How we work

Our goal is to match each patient with a clinician and treatment plan that works for them.

When you first call Union Square Practice, you will be directed to one of our knowledgeable clinical coordinators who will discuss your history, symptoms and needs. Each of our clinical coordinators is also a fully trained therapist, and can walk you through the wide array of treatment options.


intake staff rounded

From left to right: Receptionist Ashley Mason and clinical coordinators Keira Rakoff, MHC, and Katie Krimer, LMSW.

Since we believe that it is a good connection between you and your therapist that makes for the most successful outcome, much of our initial work will be about matching you to the practitioner who will best suit you. Taking into account your preferences, needs and schedule, we will recommend the clinician—whether a psychiatrist, psychologist, social worker or nurse practitioner–whose manner, expertise and fee, we hope will work best for you. Depending on your preference and history, we may recommend a specific therapy style, medication, or some combination of the two. After a clinician has mapped out a series of options, it’s up to you to choose.

Psychotherapy is typically most effective with weekly visits, but often patients will come in more frequently at first, then less frequently as time goes on. Psychopharmacology, similarly, often requires weekly or twice-monthly visits at first, but once the medication course is clear, visits often need to occur only 3 or 4 times a year. In addition, we are happy to collaborate with clinicians you may already be working with. For example, you may already have a therapist and wish to visit us for medication. Or you may be seeing a psychiatrist elsewhere and wish to come to us for Cognitive Behavioral Therapy or any of the other styles of therapy that we specialize in. We have a great deal of expertise with these types of collaborations, and welcome them.

We offer the descriptions below to help you learn more, and we look forward to assisting you in choosing which is best for you.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a combination of two highly effective and well-researched forms of therapy: Cognitive Therapy and Behavioral Therapy. It involves partnering with your therapist to examine the way in which your thoughts affect your feelings in order to change your thinking patterns.

Read more about CBT ››

Motivational Interviewing (Motivational Enhancement Therapy)

Do you want to make a change in your life, but are unsure how? MI is a way for your therapist and you to collaborate on fostering your motivation by helping you to identify your core beliefs and goals and how they relate to the behavioral changes you would like to meet. This therapy can lead to profound changes in behavior.

Read more about Motivational Interviewing ››

Supportive Psychotherapy

Supportive Therapy is therapy designed to give you the emotional support and guidance you need to manage life stresses. By understanding your temperament and past experiences you and your therapist can understand some of the patterns causing difficulty in your life.

Read more about Supportive Psychotherapy ››


Psychopharmacology at Union Square Practice involves a comprehensive evaluation by either a psychiatrist or psychiatric nurse practitioner who is overseen by a psychiatrist. We will help you choose the appropriate clinician basing our recommendation on availability, cost and expertise.

Read more Psychopharmacology ››