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Frequently Asked Questions

Below are answers to the most common questions about working with 
Shayan Salar, LCSW, LCADC at Alchemy Psychotherapy. If your question 
isn't answered here, reach out for a free 15-minute consultation - 
many specifics are easier to address in conversation than in writing.

Getting Started
 

How do I know if therapy is right for me?

Therapy can help if you find yourself stuck in patterns you understand 
intellectually but cannot shift, managing what's underneath through 
overworking or substances, or feeling disconnected from yourself despite 
external success. There is no diagnostic threshold for starting. If 
something feels off and is not resolving on its own, that is enough.

Do you offer a free consultation?

Yes. I offer a complimentary 15-minute phone consultation to discuss 
what brings you in, answer initial questions, and determine whether my 
approach is a good fit for your goals. Consultations are not therapy 
sessions - they are a conversation to help you decide whether to take 
the next step.

What does the first therapy session look like?

The first session is a biopsychosocial assessment lasting 60 to 90 
minutes. We discuss your history, what brought you in, your relational 
and family context, and what you would like to shift through therapy. 
The pace is collaborative, there is no expectation that you share more 
than feels manageable in a first meeting.

How long are therapy sessions?

Standard individual therapy sessions are 45 minutes. A 30-minute session 
may be appropriate when clinically indicated and agreed on collaboratively. 
The initial biopsychosocial assessment runs 60 to 90 minutes. Group 
therapy sessions are 90 minutes. All sessions are conducted via secure, 
HIPAA-compliant telehealth video.

How long does trauma therapy usually take?

Trauma therapy timelines vary by trauma type and individual response. 
Single-event trauma often improves over several months. Complex or 
developmental trauma - repeated or long-term experiences - typically 
requires longer work, often a year or more, with progress measured in 
nervous system regulation, relational shifts, and reduced reactivity 
rather than fixed session counts.

Insurance, Fees, and Payment

Do you accept insurance?

As of May 1, 2026, I am strictly private pay and out-of-network. I no 
longer accept insurance directly. If you have out-of-network mental 
health benefits, I can provide a Superbill on the first of each month, 
which you can submit to your insurance company for potential 
reimbursement based on your specific plan.

What is a superbill and how do I use it for reimbursement?

A superbill is an itemized monthly statement of therapy services that 
includes the diagnosis code, CPT code, dates of service, fees paid, 
and my license and NPI numbers. You submit it to your insurance company 
to request reimbursement under your out-of-network mental health 
benefits. Reimbursement amounts depend entirely on your specific plan.

What questions should I ask my insurance company about out-of-network benefits?

Ask your insurance provider: Do I have out-of-network mental health 
coverage? What percentage do out-of-network benefits reimburse? Is 
there a separate deductible for mental health? Am I covered to see a 
Licensed Clinical Social Worker who is out of network? How many sessions 
per year are covered, and is there an annual dollar cap?

What are your fees and what payment methods do you accept?

Biopsychosocial assessment (intake): $300. Standard 45-minute session: 
$250. Thirty-minute session, when clinically determined: $185. All 
clinical recommendations are driven by your needs. I accept credit 
cards, debit cards, and HSA/FSA cards through a secure client portal. 
Payment is processed at the time of each session.

Do you offer sliding-scale or reduced-fee sessions?

In limited circumstances, a reduced fee is available based on financial 
need and current caseload availability. Sliding-scale spots are not 
guaranteed and are discussed during the initial consultation. If 
reduced-fee availability is full, I am happy to refer to colleagues 
or affordable care options that may better fit your circumstances.

Online Therapy and Licensure

What states are you licensed to practice in?

I am a Licensed Clinical Social Worker (LCSW) in New Jersey, 
Pennsylvania, Florida, and Texas. I am also a Licensed Clinical Alcohol 
and Drug Counselor (LCADC) in New Jersey. I offer telehealth therapy to 
adults located in any of these four states at the time of the session.

