Where do sessions take place? 

My office is located at 50 Orchard Street #3B in the Lower East Side neighborhood of Manhattan (F, J/M/Z, and B/D trains

Are remote sessions available?

Remote, HIPAA-compliant videoconferencing sessions are also available via Doxy.me/DAPitagora.

When are you available?

I am available Monday, Tuesday, Wednesday, and Thursday afternoons and evenings.

How do I make an appointment?

To schedule an appointment directly with me, fill out the contact page form, email me directly at therapy@DulcineaPitagora.com, or call me at 917-675-3446.

Do you accept insurance?

Not currently, though I can provide you with a receipt that you may submit for out-of-network reimbursement, depending on your insurance provider’s allowances.

What forms of payment do you accept?

I accept cash, check, credit cards, Venmo, and Squarecash; fees can be paid in advance or at the time of the session, unless otherwise agreed upon.

How much advance notice is required?

Appointments are accepted depending on availability a week to 24 hours in advance.

What if I can’t make an appointment and have to cancel or reschedule?

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.  Some prefer appointments twice a week, and others prefer to come every other week.  Appointments are also available on an as needed basis in some cases.  It’s usually best to attend weekly sessions for at least the first month.

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..

Do you have a sliding scale? 

I have a limited number of sliding scale appointments, and at the moment they are all filled. If you would like me to contact you when a sliding scale appointment becomes available, please fill out this form.

How is sex therapy different from “regular” therapy?

Sex therapy is the same as psychotherapy/talk therapy, 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 therapists?

Yes, I suggest perusing 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 DirectoryPsychology Today, and FindATherapist.com.