What to expect and common questions

No. You do not need a diagnosis or a label. If sexual behavior is causing you or your relationship harm, or you keep doing something you want to stop, that is reason enough to talk. We can sort out what to call it together.

It is a short, private conversation. You tell me what is going on, I answer your questions, and we decide together whether to schedule a session. There is no pressure to commit.

Yes. Therapy is confidential, with limited legal exceptions, such as a serious risk of harm to yourself or someone else. I will explain these in detail at the start so there are no surprises.

It varies from person to person. Healing the attachment wounds and trauma beneath compulsive behavior or betrayal takes time, and I will not rush it. We will check in regularly about how the work is going and what you need.

No. You do not need to have it under control first. Coming in while you are still struggling is common, and it is a good time to start.

Yes. I work with partners who have been hurt by betrayal, individually, and I see couples when it is a good fit. Usually couples work follows some stability for each person.

Sometimes. Formal disclosure can help in some situations and cause new harm in others, so I consider it case by case and do not recommend it for everyone. We can talk through whether it makes sense for you.

Sessions are mainly in person in Lakewood, NJ. If you live too far to come in, I sometimes offer video sessions when I feel it is clinically appropriate. This is decided case by case.

I am a private-pay practice. I am out-of-network and provide a superbill you can submit to your insurance for possible reimbursement, depending on your plan. I am glad to discuss fees on our first call.