All of our therapists offer a free 30-minute consultation to help you decide if working together feels right. To schedule a consultation, simply click the "Book an Appointment" button at the top right of the page. When completing the form, be sure to select "30-minute consultation" as your appointment type. During your consultation, you’ll have the opportunity to ask questions about the therapist’s approach and discuss a fee structure that best suits your financial situation.

At Gaining Ground, we believe finances should not stand in the way of receiving support. In your initial consultation, you’ll work with your therapist to establish a fee that fits your budget, using a sliding scale if needed. We’re here to ensure therapy remains accessible and sustainable for you.

The frequency of sessions depends on each client’s needs and goals. Our therapists are open to meeting as frequently as you or your therapist feels is necessary.

Many of our providers are in-network with major insurance companies. If your therapist is not in-network, we can provide a superbill for you to submit to your insurance for potential reimbursement. We’re also able to bill directly to your HSA or FSA account to help make payments easier.

All appointments require 48 hours cancellation notice. Please let your therapist know ASAP if you are unable to attend your scheduled session. If your therapist does not receive proper notice for a cancellation or request to reschedule, you may be billed the full cost of the session.

Our staff are located all across New York State, and are therefore able to accommodate virtual sessions. Some staff are able to provide in-person sessions at various locations.

You are welcome to call or email your therapist to provide updates on your situation. However, Gaining Ground does not provide on-call crisis or emergency services and we cannot guarantee that your therapist or another staff member will be immediately available to respond and provide support. 

If you are unable to reach your therapist, or if your situation requires immediate assistance, please contact your primary care physician, go to your nearest emergency department or urgent care center, or call 911 if you believe you or someone else is in immediate danger. If you are experiencing thoughts of suicide or another mental health crisis, you may also call or text 988, the Suicide & Crisis Lifeline, to speak with a trained crisis counselor at any time.

Because therapists may be in session, away from the office, or otherwise unavailable, please do not rely on email, voicemail, or text messages as your sole means of obtaining help during an emergency.