914-295-2764 [email protected]

Frequently Asked Questions About Therapy

About Joel Kosman’s Practice

Who do you work with?

I work primarily with adults, including professionals in demanding fields — among them lawyers and others navigating the pressures of high-stakes careers. My practice includes individuals and couples.

Where are you licensed to practice?

I am licensed in New York and New Jersey and can provide telehealth services in Florida.

Do you offer in-person or remote sessions?

I work remotely with clients throughout New York, New Jersey, and Florida via telehealth. I do not currently offer in-person sessions.

Do you offer a consultation before committing to therapy?

Yes. I offer a complimentary 20-minute phone consultation so we can get a sense of whether working together might make sense — before you commit to anything.

What is the difference between a psychotherapist, a psychologist, and a coach?

I am a licensed psychotherapist (LCSW).  A licensed psychotherapist — such as a licensed clinical social worker (LCSW) — is a clinically trained mental health professional who provides psychotherapy. A psychologist (PhD or PsyD) similarly provides psychotherapy and may also offer psychological testing. On the other hand, a coach is not a licensed mental health professional and works outside the clinical framework. A coach is not permitted to provide psychotherapy.

Do you have specialized training in couples therapy?

Yes. I have completed training in Emotionally Focused Couples Therapy (EFT) through the New York Center for Emotionally Focused Therapy. EFT is one of the most extensively researched approaches to couples work, with a focus on understanding the emotional bond between partners and rebuilding connection when it has been damaged or lost.

Is therapy for lawyers different from regular therapy?

It can be, and in my practice it is. I practiced law for over twenty years before becoming a psychotherapist, which means I understand legal culture from the inside — for example, the billing pressures, the partnership dynamics, the particular difficulty of asking for help in a profession that prizes composure. When I am working with lawyers, this shared context changes what is possible in the work.

Do you accept insurance?

I am an out-of-network provider. I do not bill insurers directly, but I am able to provide a statement that you can submit to your insurance company for potential reimbursement. Whether you are entitled to reimbursement — and at what level — depends on your specific plan. I am happy to discuss this further if it is a consideration for you.

Starting Therapy

How do I get started?

Call 914-295-2764 or email [email protected] to arrange an initial consultation. Have more questions?  I offer a complimentary 20-minute phone consultation.

What happens in the first session?

We will talk about what has brought you to therapy and begin to get a sense of what you would like to focus on. The first session is also an opportunity for both of us to see whether working together feels like a good fit.

What happens after the first session?

If we decide to continue, we will agree on a schedule that works for you and begin to focus more directly on the areas you want to work on.

How often do we meet?

Most people meet once a week, as that tends to provide enough continuity for the work to develop in a meaningful way.

How long does therapy typically take?

There is no set timeline. Some people find that a focused course of work over a few months achieves what they are looking for. Others benefit from longer-term work. We will discuss what makes sense for you from the outset, and revisit it as the work develops.

Confidentiality

What if I’m worried about confidentiality?

Everything discussed in therapy is confidential. Your privacy is protected under the same strict rules that govern all licensed mental health professionals. Nothing you share is disclosed without your consent, except in the narrow circumstances required by law — for example, if there is a risk of serious harm to yourself or others. If you have specific concerns about confidentiality, I am happy to discuss them before we begin.

If you’re considering whether therapy might be helpful, I offer a complimentary 20-minute phone consultation.

Call 914-295-2764 or email [email protected] to arrange a consultation.