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We currently only accept insurance for OPWDD recipients with developmental disabilities (including intellectual disabilities, cerebral palsy, Down syndrome, autism, and other neurological impairments).

We also provide superbills for Out-of-Network reimbursement if applicable.

It’s best to contact your insurer directly to inquire about out of network behavioral health coverage.

These questions might be helpful:

• Does my health insurance plan cover out of network mental health benefits?

 • Do I have a deductible? If so, what is it and have I met it yet?

 • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

 • Do I need written approval from my primary care physician in order for services to be covered?

If you have out of network benefits, we would be happy to provide you with invoices to submit to your insurance companies for reimbursement.

Insurance companies typically cover 70- 85% of cost.

Please check with your insurance company to find the amount they cover, as each managed care organization varies.

We are not responsible for confirming out of network benefits, so please make sure you are in touch with your insurer.

A child may benefit from therapy when:

1. Big feelings get in the way of daily life.
Things like intense anxiety, frequent sadness, emotional outbursts, or worries that seem bigger or more persistent than typical for their age.

2. Their behavior changes suddenly or lasts longer than expected.
For example: sleep problems, withdrawal, irritability, loss of interest, regression (bedwetting, clinginess), or a drop in school performance.

3. They’re avoiding things they used to handle well.
School, friends, activities, or everyday tasks like separating from you, sleeping alone, or trying new things.

4. They’re struggling socially.
Trouble making or keeping friends, reading social cues, or increased conflict at home or school.

5. You see signs of anxiety, OCD, trauma, or depression.
Intrusive thoughts, rituals, excessive fears, perfectionism, persistent sadness, or difficulty recovering from a stressful or scary event.

6. Their reactions feel “bigger” than the situation—often and intensely.
Meltdowns, shutdowns, or emotional overwhelm that’s frequent, long-lasting, or hard to soothe.

7. You’re stuck as a parent and don’t know what else to try.
Therapy can give you tools—and sometimes the parent work matters as much as the child’s work.

Session costs vary by provider. Please see Our Team page for details.

Yes! It’s important that your therapist feels like the right fit. Reach out to our intake coordinator at hello@givingtreecounseling.info to schedule a consultation.

We see clients in person at two locations in Uptown Kingston:

• 112 N. Front St

• 113 Green St

We also see clients online anywhere in New York State.

Telehealth Services

We offer secure, HIPAA-compliant telehealth sessions to clients anywhere in New York State. Telehealth can be a powerful option for clients who prefer virtual care or who encounter barriers to in-person access.

In-Person Locations

112 North Front Street – Kingston, NY

• Step-free entrance (no stairs)

• Doorframes accommodate standard wheelchairs

• Please note: The building does not have automatic doors

• We are happy to assist with door access upon arrival, and you can contact us in advance to coordinate support.

113 Green Street – Kingston, NY

• Contains a large flight of stairs and does not have an elevator

• This office may not be accessible for individuals with mobility disabilities

• We are committed to offering telehealth and North Front Street appointments as alternative options

• If you have specific access needs, we will partner with you to identify the best location or modality of care.

Language Access

At this time, we do not offer interpreter or translation services. Clients are welcome to bring a trusted interpreter to sessions if desired, and we will collaborate to ensure privacy, consent, and comfort.

Neurodivergent, Sensory, & Communication Accommodations

We regularly support clients with dynamic disabilities, sensory needs, communication differences, and diverse regulation profiles. Accommodations may include:

• Flexible communication (AAC, text-to-speech, gestures, written responses)

• Sensory flexible environments

• Sensory tools and movement breaks

• Modified lighting

• Visual supports

• Preparation scripts and predictability supports

If you have an accommodation request, please let us know before or during your first appointment. We welcome ongoing feedback and will adjust as needed.