Insurance & Fees

CAS is in-network with all Blue Cross Blue Shield (BCBS) and some United Healthcare Student Resources (UHCSR) plans. CAS accepts all other insurance plans (e.g., Aetna, Beacon Health Options, Cigna, Optum, Meritain Health, Tufts, United Healthcare) as an out-of-network provider so long as the plan offers out-of-network benefits.

HMO stands for Health Management Organization. These plans will only cover the cost of services with an in-network provider, which means your provider must be contracted with your insurance company. The only HMO plan accepted by CAS is Blue Cross Blue Shield (BCBS). If you have an HMO plan other than BCBS, CAS can offer you a self-pay arrangement, but will be unable to accept your insurance plan as an in-network provider.

PPO stands for Preferred Provider Organization. Most PPO plans permit you to choose any provider, including providers who are not “in network” (contracted) with your insurance company. CAS can accept any PPO plan. If you have a Blue Cross Blue Shield (BCBS) PPO plan or certain United Healthcare Student Resources (UHCSR) PPO plans, CAS will accept your plan as an in-network provider. If you have any other PPO plan, CAS can accept your plan as an out-of-network provider. In either case, CAS will submit insurance claims and collect reimbursement directly from your insurance company, although you are still financially responsible for any cost-sharing required by your insurance plan, including deductibles, copays, and/or coinsurances.

Your insurance card may indicate if your plan is an HMO or PPO or you can call your insurance company to inquire. Our intake coordinator can also call your insurance company on your behalf to determine if you have an HMO or PPO plan.

CAS accepts all Blue Cross Blue Shield student health insurance plans and United Healthcare Student Resource plans issued by Boston College and Tufts University as an in-network provider. CAS accepts all other all other university student health insurance plans as an out-of-network provider. Upon request, we may be able offer college students a sliding scale to align with the fees they would be charged if services were obtained from an in-network provider.

Each insurance company (and even each insurance plan within the same insurance company) requires different cost-sharing fees, based on your individual plan. “Cost-sharing” means you share the cost of your mental health services with your insurance company and includes deductibles, copays and/or coinsurances. Our intake coordinator will contact your insurance company to determine the required cost-sharing fees for your plan. These fees represent an estimate of your fees for services at CAS, which will be shared with you prior to scheduling an intake appointment. CAS can only provide an estimate of your fees based on the information provided by your insurance company. Exact fees cannot be determined until your insurance company processes your insurance claims.

A deductible is a specific dollar amount you are required to pay before your insurance begins to cover the cost of mental health services. Deductibles can vary widely, ranging from hundreds to thousands of dollars. Deductibles renew annually when your insurance policy renews, meaning you are responsible for paying the deductible anew each policy year. Policy years do not necessarily correspond to a calendar year so, if you have a deductible, contact your insurance company to inquire when your policy year renews. Your deductible will accrue across your different medical providers. For some insurance plans, deductibles apply to both in-network and out-of-network providers, while for other plans, deductibles only apply to out-of-network providers. This means you may have paid a portion of your deductible to other providers by the time you begin services at CAS. Our intake coordinator will contact your insurance company to determine if you have a deductible, but you should contact your insurance company to inquire if you have already paid any portion of the deductible in the current policy year, as insurance companies may not provide this information to anyone other than the client.

A copay is a specific dollar amount your insurance requires you to pay per service. A coinsurance, on the other hand, requires that you pay a specific percentage of the fee per service.

Balance billing occurs when a client is billed the difference between the fee allowed by an insurance company for a specific service and the provider’s standard fee for that service.

Balance billing is not permitted when you receive services from an in-network provider because the fees have been predetermined and agreed to between your provider and insurance company in their contract. This fee may differ from the provider’s standard fee, but the provider cannot bill you for this difference because the provider has agreed to bill you the predetermined fee in their contract with your insurance company. 

Balance billing applies when you receive services from an out-of-network provider. Your insurance company will approve a maximum fee for a specific service, known as an allowed amount, which includes your copay, coinsurance and/or deductible. Allowed amounts vary widely from insurance company to insurance company and even across different policies within the same insurance company. Allowed amounts are usually less than the provider’s standard fees. In addition to your deductible, copay and/or coinsurance, you are responsible for the difference between the allowed amount and your provider’s standard fee for a specific service. Therefore, your fees for a service may include deductibles, copays and/or coinsurances and, if your insurance company’s allowed amount is less than the provider’s standard fee, balance billing fees.

