A Space for Clarity and Understanding

Therapy is a non-linear and intuitive process that unfolds in layers, guided by your own rhythm and readiness. I use an experiential, here-and-now-oriented approach that brings attention to both the mind and body. Along with compassionate exploration of your concerns and patterns using evidence based and alternative modalities, I also focus on what happens in the moment between us, as patterns naturally show up in a therapeutic relationship.

1. Connection  Building a sense of safety and trust as the foundation for the work.
2. Exploration  Noticing emotions, sensations, and relational patterns as they arise in the present moment.
3. Integration  Helping what feels disconnected come back into balance and wholeness.

EMDR (Eye Movement Desensitization and Reprocessing) is a phase-oriented, experiential, and mindfulness-based approach to trauma therapy. While many people associate it with eye movements or other forms of bilateral stimulation, that is only one small part of a broader process. EMDR includes preparation, processing, and integration, each very important and serving a distinct purpose.

We begin by building safety, stability, and confidence in managing distress. Then we move into processing unresolved memories, grief, or losses. The final phase supports integration of these experiences into a greater sense of wholeness and self-connection. The process does not always unfold in a strict sequence, it follows your natural rhythm and readiness.

No. It’s not necessary to share all the details of your traumatic experiences in EMDR or in general during the therapeutic process. Alternative modalities such as EMDR or somatic, allow trauma processing to happen without having to retell the story or re-experience the pain. The work focuses on how the body and mind hold the memory, not on the narrative itself. I honor your right to keep your story private and to share only what feels safe and necessary for your healing.

Ketamine-assisted psychotherapy combines low-dose sublingual ketamine with guided therapy to support emotional processing and integration. It may be considered for people experiencing depression, or treatment resistant depression, anxiety, post-traumatic stress, suicidal thoughts, OCD, or effects of long-term emotional pain that haven’t fully shifted through traditional approaches. This treatment is legal and medically supervised, provided in collaboration with experienced physicians who carefully screen each client to ensure it is clinically appropriate and safely administered.

Many people do not realize their plans often reimburse 50-80% for out-of-network therapy sessions. 

You can email me akiselevalmhc@gmail.com the photo of both sides of your insurance card along with your DOB, and I’ll contact your insurance company to verify your OON coverage for you, or If you prefer to check it yourself, please contact your insurance provider directly. To assist you, here are helpful questions you can ask your insurance company:

1. What percentage is covered for 60 minute outpatient individual therapy sessions with the CPT/Procedural code of 90837 with a NYS licensed mental health counsellor LMHC, NPI number 1386483121
2. What is the maximum billable amount per 60-minute session?
3. How many psychotherapy sessions are covered per week?
4. What is the deductible before you benefit from out of network mental health coverage?
5. What documentation is required for reimbursement?
6. Where and how should I submit the super-bill?