Insurance reimbursement requires a mental health diagnosis, which becomes part of your permanent medical record. For many of my clients, that tradeoff is not one they want to make. Working outside of insurance also means our work is guided by what is genuinely useful to you, not by what a billing code permits.

I am happy to provide you with a Superbill that you can submit to your insurance company for reimbursement.

If insurance coverage is essential for you, I'm happy to refer you to a colleague who is in-network

EMDR is a structured, evidence-based approach that works particularly well for trauma, anxiety, and recurring emotional patterns rooted in past experiences. It is not the right fit for every client or every issue. During our consultation call and first sessions, we discuss whether EMDR makes sense for what you're working on. If it does, we begin with preparation work before any active processing. If another approach fits better, we use that instead.

The Gottman Method focuses on the patterns and behaviors in your relationship - how you handle conflict, how you build connection, how you repair after a fight. EFT focuses on the emotional roots beneath those patterns - the unmet needs, the attachment dynamics, what's really happening when a conversation goes sideways. I integrate both because they answer different questions. Gottman tells us what's happening; EFT tells us why.

All sessions are conducted via a HIPAA-compliant video platform. You join from a private location of your choosing - typically your home or office. Many of my clients prefer telehealth because it removes commute time and allows therapy to fit into substantive lives. The quality of telehealth therapy, conducted well, is comparable to in-person work for most issues.

I am licensed as a Mental Health Counselor in Massachusetts and Washington.

It depends entirely on what you're working on and what you’re looking for. EMDR for a specific traumatic event may take 8–15 sessions. Couples therapy for a recurring pattern may take 12 months. Therapy for complex trauma, family-of-origin work, or longstanding patterns may take longer.

Standard EMDR is delivered in weekly 50-minute sessions over the course of months. An intensive concentrates that work into a half-day, full-day, or multi-day format. Intensives work well for clients who have a clear target, a stable life outside of therapy, and the readiness to do significant work in a shorter timeframe. We discuss fit during our consultation call.

I do not offer sliding scale fees. I do hold a small number of reduced-fee slots that I prioritize for clinicians and trainees. If a reduced fee is essential, I'm happy to refer you to colleagues who maintain sliding scale practices and accept insurance.

Mastrangelo Counseling has a 48-hour cancellation policy. If you cancel within 48 hours of your appointment, you will be charged for the 50-minute session.

Schedule a free 15-minute consultation call using the button below. We talk briefly about what brings you to therapy, you ask any questions you have, and we decide together whether we're a good fit. If we are, we schedule a first session. If we're not, I'll help you find someone who is.