Our intake coordinator will contact your insurance company to inquire about your deductible, copay and/or coinsurance, as well as the allowed amounts for your services. Some insurance companies will disclose allowed amounts to providers, while others will not do so. If your insurance company will not disclose its allowed amount, CAS will reference other claims paid by the same insurance company to estimate the allowed amount. Even if your insurance company discloses the allowed amount, your exact fees cannot be determined until your insurance company processes insurance claims for your services, as allowed amounts can change monthly, quarterly or annually. Therefore, CAS can only provide you with an estimate of your fees.

Processing times for claims vary from insurance company to insurance company. Many insurance companies process claims within 30 days of the date they receive the claims, but some take longer. CAS generally submits claims on a weekly basis, but it may take up to 30 days to submit a claim for a particular date of service or longer if CAS has not received accurate billing information. Insurance companies sometimes require CAS to resubmit claims that were not properly processed by the insurance company for a variety of administrative reasons. If you have questions about a specific claim, contact your insurance company to request an Explanation of Benefits (EOB), which should be made available to you by your insurance company via mail or online for each processed claim.

Our fee is $250 per session for self-pay arrangements.

Our Postgraduate Social Work Fellows offer a limited sliding scale. Contact our office for details.

Have additional questions?

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LeAnn Egeto, LICSW, PhD (She/Her)

Clinical Consultant & Seminar Instructor

I have been a clinical supervisor and consultant with Clinical Alliance Services, LLC since 2018. I maintain a private practice and have worked for over a decade with adults who were chronically and acutely traumatized as children. Before working in private practice, I designed community service programs and training programs for students in medical, law and counseling disciplines in approaches to working with marginalized and traumatized populations. I also have extensive experience working in a rural community in rape crisis, domestic violence and hospital settings, including emergency departments, labor and delivery, and oncology. I believe in the transformative power of psychodynamic work and in harnessing the healing power of relationships, both of which I utilize as a therapist, supervisor and consultant. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Internal Family System (IFS), Accelerated experiential dynamic psychotherapy (AEDP) , somatic and psychedelic therapies.

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Lissa Dutra, PhD, JD (She/Her)

Executive Director & Training Director

I am the founder and Executive Director of Clinical Alliance Services, LLC, where I work closely with an amazing team of clinicians from whom I learn every day.

I hold a Ph.D. in Clinical Psychology from Boston University, a J.D. with a concentration in Health Law from Seton Hall University, and an Ed.M. from the Harvard Graduate School of Education. After training for several years at Cambridge Health Alliance in psychodynamic psychotherapy at the Victims of Violence Program and Outpatient Psychiatry Department, I completed a postdoctoral fellowship at the Pacific Islands Division of the National Center for PTSD and later worked as a Health Science Specialist at the Women's Health Sciences Division of the National Center for PTSD. Later, I transitioned to the role of Administrative Director of a community mental health center, which sparked my strong interest in the intersection of clinical work, administration, and health insurance. I am currently on the Executive Committee and Board of the Massachusetts Psychological Association and am dedicated to making mental health care accessible, particularly to underserved communities.

I enjoy working with marginalized populations, particularly first and second-generation immigrants and socioeconomically disadvantaged individuals. My clinical areas of specialty include trauma and complex posttraumatic stress disorder, dissociation, personality disorders and attachment. My clinical orientation is attached-based, relational and psychodynamic. I also have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT). Cognitive Processing Therapy (CPT) and Motivational Interviewing (MI), as I believe it is important to be flexible and integrative when providing clinical care to best meet clients' individual needs.

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Deborah Cohen, LICSW (She/Her)

Clinical Director & Training Director

I believe there are many ways to bring about change, and work collaboratively with clients to identify the ways that will work best for them. My approach to therapy is integrative, incorporating relational, psychodynamic and strengths-based perspectives, as well as cognitive-behavioral and mindfulness-based interventions. I am committed to understanding clients within their cultural contexts, and pay close attention to the impact of ethnicity, gender, sexual orientation and, when relevant, religion on development and identity.