Do you offer in-person therapy?

Yes, however this is based on demand. I am happy to accommodate 
in-person sessions and can sublet an office from a colleague if that 
is preferred. Most of my practice is delivered through secure 
telehealth, which research consistently shows produces outcomes 
comparable to in-person therapy for the majority of adult presentations.

How does online therapy work?

You receive a unique session link by email before each appointment. 
Sessions take place over a HIPAA-compliant secure video platform on 
your phone, tablet, or computer. You will need a private space, a 
stable internet connection, and a device with a working camera and 
microphone. The therapeutic process itself is identical to in-person work.

Is online therapy as effective as in-person therapy?

Peer-reviewed research consistently finds telehealth psychotherapy 
produces outcomes comparable to in-person therapy for most adult 
presentations, including anxiety, depression, trauma, and substance 
use. For severe presentations requiring in-person assessment or 
crisis stabilization, a referral to higher levels of care may be more 
appropriate, which we would discuss during your consultation.

Approach and Modalities

What is trauma-informed therapy?

Trauma-informed therapy is an orientation, not a single technique. It 
recognizes that past trauma shapes present nervous system responses, 
prioritizes physical and emotional safety in every session, moves at a 
pace your system can tolerate, and selects modalities based on their 
evidence base in trauma recovery rather than applying a one-size-fits-all 
protocol to every client.

What modalities do you use in your practice?

My approach is integrative and includes Internal Family Systems (IFS), 
Somatic Experiencing, psychodynamic and attachment-informed therapy, 
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), 
REBT, Acceptance and Commitment Therapy (ACT), exposure therapy, and 
Motivational Interviewing. I draw from what fits your nervous system 
and goals rather than applying a single model.

What is Internal Family Systems (IFS) therapy?

Internal Family Systems is an evidence-based modality that views the 
mind as a system of parts — protective, managerial, and exiled — 
organized around a core Self. IFS helps clients understand and work 
with these parts compassionately rather than against them, often 
producing meaningful shifts in shame, chronic anxiety, and trauma 
responses that talk therapy alone does not reach.

What is Somatic Experiencing?

Somatic Experiencing, developed by Dr. Peter Levine, is a body-based 
approach to trauma resolution that works with nervous system responses 
rather than only narrative memory. It helps the body complete stress 
responses that became stuck during trauma, often producing relief in 
chronic tension, dissociation, and hypervigilance. I am a second-year 
student at Somatic Experiencing International.

Populations and Specializations

Do you specialize in working with BIPOC, LGBTQIA+, or culturally diverse clients?

Yes. I practice from a culturally responsive, harm-reduction lens with 
significant experience working with BIPOC, LGBTQIA+, immigrant, and 
culturally diverse populations. Cultural context, identity, and 
intersectional experience are integrated into how I understand a 
client's history and patterns — not treated as separate from the 
therapeutic work itself.

Other Common Questions

Do you prescribe medications?

No. In New Jersey, Pennsylvania, Florida, and Texas, psychiatric 
medications must be prescribed by a licensed physician or psychiatric 
nurse practitioner. I work closely with prescribing providers when 
medication is part of a client's care and can provide referrals to 
trusted psychiatrists or psychiatric nurse practitioners when needed.

Do you provide family therapy or couples therapy?

I do not identify as a primary family or couples therapist. However, 
I may invite a partner or family member into a specific session for a 
defined purpose and limited duration when clinically appropriate. For 
ongoing family or couples work, I maintain a referral network of 
skilled clinicians and will provide referrals as needed.

What if I am in a mental health crisis between sessions?

Online therapy is not appropriate for crisis stabilization. If you are 
experiencing a mental health emergency, suicidal ideation, or risk of 
harm to yourself or others, call or text 988 (Suicide and Crisis 
Lifeline), call 911, or go to your nearest emergency room. I can also 
help coordinate referrals to higher levels of care when clinically 
indicated.

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