Everything you've been wondering but haven't asked yet.
Frequently asked questionsFind your answer below or book a free vibe check call and we'll walk you through everything in person.
Getting Started
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Easier than you think. Here's how it works:
Step 1: Book a free vibe check call.
No intake forms, no commitment, no pressure to have your whole story ready. Just a real conversation to see if we're the right fit before you decide anything.Step 2: Get matched with your therapist.
Based on what you share during the consult, we'll connect you with the therapist on our team whose approach and personality are genuinely built for what you're carrying.Step 3: Schedule your first session.
We'll get you set up in the patient portal, sort out scheduling and payment, and answer any lingering questions before your first appointment.Step 4: Show up as you are.
That's it. No performing, no having it figured out, no right way to do this. Just show up and let us handle the rest.Ready? Book your free vibe check call.
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Finding a therapist shouldn't feel like a second job, but we know it often does. The scrolling, the unanswered messages, the "sorry, I'm not taking new clients" after you finally worked up the nerve to reach out. We built The Nest to eliminate exactly that experience.
The difference starts with how we're structured. We're a boutique practice, intentionally small, because intimacy and consistency aren't add-ons here, they're the whole model. Every therapist on our team undergoes continuous training, shows up week after week, and is genuinely invested in being a reliable presence in your life, not just a standing appointment on your calendar. We're not here to fill a slot. We're here to actually know you.
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Because fit isn't a buzzword here, it's the clinical reality. Research consistently shows that the relationship between a client and their therapist is the single biggest predictor of whether therapy actually works. Not the modality, not the number of sessions, not the credentials on the wall. The relationship.
The free consult exists because of that. It's a low pressure conversation for you to get a feel for our style and approach, and for us to understand what you're actually dealing with, so we can be honest about whether we're the right people to help. We take that seriously enough that if your needs fall outside our scope, whether that's a specific disorder, a higher level of care, or a modality we don't specialize in, we'll tell you directly and use our professional network to connect you with someone who's genuinely the right fit. No runaround, no vague referral to a directory.
The goal is simple: wherever you land, you're getting the most appropriate, highest quality care possible. Even if that's not with us.
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Absolutely not. You don't need a diagnosis, a rock bottom moment, or a crisis to justify showing up here. If something feels off, even subtly, that's a valid enough reason. Constantly feeling overwhelmed by everything on your calendar? Also valid.
Therapy isn't just for the hardest moments. It's for clarity, connection, and growth at any stage of life, including the stage where everything looks fine on the outside and feels like a lot on the inside.
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Think of it as a getting-to-know-you conversation, not an intake interview. The vibe check is a free 30-minute call where we get a feel for each other before either of us commits to anything.
Here's what to expect: we'll talk about what's been going on for you, what you're hoping to get out of therapy, and any questions you have about how we work. We'll also use that time to run your benefits check and talk through payment options so the financial side is sorted before you ever walk through the door.
What it's not: a full assessment, a therapy session, or an audition. There's no right way to show up and nothing you need to have figured out beforehand. The whole point is to make sure this feels right before you commit, and if it does, we'll get you scheduled and set up from there.
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Yes, and that's not just a warm fuzzy promise, it's the law. Everything shared in our sessions stays strictly between us. Your records cannot be shared with anyone without your written consent, full stop.
There are three narrow exceptions, and we'll always be transparent about them:
If there's an immediate risk of you harming yourself or someone else
If there's a credible threat of bodily harm toward another person
If we have reason to suspect abuse of a child, elder, or dependent adult
Outside of those situations, what happens in the room stays in the room.
On the practical side: we collect basic contact and health information solely to schedule, bill, and provide your care. We do not sell, trade, or share your data, and we use secure systems to protect everything we hold. You have the right to access, correct, or delete your health information at any time.
The trust you place in The Nest is something we take seriously. It's the foundation everything else is built on.
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Our first session is 60 minutes. After that, our sessions are around 45-50 minutes long.
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Both, and we mean it when we say either option works beautifully.
In person: Our East Setauket office is located at 13 Technology Drive inside the Tech Park, centrally situated near Stony Brook Hospital, Route 347, and Nicolls Road. The space is intentionally designed to feel warm, calm, and nothing like a waiting room, because your environment is part of the work. We also offer in-person sessions in Greenpoint, Brooklyn at Held Space BK, 960 Manhattan Ave, right at the Williamsburg border, with availability on Tuesdays and Sundays.
Virtual: Just as grounding, just as connected, just from your couch. Virtual sessions are a perfect fit if you have a busy schedule, prefer the comfort of your own space, or are located anywhere across New York State. All virtual sessions are conducted through your dedicated client portal on a fully encrypted, HIPAA-compliant platform so your privacy is protected from the moment you log on.
