Questions, answered honestly.

Start with the free 15-minute consultation on the booking page. If it feels like a fit, you schedule a first session and receive intake paperwork through a secure client portal.

Usually one to two weeks, depending on which times you can meet. Evening slots fill first, so daytime openings tend to move faster.

The call is 15 minutes, costs nothing, and exists to check fit and answer logistics. The first session is 55 minutes of actual clinical work: history, the pattern between you, and where to start.

No. A therapist may only work with clients who are physically located in a state where the therapist holds a license. Annalis is licensed in New York and Florida, so you need to be in one of those states during your session.

Research on structured approaches such as Emotionally Focused Therapy shows most couples improve meaningfully, and many recover from distress. What predicts a good outcome is starting before resentment hardens, and both partners engaging, even reluctantly.

Most couples meet weekly at first. Many notice a shift within six to eight sessions and continue for several months to make the changes durable. You review progress together as you go.

No. Marriage and family therapists are trained to treat the relationship rather than referee it. If it ever feels one-sided, saying so in session is useful information.

Yes, and it is slow, structured work. It moves through disclosure handled carefully, understanding what the affair meant, rebuilding trust in concrete steps, and deciding together what the relationship becomes. Some couples rebuild, some part with more clarity and less damage.

You can start alone. Relationships are systems, and when one person changes how they respond, the pattern moves. Many partners join later once they see it is not an ambush.

Yes, usually as a short structured series covering money, family, children, faith, sex, careers, and how each of you handles conflict. It is far easier to set these patterns on purpose than to renegotiate them later.

Yes, in network through Headway for the plans listed on the fees page, plus out-of-network superbills and private pay. Coverage rules for couples therapy are genuinely confusing, and the fees page explains them plainly.

Insurance pays for treatment of a diagnosed condition in one person. A relationship in distress is not itself a diagnosis. Couples work is sometimes billed as family psychotherapy as part of one partner’s treatment, which puts a diagnosis in that partner’s record.

Current fees are listed on the fees and insurance page, including the free consultation, individual, couples, family, and extended sessions. Sliding-scale availability is [Limited sliding-scale spots: yes / no]

Yes. You pay the session fee, receive an itemized superbill, and submit it to your insurer for out-of-network reimbursement.

Relational and systemic at the core, drawing on Emotionally Focused Therapy, Internal Family Systems, interpersonal neurobiology, CBT, DBT, ACT, mindfulness, and psychodynamic work, all of it trauma-informed and adapted to the people in the room.

Usually a small experiment rather than an assignment: one conversation to try, one pattern to notice. The work happens in session; the practice happens at home.

Say so. It is the most useful thing a client can do. The plan gets adjusted, or she helps you find someone whose approach fits better. Neither of those is a failure.

Yes, with narrow legal exceptions: suspected abuse of a child or vulnerable adult, a serious and imminent threat of harm, and valid court orders. All of it is spelled out in the consent forms and the privacy notice.

No. Marriage and family therapists do not prescribe. When medication is worth considering, she coordinates with a psychiatrist or your primary care doctor.

For most concerns, research finds outcomes comparable to in-person work. Couples often find video easier to sustain week after week, and some prefer having hard conversations from their own home.

Yes, as long as each of you is physically in New York or Florida during the session. This is common for couples who travel or work different schedules.

Yes. Annalis is bilingual and sees clients in English, Spanish, or a blend. Bilingual couples often find certain feelings only arrive in one language.

A HIPAA-compliant telehealth platform built for mental health practices. You receive a link through the client portal, and sessions are never recorded.