NYC Psychotherapy Practice · Since 2015

Find the right NYC therapist for you, this week.

Q: Do you take insurance?

Yes. Therapy24x7 is in-network with Cigna and Aetna. For all other carriers, we provide superbills for out-of-network reimbursement.

Q: How quickly can I start?

Same-week openings are often available. Begin with a free 15-minute call with our care team. If the fit isn't right after six weeks, we rematch.

Q: How much do sessions cost?

Your cost depends on your individual insurance plan. In-network with Cigna or Aetna: you pay your standard copay. Out-of-network: we provide a superbill so you can submit for partial reimbursement. Private pay rates are discussed on the first call.

Q: Who do you see?

Adults only. Individual therapy only, no couples, family, or child therapy.

By our clinical care team, not a directory. Cigna & Aetna in-network. Same-week new-client openings at our Midtown Manhattan office & online.

Therapy that goes a layer deeper, for adults carrying anxiety, grief, postpartum, or the slow changes of adult life. In person and online across New York State. You don’t have to be in crisis to deserve care.

Get Matched This Week →

What is Therapy24x7?

The short answer

Therapy24x7 is a New York City therapy team. We provide weekly, insight-oriented individual therapy for adults, in person and online across New York State. We are in-network with Cigna and Aetna and provide superbills for out-of-network reimbursement.

The practical details

Same-week new-client openings are currently at our Midtown Manhattan office (141 East 35th Street) and online; our other NYC offices serve continuing clients. Individual therapy only, no couples, family, or child therapy. Founded in 2015 by Efrat Gotlib, LCSW, Founder & Clinical Director.

Insurance, in plain terms

In-network with Cigna and Aetna; we provide superbills for out-of-network reimbursement (OON: your therapist isn’t directly contracted with your insurance, so you pay the session fee and your plan reimburses a portion) with most major carriers.

What we treat and how

Most clients come in for anxiety or depression, but our clinicians work across the perinatal arc (pregnancy and the year after birth), fertility, grief, and dating patterns. Our primary approach is psychodynamic (we look at patterns from your past that show up in the present), with evidence-based methods woven in.

In-Network Insurance

In-network with Cigna and Aetna. Out-of-network plans get a superbill for reimbursement. Your cost depends on your individual plan, we’ll talk it through on the first call.

Learn More →

Same-Week Openings

No waitlists. Day, evening, and weekend appointments. Most clients begin within the week.

Book Your Free 15-Min Matching Call →

Insight-Oriented Therapy

Our clinicians are trained in psychodynamic and relational approaches, with evidence-based methods woven in, built for lasting change, not quick fixes.

Our Approach →

Researching for someone you love? Start with a 15-minute call and we’ll help you figure out the right next step, even if it isn’t us.

Postpartum, pregnancy, or trying to conceive? We see same-week perinatal and fertility openings with clinicians trained in maternal mental health. Perinatal therapy →

NYC

In-Person & Online Statewide

In-Network

Cigna & Aetna · Cost depends on your plan

Same-Week

New-Client Openings · Six-Week Rematch

2015

Founded · NY State Licensed Clinicians

15-min call

You speak with a member of our care team about what you’re bringing in.

Clinician matched

We pair you with the licensed clinician whose training and style fit your work.

First session within the week

If the fit isn’t right after six weeks, we rematch, quickly and without friction.

Why Therapy24x7

A thoughtful match, not another directory.

Therapy24x7 works as one coordinated clinical team. Our care team speaks with you first, then matches you to a licensed clinician based on your concerns, insurance, schedule, and what you want from the work. Individual therapy only, for adults. No couples, family, or child therapy.

Good therapy starts with the right pairing. Our care team reviews what you’re bringing in, the modalities likely to help, and which clinician’s style fits yours. Then we hand you off directly. No scrolling profiles. No guessing.

If the fit isn’t right after six weeks, we rematch, quickly and without friction.

Get Matched in 15 Minutes

Clinical Leadership

Efrat Gotlib, LCSW

Founder & Clinical Director · Therapy24x7 · NYC

Efrat founded Therapy24x7 in 2015 to build something the NYC mental-health landscape was missing: a clinical team that does deep, insight-oriented psychotherapy, and a care process that pairs each client with the right clinician from the first call.

About Our Practice →

What We Help With

You don’t have to be in crisis to benefit from therapy.