Not sure which format is right for you? We'll figure that out together on your vibe check call.
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Not at all, and this one is worth saying directly: some of the people who benefit most from therapy are the ones who feel like they don't traditionally fit the therapy mold. No crisis, no dramatic backstory, no rock bottom moment. Just a quiet sense that something could be better, that you're tired of circling the same patterns, or that you've been carrying something for so long you've forgotten it doesn't have to feel this heavy. You don't need a traumatic childhood, a diagnosis, or a defining moment to deserve support. If something feels off, that's enough. We're here for the people who thought therapy wasn't for them too.
Insurance & Billing
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This is one of the most important questions you can ask! Our goal is to make your financial investment feel manageable and totally transparent.
We offer several payment options to find the right fit for you:
1. Insurance Benefits (Let Us Handle the Headache)
Honestly, navigating insurance is complex even plans within the same company vary wildly. We don't want to give you the wrong info!
Right now, we operate as an out-of-network provider. The good news is, many people have excellent out-of-network benefits that cover a significant portion of therapy without even realizing it.
Here’s our promise: Our team will run a free, courtesy benefits check for you to see if your plan offers reimbursement. We want you to have a clear picture of your exact costs before we start, so there are no financial surprises. With that said, insurance is a contract between you and your carrier. While we do our absolute best to get you accurate information, this check is a helpful courtesy. We encourage you to also verify your coverage with your provider directly.
2. Private Pay & Sliding Scale
• Private Pay: We accept private pay for clients who prefer flexibility and full privacy from insurance companies. We can discuss my standard session fee and how this option works during your consult.
• Limited Sliding Scale: We reserve a limited number of spots for a sliding scale for those experiencing financial hardship.
Ready for the Easiest Next Step?
Schedule a free 30-minute consult We'll use that time to initiate your benefits check and discuss the absolute best payment option and specific session fees for your situation. Let's make this part easy!
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We aim to make payment simple and secure. We accept all major credit cards, and Venmo.
To secure your client portal access and ensure seamless billing, we require a credit card to be kept securely on file. We are unable to accept cash.
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We offer a limited number of sliding scale spots. Please reach out for availability.
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Under the No Surprises Act, you have the right to understand the cost of your care upfront.
What this means for you: You have the right to receive a “Good Faith Estimate” (GFE) detailing the total expected cost of any non-emergency items or services, including therapy sessions and related fees.
This estimate is provided to clients who are not using insurance or who do not have insurance.
We will provide your Good Faith Estimate in writing at least one (1) business day before your first scheduled service. You can also request a GFE at any time before scheduling.
Keep your estimate! If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charge.
My commitment is to transparent, open financial conversations. Please ask for your Good Faith Estimate during your consult or before we begin our work together.
Specialities & Approach
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The Nest specializes in individual therapy for Millennials, Gen Z, women, men, teens, and couples across Long Island, Brooklyn, and virtual across New York State. Our team works with anxiety, depression, OCD, ADHD, trauma, grief and loss, people-pleasing, burnout, perfectionism, identity, relationship difficulties, and the kind of high-functioning exhaustion that doesn't have a clean diagnosis but is very, very real. If something feels off and you're ready to actually do something about it, you're in the right place.
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At The Nest, therapy isn't one-size-fits-all and it was never meant to be. Our approach is collaborative, direct, and built around you specifically, not a textbook version of your symptoms. We blend evidence-based clinical frameworks like CBT, DBT, and ERP with somatic work, inner child work, IFS, and family systems therapy, because real change requires working on both what's happening in your head and what's stored in your body.
Every session has a point. We're not here to let you process in circles or leave every week feeling exactly the same as when you walked in. We connect the dots between your past patterns and your present habits, give you real tools to work with between sessions, and treat your mental health with the same strategic investment you'd bring to anything else that actually matters in your life.
The through line in everything we do: the relationship between you and your therapist is the most important factor in whether therapy works. So we take the match seriously, show up consistently, and stay genuinely invested in where you're going.
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Anxiety is exhausting to live with, especially the high-functioning kind that nobody sees because you're still showing up, still delivering, still holding it together on the outside. Therapy at The Nest helps you understand what's actually driving your anxiety, not just manage the symptoms on the surface. We work on quieting the mental chatter, breaking the perfectionism and people-pleasing cycles that keep it running, and building real nervous system regulation tools you can actually use between sessions. The goal isn't just less anxiety. It's a life where anxiety isn't running the show.