I offer individual therapy to adults across the age span and work with individuals experiencing anxiety, depression, relationship difficulties and struggles with identity, self-esteem, college adjustment and life transitions. I am also experienced in training and supervising psychologists and social workers.

My particular areas of interest include surviving the trauma of interpersonal, sexual, and/or political violence; negotiating a lesbian/gay/bisexual/transgender/queer identity; and the impact of stigma on mental and physical well-being. I also have an extensive background in university mental health and working with college students.

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Chanelle Dow, LMHC (She/Her)

Program Manager & Staff Psychotherapist

My integrative treatment approach is designed to fit my clients’ unique and varying needs. The treatment I provide is culturally-informed and identity-affirming with the intent of building a trusting and open therapeutic relationship. My work is heavily influenced by relational, psychodynamic and cognitive-behavioral treatment modalities.

I work with adults of all ages and backgrounds to address their presenting symptoms, as well as explore the underlying roots of these symptoms, to provide long-term benefits. I specialize in treating anxiety, depression, trauma, life and college transitions, identity concerns, and stress related to work and relationships.

I am also experienced in working with culturally diverse and LGBTQ populations. Prior to earning my degree in counseling, I worked with LGBTQ youth and young adults in the Boston community at a nonprofit organization dedicated to health education.

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Jennifer Calechman, MA (She/Her)

Intake Coordinator & Administrative Assistant

Jennifer ("Jenny") Calechman holds an M.A. in Expressive Therapies from Lesley University. After working as a clinician in a variety of clinical settings, she transitioned to teaching yoga on a full-time basis. Jenny later became a full-time mother for her two sons, eventually returning to work at Clinical Alliance Services, LLC as our Intake Coordinator in 2019. Jenny is usually a client's first point-of-contact in our practice. She provides clients with warmth and knowledge, as she assists them in navigating insurance benefits and scheduling clinical intakes. She also provides ongoing administrative support to our entire clinical team and is an integral part of ensuring that our day-to-day operations run smoothly.

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Gretchen Davidson, LICSW (She/Her)

Staff Psychotherapist & Seminar Instructor

My therapy approach is rooted in psychodynamic and relational theories. I also incorporate cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), Eye Movement Desensitization Reprocessing (EMDR) and other therapeutic approaches to meet my clients’ unique needs. I believe in each person’s potential for healing and empowerment, informing my approach to building a supportive and open therapeutic relationship. Self-understanding and healing can be facilitated by exploring the varied forces that shape us, including familial, cultural, societal, and historical experiences.

I work with couples, families, and individuals ranging from adolescence through late adulthood. I specialize in treating anxiety, depression, trauma, identity issues, and relationship challenges. I have extensive experience supporting young adults, parents, pregnant people and individuals traversing various life transitions.

As a queer clinician, I enjoy working with the LGBTQ community. I strive to be an ally for communities of color and have joined efforts in my community to promote racial justice. I completed the Psychodynamic Couple and Family Institute of New England postgraduate training program and am currently a clinical supervisor at Clinical Alliance Services, LLC.

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Leah Driscoll García, LICSW (She/Her)

Staff Psychotherapist & Training Coordinator

My approach to psychotherapy is integrative, combining elements of psychodynamic and cognitive behavioral therapy (CBT), as well as mindfulness-based techniques and motivational interviewing. My therapeutic style is non-judgmental, respectful, and adaptable. I always strive to create a therapeutic experience that feels relevant and custom-tailored to my clients. I also hold certifications as a Financial Wellness Facilitator and am a Certified Wellness Practitioner with the National Wellness Institute.

I offer psychotherapy services to adults of all ages with a wide range of concerns related to anxiety, depression, trauma, cultural adjustment, social oppression, identity, relationship issues, disordered substance use, body image, life transitions, career / work-related stress, and college transitions.

I have training in the impact of bias and discrimination on mental health and specialize in working with LGBTQIA+ populations and college students, particularly students of color and international students. Additionally, I was a professional musician prior to becoming a social worker and enjoy working with performing artists.

