If you're asking, that's usually reason enough to have a conversation. You don't have to be in crisis. A lot of the people I work with came in when they were still functioning — holding down a job, maintaining relationships — but knew something was wrong. Others came in after everything had already fallen apart. Both are fine starting points.

This typically is twenty minutes on the phone. You tell me a bit about what's going on, I explain how I work, and we see if it makes sense to meet. If it doesn't feel right, you don't have to continue. I'd rather you find the right person than talk you into working with me.

Yes. Most people feel some version of that — embarrassment, not knowing what to say, worry about being judged. For what it's worth, I've heard a lot. Very little surprises me , and I don't have a judgment about it. If calling feels like too much, send an email. You can say as little as "I want to talk to someone about my drinking" and that's enough to get started.

Yes. Family members often reach out on behalf of a loved one in active addiction. While I can't begin treatment without the client's direct participation, I'm happy to speak with you about resources, how to approach a difficult conversation with your loved one, and what family counseling might look like.

Sessions are 50 minutes.

This varies significantly from person to person. Some clients benefit from a focused, short-term engagement (12–20 sessions). Others choose to continue for a year or more as they navigate the longer arc of recovery. We'll regularly check in about how you're feeling about your progress and adjust the frequency and duration of our work accordingly. You are always in control of that decision.

Yes. Everything you share is protected by therapist-client confidentiality. There are three legal exceptions: if I believe you are at imminent risk of harming yourself or someone else, if there is reasonable suspicion of abuse or neglect of a child or vulnerable adult, or if a court orders disclosure. I will always discuss these limits with you at the start of our work together.

I work with people across the full spectrum – those struggling with active use, those newly sober and those with years of recovery experience behind them. If you're using when we begin, I request that you are not under the influence during our sessions.

If you're having difficulty staying sober all that I ask is that you're honest. I've had clients who relapsed after years of sobriety and came back to session the next week. We talked about what happened. We figured out what the warning signs were. We kept going. Relapse doesn't end the work — it often deepens it.

Yes. Medications like buprenorphine (Suboxone), naltrexone (Vivitrol), and methadone are evidence-based treatments for opioid and alcohol use disorders. I also work with people who have co-occuring disorders that are medicated for disorders other than substance abuse disorder. I am fully supportive of MAT and am happy to coordinate care with your prescribing physician or addiction medicine specialist.

My office is in Nassau County, NY. Please reach out directly for the specific address — I share it once an appointment is confirmed.

I offer flexible scheduling and can make appointments for any day of the week. We can discuss your specific scheduling needs during our initial call.

I ask for at least 24 hours' notice to cancel or reschedule. Late cancellations or no-shows may be charged a fee. I understand that unexpected things happen — please just communicate with me and we'll work it out.

I do not accept insurance.

Yes. A limited number of sliding-scale spots are available for those experiencing financial hardship. Please mention this when you reach out — I believe financial barriers should not prevent anyone from getting help.

Payment is due at the time of service. I accept checks and cash. I also accept credit cards with a small processing fee.