Change, resiliency, and personal growth are within the reach of every person at any age. Many people benefit from therapy to enrich the quality of their life and to acquire more fulfillment and satisfaction. For some people, therapy can be a vulnerable process, which often starts during times of emotional pain. In our sessions, I will provide a safe and accepting environment in which we will collaborate to identify and achieve your individual goals. I will support you through a journey in which you will identify which coping patterns are no longer helpful, expand your perspectives, consider new possibilities, and integrate these skills and insights to create the changes you want to see in your life.
By developing a healthy relationship with ourselves through self-care and acceptance we can improve our overall wellbeing, the ability to interact more effectively with others, and to build and sustain healthier relationships.
I am licensed in New York State as a Mental Health Counselor (LMHC). In addition to my private practice in Midtown Manhattan, I see clients at a community mental health clinic in the Lower East Side. I value collaboration and confidentiality and I view the therapeutic alliance as sacred and as essential to healing. I strive to be attuned to each individual's specific needs and my clients find me to be thoughtful, invested, and encouraging.
My approach to treatment is based on relational models and contemporary psychodynamic theories. To ensure the most effective treatment, when appropriate, I integrate cognitive-behavioral techniques (CBT) and mindfulness skills. I practice a trauma-informed counseling and follow a strength-based approach.
Aviva Bauer, LMHC
I received my Masters of Arts in Clinical Mental Health Counseling from Adler University in Chicago. While in Chicago, I completed a diagnostic practicum at the Wellness Center of Truman College, and an internship at a domestic violence shelter, where I developed a strong interest in the long lasting effects of early childhood trauma. I hold a Level 1 certification in Complex Trauma Treatment and I have been helping many individuals to overcome adverse childhood experiences. I presented on the role of Attachment in counseling survivors of sexual trauma, titled "Childhood Demons and the Courage to Cope", at conferences in Chicago (2015), Albany (2016), and New York City (2020).
19 W 34th St
New York, NY 10001
Frequently Asked Questions
How can therapy help me?
People usually start looking into therapy when they experience intense emotional pain or increased dissatisfaction. In therapy, I provide a safe environment in which you will feel encouraged and supported to explore why negative emotions are triggered, what the root of your pain is, and how it prevents you from moving forward. Through in-depth exploration of different aspects of your life, we will identify what changes will improve the quality of your life. In our work together you will develop new skills to manage stressors and integrate them into a more fulfilling life.
How is therapy different than talking to my friend or family?
Everyone can use some help when they are overwhelmed with daily life, adjusting to transitions, or major events such as grief, divorce, job loss, etc. Many people tend to approach a trusted friend or a family member for emotional support. If that has been working well for you – you may not need to see a therapist. Some people do not have this kind of support or choose to seek professional help for variety of reasons. One common reason is to maintain confidentiality, especially when issues are related to other family members. The people who are closest to you can be emotionally involved and impacted by your problems and consulting with them can create additional problems; they may be judgmental or they may give you self-serving advice. The confidentiality and neutrality that a therapist offers eliminates these issues. When friends or relatives are not providing sufficient support, the professional experience and valuable knowledge of a therapist can make a huge difference.
Is everything I say in therapy confidential?
Everything you say in therapy sessions is kept confidential. The only exceptions required by law, are if you express intent to harm yourself or anyone else. As a mandated reporter, I must notify the appropriate authorities if I suspect that another person is at risk. Likewise, if you express intent to harm yourself, and we can not agree upon a solution that ensures your safety, I will need to take steps that may compromise confidentiality.
What can I expect in therapy sessions?
Therapy will be a different experience for different people, depending on their issues, personality, and goals for therapy. During the first few sessions, we will try to understand your current situation and why you are seeking help at this time. I will be attuned to your story, attentive to your needs, and I will ask questions to navigate our dialogue. As treatment progresses, we will explore other aspects of your life and we will dig deeper to increase self-awareness and identify unsettling internal conflicts. My job is not giving you advice; advice is usually what works for the person giving it and not necessarily for you. My role is to guide your self-exploration and support you through ambivalence and uncertainty.
How much will therapy cost?
My fee is $150 for a 50-minute session. I do not offer a sliding scale.
Some individuals may benefit from two sessions per week in the initial stages of therapy in order to experience notable improvement in symptoms like sleep problems, severe irritability, or panic attacks. We will determine the frequency together. If two sessions per week is clinically appropriate, I will offer a reduced fee of $120 per session.
Payment options: I accept Chase QuickPay, Zelle, Venmo, Cash, Credit, or Checks.
Do you take insurance?
I am in-network with Cigna and United Health Care.
Be mindful that you are responsible for any missed or cancelled appointments as these cannot be billed to insurance.
If you intend to use insurance, you should contact your insurance company and ask the following questions:
- What is the co-payment amount for which I am responsible at each session?
- Do I have a yearly session limit and, if so, what is that limit?
- Do I need to obtain a referral or a pre-authorization to use my mental health benefits? If so, can you tell me the steps I need to take to obtain such authorization?
If you have out-of-network benefits with another insurance, I will assist you with the reimbursement process. Out-of-network benefits may cover all or a percentage of the fees. If you intent to use this benefit, you might want to ask your insurance company:
- Do I have out of network mental health benefits?
- If so, what percentage of the session fee do you cover?
- What is the deductible, and how much of the deductible have I met?
- How many sessions are covered, and in what time period?
- How do I access the form(s) needed to submit a request for reimbursement?
What is your cancellation policy?
I believe that consistency is key to achieving your goals. Therefore, I ask that you attend weekly sessions for at least the first six months. After that and depending on your specific situation, sessions may be less frequent.
Sessions cancelation should be done at least 24 hours before your scheduled time. Your appointment time is reserved for you and if you are unable to use it, I would appreciate as much time as possible to be able to offer the time to someone else.
If appointments are canceled with less than 24 hours notice, the full fee will be charged.
Do you prescribe medications?
Psychotropic medication can be effective to treat symptoms and is sometimes needed in conjunction with therapy. I am not licensed to prescribe medication, however, I can make referrals if we feel that medication would be beneficial. Medication alone cannot solve all issues. Therapy is designed to get to the root of the issue and support long-lasting changes.