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Lucía Flores, LICSW (They/Them)

Staff Psychotherapist

My therapeutic orientation is rooted in psychodynamic therapy, which means we’ll explore the connections between the ways you currently move through the world and the ways you learned how to make sense of the world. I also draw from somatic therapies, helping you bring attention to the way the body stores emotions and experiences and releasing those that no longer serve you. I use an anti-oppressive lens and, following Liberation Health, pay close attention to the way cultural and institutional factors contribute to your health. I believe that therapy is one part of a process toward connection and a sense of belonging with others.

I help clients navigate transitions in life, identity, and relationships. I have worked with clients on issues related to mood and anxiety disorders, complex trauma and PTSD, major life stressors, gender and sexuality, racial identity, immigration, and spirituality. I welcome all clients, including BIPOC, queer, trans, and gender expansive adults.

I am first-generation Dominican-American, Black-identified, queer and nonbinary. I have experience working in community mental health and in school settings and, throughout my career, have worked with clients across the lifespan. My style as a therapist is collaborative, strengths-based and trauma-informed.

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Maddie Freeman, LICSW (She/Her)

Staff Psychotherapist

My approach to psychotherapy is integrative and individualized, rooted in psychodynamic and relational approaches, while drawing on other modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques. I identify as an ally to the BIPOC, LGBTQIA+, and disability communities and value working across the spectrums of gender, race, sexuality, and class. I work with adults of all ages and provide individual, couples, and group therapy. My style has been described as warm, empathic, and attuned.

I have experience working with clients across a wide range of life phases, from identity development and college transitions in young adulthood to arriving in older adulthood. I offer treatment for anxiety, depression, relationships, trauma and PTSD, grief and loss, stress, major life transitions, self-esteem, and substance use concerns.

In addition to individual therapy, I specialize in group therapy. I run an interpersonal process group for young adults, and I am working towards my CGP (Certified Group Psychotherapist). Lastly, I am passionate about the arts and can incorporate expressive therapies into our work, when helpful.

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Brandon Kirkwood, PsyD (He/Him)

Staff Psychotherapist

The psychotherapy services I provide are tailored to meet the individual needs of my clients. I draw from a variety of theoretical orientations, including psychodynamic (insight-oriented), existential, cognitive-behavioral, and relational-cultural theory (RCT), as well as Emotionally Focused Therapy (EFT) and Internal Family Systems (IFS). My work is grounded in anti-oppression principles, recognizing the impact of systems on individuals. I seek to cultivate a safe and supportive space for exploration where your authentic self feels truly seen, heard, and valued throughout their therapeutic journey.

I specialize in helping adults navigate mood disorders, anxiety, life transitions, college adjustment, identity exploration, relationship challenges, trauma and Complex PTSD, racial bias/discrimination and performance anxiety. I enjoy working with clients from diverse communities and identities, including LGBTQIA+ and other underrepresented populations.

As a Black therapist, I am committed to actively addressing access issues by providing inclusive services to BIPOC clients, ensuring equitable, and culturally-relevant mental health support for underserved communities. I also provide coaching & consultation to organizations seeking to improve DEI initiative in the workplace.

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Leslie Piken, LICSW (She/Her)

Staff Psychotherapist

My treatment approach is integrative and personalized to my clients’ needs, focused on building a foundation of trust. I work with clients to identify underlying roots of problems and elicit existing and new strengths and resources. I prefer a holistic approach to treatment which, while based in a psychodynamic framework, draws from my specialized training in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, attachment based, trauma-informed and mindfulness modalities. I work with adults ranging from young adulthood through end of life, using a culturally-sensitive approach.

I treat mood disorders, anxiety, trauma/PTSD, substance use, ADHD and concerns related to identity, sexuality and gender. I specialize in addressing major life changes rooted in trauma, relational loss/distress, grief, career/school transitions, coping with loved ones’ illnesses and surgery/injury recovery. I value working with LGBT and diverse populations.

Much of my work is rooted in addressing the trauma in all of our lives and how it manifests in our bodies, relationships, language and perspectives. Untangling these conflicts enables my clients to live freer, happier lives by identifying untapped sources of joy and releasing unresolved trauma, guilt and shame that may keep them from living their best lives.

