all of our therapy is delivered virtually, clients anywhere in New York State can get licensed mental health care from home, with no commute and no waiting room. One thing to note: even if you live in another state, you need to be physically located in New York during each session for therapy to take place.

Whether you live in a major NYC borough, a Long Island suburb, an upstate city, or a small rural town, we can work with you.

How do I schedule or request an appointment?

You can request an appointment by filling out the contact form at the bottom of this page or by reaching out through the contact information listed there. Tell us a bit about what you’re looking for, and we’ll usually respond within one business day to talk through next steps and scheduling.

What technology do I need for telehealth?

Most people use a computer, tablet, or smartphone with a camera, microphone, and a stable internet connection. Sessions take place on a secure, HIPAA-compliant video platform. If video isn’t possible or doesn’t feel comfortable, we can talk about whether phone sessions are a good option.

How is my privacy and confidentiality protected?

Your privacy matters to us. Sessions run on a secure platform built for healthcare, and we’ll help you find a private space where you can talk openly. As with in-person therapy, what you share stays confidential, with a few legal and ethical exceptions your therapist will explain, like concerns about immediate safety.

Is telehealth therapy appropriate in an emergency or crisis?

Telehealth therapy isn’t designed for emergencies. If you are in immediate danger, thinking about harming yourself or someone else, or experiencing a medical or psychiatric emergency, please don’t wait for a therapy appointment. Call 988 (the Suicide & Crisis Lifeline), call 911, or go to the nearest emergency room.

Once you are safe and stable, therapy can be a place to process what happened and explore ongoing support.

What are your fees, and do you take insurance?

We are in-network with Aetna and Blue Cross Blue Shield. If you carry one of these plans, your sessions are typically covered with a copay or after your deductible has been met. We recommend confirming your specific mental-health benefits with your insurer before your first session.

If your plan isn’t one of the above, we accept out-of-network benefits and can provide a “superbill” you can submit to your insurer for possible reimbursement, depending on your plan. Self-pay rates are also available: $100 for a 45-minute individual session, $150 for a 60-minute individual session, and $200 for a 60-minute couples session.

For full details, see our Insurance & Billing page. If cost is a concern, please mention it when you reach out so we can talk about options together. You can also explore additional support resources through the New York State Office of Mental Health.

What is your cancellation and rescheduling policy?

Life happens, and appointments sometimes need to be changed. We require 24 hours’ notice if you need to cancel or reschedule. Late cancellations or no-shows may incur a fee. Insurance does not cover missed appointments. Whenever possible, we’ll work with you to find a new time that fits your schedule.

What is the first session like?

The first session is a chance for you to share what’s been going on and what you hope will be different. Your therapist will ask gentle, open-ended questions to understand your history, your current concerns, and your strengths. You’re always free to go slowly, pause, or skip questions that feel uncomfortable. Together, you decide on initial goals and whether continuing feels like a good fit.

How long do sessions last, and how often will we meet?

Standard sessions usually run about 45 to 60 minutes. Many people start with weekly appointments to build momentum and a sense of safety in the therapy relationship. Over time, sessions may become less frequent, depending on your needs, progress, and preferences.

How long do people usually stay in therapy?

The length of therapy varies from person to person. Some people come for a shorter period to focus on a specific situation. Others stay longer to work through deeper patterns or longstanding difficulties. You and your therapist will check in periodically about how therapy is feeling and whether it continues to meet your needs.

How can I contact you if I have questions?

If you have questions or want to explore working together, use the contact form below to send a secure message. You can also call or text us at (718) 255-5120 or email Info@reflecttoheal.com. We typically respond within one business day.