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  • How do I make an appointment?
    To schedule an appointment directly with me, fill out one of my waiting lists, email me directly at therapy@DulcineaPitagora.com, or leave a message for me at 917-675-3446. If I don't have an opening that works with your schedule, I am happy to give referrals to other therapists. To schedule an appointment with one of the therapists on my team, please contact them directly.
  • When and where do sessions take place?
    My office hours are Monday, Tuesday, Wednesday, and Thursday afternoons and evenings, and my team has a variety of office hours. We see clients remotely via HIPAA-compliant video platforms as well as in-person in our office in lower Manhattan (near the 6, J/Z, N/Q/R/W, and A/C/E subway lines at the Canal Street stations, and the 1/2 subway lines at the Franklin Street station).
  • Are remote sessions available?
    Yes. I'm exclusively offering HIPAA-compliant videoconferencing sessions for now, and they will also continue to be available in the future when I'm back in the physical office. For example, rather than missing your appointment when home sick or traveling, you can decide to meet via video, even last minute. I am also available for remote sessions as a consultant for those who do not live near enough to meet in person.
  • Do you have a sliding scale?
    Yes, I do set aside a certain number of appointments to see people on a sliding scale. At the moment, those appointments are overbooked, so I will likely not have an opening this. I don’t currently have any sliding scale openings, but one of the therapists I work with might. If you’d like to be added to my sliding scale waiting list to work with me or one of the other therapists in my practice, please fill out this form.
  • How can I subsidize therapy sessions for those in need?
    If you have the means to pay my full fee or any amount over my or one of my provider’s full fees, please fill out this form to subsidize appointments for those in our communities who are struggling financially and would benefit from working with a therapist who has our specializations and qualifications. You are welcome to indicate specifically where you’d like your fee surplus redirected; some examples would be to clients who identify as PGM/BIPOC, trans/GNC/non-binary, LGBQ, BDSM/kink, consensually non-monogamous, and current or former sex workers; therapists/healers of color; mutual aid funds serving trans people and/or people of color; and anti-racism activism organizations.
  • Do you accept insurance?
    My insurance appointments are currently full, and it tends to be rare that there is an opening; to be put on the waiting list for a future opening, please fill out my sliding scale waiting list form. When I have insurance openings, I am under contract with Headway to be in-network with Aetna, Cigna, Oxford, United Healthcare, and Oscar Health. The therapists on my team are not in-network with any insurance carriers. If you have out-of-network coverage, we can provide you with a superbill (insurance receipt) that you may submit for out-of-network reimbursement, depending on your insurance plan’s allowances. My practice does not fill out insurance claim forms or interact directly with insurance companies. For referrals to other qualified providers who accept insurance, visit https://www.ManhattanAlternative.com/?fwp_availability=insurance.
  • What forms of payment do you accept?
    I accept cash, check, credit cards, Venmo (@DAP-LCSW-PLLC) and Squarecash/Cash App ($DulcineaPitagora). Fees can be paid in advance or within 24 hours of the session (unless other arrangements are made).
  • What if I have to cancel or reschedule an appointment?
    Appointments can be cancelled or rescheduled up to 48 hours in advance. Non-emergency cancellations within 48 hours require payment of the full session fee. Last minute cancellations can sometimes be rescheduled the same week, depending on availability, with no additional cancellation fee. Also, remote videoconferencing appointments may be available if you can’t make it to the office (for example, if you’re sick or traveling).
  • How often can I come to therapy?
    Most find regularly scheduled weekly appointments to be helpful. More or less frequent appointments can sometimes be arranged, though it's usually best to attend a minimum of one session per week for the first month or so. Drop in appointments are also often available on an as needed basis.
  • How long are people usually in therapy?
    This depends entirely on the individual’s needs and preference. For some people, short-term therapy from three to six months is adequate to address a less complicated problem or issue, while others find long-term therapy that lasts for a year or more to be most effective. Some people enjoy the consistent and neutral support of a therapist to be helpful on an ongoing basis, even when they have no specific problem to work on or issue to discuss.
  • How is sex therapy different from “regular” therapy?
    Sex therapy is the same as psychotherapy in that thoughts, feelings, and behaviors are explored and processed through talking. There are no physical or sexual interactions or demonstrations. Certified sex therapists are required to have the same foundational psychotherapy training as other therapists, as well as additional training related to relationships, sexual and gender identities, and sexual functioning.
  • Do you have recommendations for other sex-positive providers?
    Yes, I suggest taking a look at my team page for the therapists I supervise, and ManhattanAlternative.com, a network of therapeutic service providers in New York City who are sex-positive, affirmative, and have expertise related to issues that kink, poly, consensually non-monogamous, trans, gender non-conforming, and/or LGBQ-identified individuals face. Other places people look are NCSF’s Kink Aware Professionals Directory, Psychology Today, and FindATherapist.com.
  • Do you have any sex-positive reading recommendations?
    I do! Click here for a list of books (and podcasts) I've compiled, many from my bookshelf, some recommended by colleagues. And click here for book lists I created at Bookshop.org.
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