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Jessie Quintero Johnson, LICSW, PhD (She/Her)

Staff Psychotherapist & Seminar Instructor

I use a collaborative, relational approach in my work and incorporate trauma-informed cognitive, emotion-focused, behavioral, and mindfulness techniques, as clinically appropriate, to address a variety of mental health concerns. I am committed to understanding and improving mental health for all people, particularly those from marginalized and disenfranchised communities, including racially and ethnically minoritized groups, first-generation college students, immigrants, and people who have experienced serious mental illness. I am also engaged in postgraduate training at the Psychodynamic Couple and Family Institute of New England.

I offer individual and couples therapy to adults and specialize in working with college students to address depression, anxiety, trauma, relationship difficulties, self-esteem, identity, and life transitions. I work to understand how a person’s culture, gender, sexuality, race, ethnicity, and class influence development, identity, and relationships.

My work as a health communication scholar and university professor during the past two decades has focused on strategies for communicating mental health information to ameliorate stigma. One of my areas of interest is exploring how to help people develop psychological and behavioral resistance to the negative effects of media use on wellbeing.

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Carolee Rada, PsyD (She/Her)

Staff Psychotherapist

I am committed to helping my clients explore, process, and resolve painful experiences, thoughts, emotions, and patterns that interfere in their quality of life. I have advanced training in various psychotherapy approaches, including psychoanalytic treatment, interpersonal therapy (ITP), cognitive behavioral therapy (CBT), and relational treatment. I also have specialized experience in Dialectical Behavioral Therapy (DBT), Cognitive Processing Therapy (CPT), and Eye Movement Desensitization Reprocessing (EMDR). Therapy should be authentic and personalized to meet the person wherever they may be.

I provide psychotherapy to adults and assist them in working through difficult experiences by making positive changes to achieve their goals. I treat a variety of conditions, including PTSD, intergenerational trauma, dissociation, depression, mood disorders, anxiety, OCD, stress, relational concerns, and identity-related issues, including cultural identity.

Having worked in Hawaii, Samoa, Guam, and Philippines, I have experience with a range of diverse cultures and first-hand knowledge of the unique challenges experienced by these populations. I attend to the therapeutic alliance by endeavoring to develop safety and trust in the relationship and by offering an empathetic space to create a healing journey.

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Mica Agate-Mays, LCSW (They/Them)

Advanced Postgraduate Social Work Fellow

My therapeutic approach is informed by psychodynamic and relational theories, as well as internal family systems, narrative techniques, and anti-oppression principles. I seek to draw connections between clients’ histories and their experience as it unfolds in the here-and-now of the therapeutic exchange, all in service of coming into deeper relationship with oneself. My therapeutic style is non-judgmental and compassionate with attention to the relationship between us, as individuals, and the systems that impact us.

I offer psychotherapy services to adults of all ages and work with individuals navigating mood and anxiety disorders, trauma (individual, collective, intergenerational, historical), relationship concerns, grief and loss, spirituality, identity development, neurodivergence, sexuality, and gender.

I am a postgraduate Social Work Fellow at Clinical Alliance Services, LLC. In addition, I am currently training in Internal Family Systems at the Internal Family Systems Institute and have experience working in both community and college counseling settings.

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Samira Bell, LCSW (She/Her)

Advanced Postgraduate Social Work Fellow

My clinical work is psychodynamically oriented, client-centered, and culturally aware. I draw from Internal Family Systems, Cognitive Behavioral Therapy, and Narrative Therapy to inform my work, incorporating psychoeducation, mindfulness, and narrative / storytelling techniques when helpful to my clients. I hold an M.S.W. from Boston College and an M.A. in Urban and Environmental Policy from Tufts University and am currently a postgraduate Fellow at Clinical Alliance Services, LLC. I have trained in community mental health and education settings and as a Victim Witness Advocate.

I offer individual psychotherapy to adults of all ages with a wide range of concerns related to racial identity, anxiety, depression, systemic oppression, trauma, grief, attachment ruptures, and displacement due to war and other atrocities. I particularly enjoy working with adults facing life and/or career changes, as well as with college students.

As an African American, third culture individual (TCI/TCK), my work is grounded in the interconnected nature of race, class, gender, and national origin. Guided by a trauma-informed, anti-oppressive, and liberation health framework, I work alongside and empower my clients. My goal is to hold space for them at the nexus of struggle and growth.