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Depression has a way of flattening everything, motivation, joy, the sense that things could actually be different. Therapy at The Nest helps you understand what's underneath the flatness, whether that's unprocessed grief, burnout, a nervous system that's been in survival mode for too long, or patterns inherited long before you had a name for them. We work collaboratively and directly to help you reconnect with yourself, rebuild momentum, and start feeling like yourself again, not just functional, actually okay.
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OCD is one of the most misunderstood and undertreated conditions out there, and living with it is exhausting in ways that are hard to explain to people who haven't experienced it. At The Nest we use evidence-based approaches including ERP to help you break the cycle of intrusive thoughts and compulsions, reduce the grip OCD has on your daily life, and reclaim the mental space it's been occupying. We take it seriously, treat it specifically, and never minimize what it actually costs you to live with it.
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ADHD in adults, and especially in women, is chronically underdiagnosed, frequently misunderstood, and genuinely exhausting to navigate without support. Therapy at The Nest helps you understand how your ADHD is actually showing up in your relationships, your work, and your sense of self, not just your to-do list. We build strategies that work with how your brain actually operates, help you stop internalizing years of "you just need to try harder," and give you tools that make real, practical difference in your daily life.
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Trauma isn't always a single event, and it doesn't always look the way people expect. Sometimes it's the slow accumulation of never feeling safe enough to be yourself. Sometimes it's generational, inherited from people who were also just trying to survive. Therapy at The Nest helps you process what you've been carrying without being thrown into the deep end, using approaches including IFS, somatic work, and inner child work to help your nervous system finally feel safe enough to put it down. We go at your pace, always with purpose.
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Grief is one of the most isolating experiences there is, and one of the least given adequate space. At The Nest we make room for the full, non-linear, sometimes contradictory reality of loss, whether you're grieving a person, a relationship, an identity, or a version of your life you expected to have. We don't rush the process or hand you a stage model and call it done. We sit with you in it, help you make sense of it, and support you in finding a way through that actually honors what you've lost.
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Women carry a specific kind of weight that rarely gets named out loud: the pressure to hold everything together, show up perfectly in every role, and still have something left over for everyone else. At The Nest we specialize in the experiences that show up most for women, burnout, people-pleasing, identity shifts, relationship patterns, life transitions, and the exhaustion of always being the strong one. This is a space where you don't have to perform okay, manage how you're perceived, or make your needs smaller to fit the room.
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Couples carry a specific kind of weight that often goes unspoken: the slow drift that happens when two people are both trying their best but somehow keep missing each other. At The Nest we work with couples who are done circling the same argument and ready to actually get somewhere. Whether you're navigating communication breakdowns, emotional disconnection, the pressure of a major life transition, or the question of whether you're still in this together, this is a space where both of you can finally say the real thing. No taking sides. No sugarcoating. Just honest work that moves you forward.
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Teens are navigating more pressure than most adults give them credit for, and they deserve a space where they can actually talk about it without performing okay or worrying about what it means for everyone else. At The Nest we work with teens on anxiety, ADHD, identity, family dynamics, social pressure, and the specific weight of growing up in a world that never really stops. We meet them where they are, speak their language, and create a space where they feel genuinely safe enough to be honest.
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Men carry a specific kind of weight that rarely gets acknowledged: the pressure to hold it together, figure it out alone, and keep moving without ever really stopping to ask if you're okay. At The Nest we work with men who are done white-knuckling it and ready to actually do something about what's been building quietly for years. Whether you're navigating a major life transition, feeling stuck in your career or relationships, processing something you've never said out loud, or just aware that something is off and you can't quite name it, this is a space where you don't have to perform strength or have it figured out before you walk in. Just show up. We'll take it from there.
Locations
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Our physical office is located at 13 Technology Drive, East Setauket (in Tech Park).
The office is conveniently inside the Revival Strength & Recovery wellness facility, next to Outlift Athletics, and is easily accessible from Stony Brook Hospital, Route 347, and Nicolls Road.
We also serve clients virtually across New York State.
The most exciting news of all- there is reserved parking for you!
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Our Brooklyn location is at 960 Manhattan Ave, Greenpoint, right at the Williamsburg border, inside Held Space BK, a collective wellness space built around community and healing.
The space is easily accessible via the G train and the B43 and B62 buses. Street parking is also available in the neighborhood for those coming by car.
Can't make it in person? We also serve clients virtually across New York State.
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Absolutely, yes. Your peace and privacy are our top priority. Our office is a private, completely separate, and confidential suite within the Wellness Center. It's designed with extra care to be your sanctuary—100% focused on you and fully separate from the gym operations.
Alicia chose this specific location so you could enter a total wellness environment, but our work together will always remain uninterrupted, predictable, and deeply confidential.