You may be functioning on the outside while feeling anxious, disconnected, overwhelmed, or unsure of what needs to change. Therapy gives you space to understand what is happening beneath the surface and begin moving forward with greater clarity.

Anxiety and overthinking

For the mind that keeps running even when everything looks fine.

Explore →

Depression and disconnection

When you are going through the motions and feel far from your own life.

Explore →

Dating and relationship patterns

The same argument, the same ending, the loop you want to understand.

Explore →

Grief and loss

Room for a loss others seem ready for you to be over.

Explore →

Pregnancy, postpartum and fertility

Support while conceiving, carrying, and in the year after birth.

Explore →

Burnout and life transitions

When the life you built stops fitting and you cannot say why.

Explore →

Our clients are New Yorkers in their 20s, 30s, and 40s: professionals, founders, parents, partners, navigating anxiety, depression, dating, grief, fertility, and the slow work of becoming who they want to be. You don’t have to be in crisis to deserve care. Many come to us for work and career stress, perfectionism, or burnout. We see clients in person in Midtown Manhattan and through online therapy across New York, in-network with Cigna and Aetna. Clients on the Upper East Side often meet with us online.

All adults welcome · LGBTQIA+ affirming · Culturally and religiously attuned care.

Get Matched →

Here is what keeps people in the work, well past the first session.

Why Clients Stay

We handle the structure so you can focus on the work.

Same-week start

Most clients have their first session within seven days of the matching call.

Six-week fit guarantee

If the clinician isn’t the right fit, we pair you with someone new, quickly.

Weekly 1-hour sessions

Consistent depth over time, not one-off appointments. Same clinician every week.

Licensed clinicians

All Therapy24x7 clinicians are licensed in New York State. LCSW, LMSW, LMHC, PhD, PsyD, LCAT.

Care team behind every match

You’re paired by a clinical care team, not a search filter or a database.

In their own words, lightly edited for privacy.

What Clients Say

Two ceramic tea cups on a wooden table, a quiet moment of conversation

Feedback from clients in person and online across New York State.

“The matching call actually mattered. They didn’t hand me a name, they explained why this clinician, for me. A year in, the work has been deeper than anything I’ve done before.”

Sarah K., Midtown · Anxiety + work pressure

“I came in for anxiety and ended up unpacking things I didn’t know were connected. Cigna covered most of it. I started within the week.”

Michael R., Online (Hudson Valley) · Cigna in-network

“I was five months postpartum and barely sleeping. They had someone for me within the week who actually understood matrescence.”

Jenna L., Online (Brooklyn) · Postpartum

Testimonials shared with permission and lightly edited for privacy. First names and identifying details modified. Individual results vary. Therapy outcomes depend on many factors. No specific outcome is promised or guaranteed.

Recent writing from our clinicians on what we see in session.

From the Practice

Clinical writing from our team on the patterns we see most in NYC adults.

Dating

The NYC Dating Loop and How Psychodynamic Therapy Breaks It

Anxiety

High Achievement or High Anxiety: The Case for Deep Psychotherapy

Grief

Executive Grief and Psychodynamic NYC

Frequently Asked Questions

The most common questions our care team hears on the first call.

Do you take insurance?

Yes. Therapy24x7 is in-network with Cigna and Aetna. For all other carriers, we provide superbills for out-of-network reimbursement. Out-of-network (OON) means your therapist is not directly contracted with your insurance: you pay the session fee, and your plan reimburses a portion based on your benefits.

Are sessions in person or online?

Both. We see clients in person and online across New York State. Same-week new-client openings are currently at our Midtown Manhattan office and online. Our other NYC offices serve continuing clients.

How quickly can I start?

Same-week openings are often available. Begin with a free 15-minute call with our care team. If the fit isn’t right after six weeks, we rematch.

How much do sessions cost?

Your cost depends on your individual insurance plan. If you have Cigna or Aetna, you’ll pay your plan’s standard copay. If you’re using out-of-network benefits, we provide a superbill so you can submit to your insurer for partial reimbursement. If you don’t have insurance or prefer private pay, our care team will walk you through session fees on your first call.

Who do you see?

Adults only. Individual therapy only, no couples, family, or child therapy.

Wherever this lands, the first step is the same.

Begin the work this week.

One free 15-minute call with our care team. A clinician matched for you. Same-week openings.

Offices: Midtown Manhattan · Chelsea · Upper West Side · Brooklyn Heights

Get Matched This Week →

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