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Aishwarya Chitoor, LCSW (She/Her)

Postgraduate Social Work Fellow

My approach to psychotherapy is rooted in psychodynamic and relational theory, cultural awareness, cognitive behavioral techniques, Acceptance & Commitment Therapy (ACT) and neurobehavioral therapeutic approaches. I am dedicated to meeting my clients where they are at and adapting treatment to meet their needs. My therapeutic style is compassionate, relaxed, and empowering. I am currently a postgraduate Social Work Fellow and have worked in a variety of clinical settings, ranging from hospital settings supporting individuals' socio-emotional needs to educational settings supporting individuals' learning needs.

I offer psychotherapy services to adults of all ages, including college-aged adults, and specialize in treating anxiety, depression, trauma, PTSD, life transitions, relationships, self-esteem and identity issues. I have experience working with refugee populations, as well as survivors of domestic violence, intimate partner violence, and sexual assault.

As an Indian-American and immigrant woman, my work is grounded in the intersectionality of gender, racial identity, country of origin, migration, systemic oppression, and sexuality. I enjoy working with individuals across all identities and specialize in working with individuals who hold multiple cultural and/or racial identities.

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Molly Cordis, LCSW (She/Her)

Advanced Postgraduate Social Work Fellow

My approach to psychotherapy is psychodynamic, focusing on developing insight and working relationally to better understand and change patterns. I also utilize tools and perspectives from Cognitive Behavioral Therapy (CBT), Dialectical-Behavioral Therapy (DBT), and Narrative Therapy to meet clients where they are and help them progress toward their goals. I have deep respect for the lived experiences and wisdom of each person, understanding that everyone inhabits a world with joys, pain, and sorrows that can be difficult to navigate alone. I believe that relational work can be crucial to both inner and systemic change.

As a postgraduate Social Work Fellow at Clinical Alliance Services, LLC, I work with adults of all ages and from all backgrounds. The clients I work with face issues such as depression and other mood symptoms, anxiety, life transitions, trauma, and grief, as well as concerns related to self-esteem, identity, and relationships.

In addition to my M.S.W. from Smith College, I have an M.Ed. in Social Justice Education from the University of Massachusetts Amherst. I am interested in continuing to explore how mental health and relationships are intertwined with issues such as racism, classism, and ableism.

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Susannah Jones, MSW (She/Her)

Postgraduate Social Work Fellow

Therapy is an opportunity to make meaning of our experiences and achieve agency in the here and now. My goal is to partner and collaborate with my clients in that process. I am deeply interested in how we tell the stories of our lives and use those stories to cope, make sense of reality, and understand ourselves. Grounded in trauma-informed psychodynamic and relational practice, I draw from cognitive behavioral, narrative, and mindfulness therapies, with a particular belief in the importance of the therapeutic relationship.

I provide individual therapy to adults of all ages and backgrounds and specialize in depression, anxiety, grief and bereavement, life transitions and adjustment to new circumstances, gender and sexuality, complex trauma, identity, relationships and substance use.

I have worked in palliative care at Brigham and Women’s Hospital, where I served on the racial justice committee, the values of which I strive to bring to all of my work. I also have a background as a theater professional and love working with people navigating the nuances, joys, and complexities of creative life.

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Kate Powers, MSW (She/They)

Postgraduate Social Work Fellow

My approach to therapy is primarily psychodynamic, focusing on healing through exploring relational patterns and creating opportunities for new relational experiences. I utilize a client-centered approach with the intention of connecting meaningfully with clients on their terms and allowing client needs / desires to drive the direction of therapy. I draw on my training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and family / couples therapy to enrich my work with individuals. I am a postgraduate Fellow at Clinical Alliance Services, LLC and the Psychodynamic Couple & Family Institute of New England.

I offer individual and couples therapy to adults of all ages and identities who have a range of concerns, including depression, anxiety, relationship disruptions, trauma, grief, life transitions, identity and self-esteem. As a former sexual violence advocate / consent educator, I create safe containers for folks to grapple with experiences of sexual trauma.

I have a passion for working with queer folks and people exploring alternative relationship structures. I am committed to upholding an anti-oppressive and liberation framework in every encounter, and feel that it is crucial to understand the role that systemic oppression plays in all of our lives.

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