Frequently Asked Questions
How do I schedule an appointment?
To schedule with Karen, text or call (215) 500-2478 or by email karenfithian@gmail.com.
To schedule with Paul, call (215) 512-7451 or by email pzarroli@comcast.net
We offer flexible scheduling based on availability.
What therapy approaches do you use?
We utilize evidence-based modalities including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Solution Focused Therapy, trauma-informed therapy, and integrative approaches. Treatment plans are individualized based on clinical presentation.
What issues do you treat in therapy?
We work with adolescents, adults, couples, and families experiencing a wide range of emotional and life challenges. Some of the areas we commonly treat include:
•Anxiety and excessive worry•Depression and mood concerns•Stress and burnout•Life transitions and adjustment•Relationship and communication difficulties•Self-esteem and confidence•Grief and loss•Trauma and PTSD•Anger management and emotional regulation•Parenting challenges•Adolescent behavioral and emotional concerns•Women's mental health•Coping with chronic illness or health-related stress•Work-related stress and career challengesDo you accept insurance?
We are a Private-Pay Practice
We believe therapy should be guided by your needs—not by the requirements of an insurance company. As a private-pay practice, we are able to provide individualized, confidential care that focuses entirely on your goals and well-being.
Some of the benefits of private-pay therapy include:
• Greater privacy. Insurance companies typically require a mental health diagnosis and ongoing clinical information to authorize or reimburse treatment. By choosing private pay, your personal health information remains between you and your therapist, except where disclosure is required by law.
• Treatment based on your needs. We decide together how often to meet and how long to continue therapy, rather than having sessions limited or influenced by insurance requirements.
• Personalized care. Therapy is tailored to your unique circumstances, allowing us to focus on meaningful, lasting progress rather than meeting insurance criteria.
• No diagnosis required solely for insurance purposes. Some people seek therapy for personal growth, relationship concerns, life transitions, or stress that may not require a mental health diagnosis.
• A stronger therapeutic relationship. Our work remains focused on your goals, values, and growth without the administrative demands often associated with insurance billing.
Many clients find that investing in their mental health through private-pay therapy provides greater flexibility, privacy, and a more personalized therapeutic experience.
Out-of-Network Benefits: If your insurance plan includes out-of-network mental health coverage, we can provide a superbill that you may submit to your insurance company for possible reimbursement. Reimbursement is determined by your individual insurance plan.
What is the cost of therapy?
Session fees are $150 for individual, family or couples therapy.
How long are therapy sessions?
Therapy sessions are 55 minutes. Initial sessions may be longer to complete a comprehensive assessment. Extended sessions are available when clinically appropriate.
Do you provide virtual sessions along with in-person?
Yes, virtual sessions are available as well as in-person at our Warminster location.
