
Frequently asked questions
You don't need a diagnosis or a crisis to start. People come to us for anxiety, a life transition, relationship strain, grief, or a sense that life no longer fits. If something is weighing on you, it's worth a conversation. Not sure whether therapy, coaching or something else is the right fit? That's what the free 20-minute consultation is for.
Most people can book a free consultation within a few days. If your preferred clinician's schedule is full, wait times vary, sometimes about two weeks and sometimes longer. We'll tell you honestly what to expect, and whether another clinician has openings sooner.
It's a free 20-minute conversation by video or phone. It isn't an assessment. We'll talk about what's bringing you in, what you're hoping for, and whether working together feels like the right fit. There are no intake forms before we've met, and no pressure to book.
Your first session is a chance to get to know each other. We'll explore what brings you here, what you'd like to be different, and how we might work together. You can share as much or as little as you're ready to. From there, we'll shape an approach that fits you. The first session lasts about an hour. After that, most individual sessions run 53 minutes or more.
Before the first session, you'll receive our informed-consent and practice-policies form to read and sign in the SimplePractice client portal. Your clinician will also go over it with you, so you can ask anything.
Start with whose focus fits what you're bringing. If you're not sure, say so in the consultation and we'll suggest a match.
Lex E. Santí, LCSW works with adults and couples on anxiety, depression, life transitions, identity, men's mental health and relationships, including people who tried therapy before and felt missed. Licensed in New York, New Jersey, Delaware and Virginia. Sees clients by video, and in person in Trumansburg, NY.
Molly Alexander, LMSW works with children, parents and families, and with adults at every stage of life: trauma, perinatal and postpartum mental health, parenting, struggles at school, anxiety, depression, grief and loss. Licensed in New York, practicing under Lex's clinical supervision. In-network with Aetna and Cigna through Headway.
Max Acenowr is a practicum intern (MSSW candidate, Columbia University) who sees clients under Lex's supervision. Their work focuses on identity, life transitions, trauma and relationships, and is rooted in racial, disability and LGBTQ+ justice. Max sees clients in New York only, and Max's sessions are private pay on a sliding scale of $50–$90 (insurance can't be used).
Book a consultation · Free consult with Molly · Book with Max
