Therapy in NYC that gets to the cause, not just the symptom this week.
For working adults running on anxiety, burnout, relationship loops, fertility decisions, postpartum, perimenopause, or the slow-burn version of all of the above. We don’t just manage the bad day. We work on what’s producing it, so the shift stays.
Talk to our care team.
15 minutes. No card. No commitment. We listen, then match you to one of our clinicians.
Start with a 15-minute callIn-network Cigna + Aetna | Same-week start for most clients | In office in Midtown Manhattan or face-to-face online statewide across New York.
Therapy24x7 is a NYC team of licensed clinicians for working adults dealing with anxiety, burnout, relationship patterns, fertility, pregnancy, postpartum, perimenopause, depression, and life transitions. We work weekly with the same clinician on what’s actually producing the symptom, not just the symptom this week. In-network with Cigna and Aetna. Out-of-network superbill upon request for everyone else. In office in Midtown Manhattan or online statewide in New York.
The point isn’t the session. The point is what stops running your life between sessions.
Most of our clients didn’t come in because they wanted to talk about their feelings. They came in because something kept happening, and they were tired of it happening. This is what often shifts when the work goes underneath the symptom.
The anxiety stops running your Sundays.
The pre-week dread loses some of its grip. You can read a book, see a friend, take an actual day off, without the Monday simulation playing in the background.
You stop dating the same person in different bodies.
The pattern that picked them becomes visible. So does the part of you that keeps reaching for it. That changes who you can choose, and who you can stay with.
Work stops feeling like a hostage situation.
The “if I stop performing I disappear” engine gets named. Productivity stops being identity. The job stays. The grip loosens.
You can take in a compliment again.
The internal voice that translates every kind thing into “they don’t really know me” starts to lose its monopoly. Praise lands instead of bouncing off.
The thing you’ve been avoiding starts feeling possible.
The hard conversation. The career move. The decision about kids. The boundary with your mother. What was paralyzed becomes a thing you can think about without a stress response.
You learn what your nervous system has been doing for you.
The overthinking, the people-pleasing, the perfectionism, the shutdown. Each one was protecting something. When you see what, you stop fighting yourself.
These are shifts our clients commonly describe. Therapy is not a contract for a specific outcome. What changes, and at what pace, is shaped by you and the therapy.
You’ve probably tried a lot before you got here.
The meditation app. The breathwork challenge. The self-help book your sister sent. The CBT package that gave you eight sessions and a worksheet. The friend who said you should just go to the gym. The therapist you saw twice and didn’t go back to. The supplements. The journaling. The podcast about boundaries.
Some of those help. Most of them work on the surface: the symptom you can feel today. The bad day of anxiety, the bad week at work, the fight with your partner. They give you a tool for the moment.
The reason it doesn’t stick is that the thing producing the worst moments is still running underneath. The pattern that picks the partner. The internal voice that ties your worth to what you produce. The early imprint that made closeness feel dangerous. The story you have about needing to be needed. None of that gets touched by an eight-week skills course.
So what’s different here?
We work weekly, with the same clinician, on what’s underneath. Not just the bad week. The pattern producing the bad week. When the pattern starts shifting, the worst moments stop being the whole conversation. That’s the kind of therapy we do. The clinical name for it is insight-oriented psychotherapy: therapy that works on the underlying material, not just on coping with this week’s version of it.
If several of those attempts sound familiar, say so on the call. That history is exactly what our care team listens for.
The format isn’t an accident. It’s what makes the work possible.
Patients ask us why we don’t offer once-a-month or text-based or as-needed. Here’s the honest answer.
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01
Trust takes a rhythm, not a single session.
The harder material, the things you haven’t said out loud, doesn’t show up on day one. It shows up when the relationship feels safe enough to hold it. That requires showing up regularly, with the same person.
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02
The pattern shows up across weeks, not in a single hour.
You don’t see the loop when you’re inside one instance of it. You see it when you’ve described three versions of the same fight to the same person. That requires continuity.
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03
Same clinician means you don’t restart your history every session.
Your therapist already knows the family, the job, the partner, the patterns. Each session picks up where the last one left off. You spend the hour on what you came in for, not on the recap.
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04
One hour is the right size to get under the surface.
Fifteen minutes is a check-in. An hour is enough time to settle, get past the small talk, and reach the underlying material underneath the headline.
The pace inside therapy is yours. The rhythm is ours.
The journey is named. The clock is not.
We don’t promise weeks-to-relief, and we don’t sell a program. We can name the shape therapy tends to take. The pace is yours. We hold the rhythm.
Naming the pattern
Together we name the loop you’ve been inside. The shape of the anxiety. The structure of the burnout. The version of the relationship that keeps repeating.
Seeing it as it happens
You start catching it in real time. In session, you watch yourself doing it. Outside, between sessions, you notice it earlier. Recognition is a real change.
Choosing differently
When the pattern starts, there’s a gap. You can stay in the old move or pick something else. That gap is what changes the rest.
The pace is yours. We hold the rhythm.
Specific lives, not a generic “everyone.”
We’re a NYC team of licensed clinicians for working adults. These are the actual reasons people come in. Each links to a deeper page if you want to read more.
Generalized, social, performance-related, the kind that wakes you up at 4 AM. The Sunday dread version too.
When you’ve outgrown the role that built you, when rest doesn’t restore, when the job is shaped like your self-worth.
The internal critic, the people-pleaser, the version of you that keeps picking the same partner in a different jacket.
The grief of trying, the math of treatment, the emotional load of “we’re still not sure.” For couples and individuals.
The hormonal, financial, and emotional weight of cycle after cycle. Therapy that holds the whole thing.
The “do I, don’t I, when, with whom” decision space. Real therapy, not a coaching session.
Anxiety during pregnancy. Identity shifts. The version of you that’s forming alongside the baby.
The first year. The mood shift. The rage no one warned you about. The marriage tension. The identity loss.
The longer journey. Who you were. Who you are now. The version of you that doesn’t fit the old life anymore.
The mood, sleep, anxiety, and identity shifts of the transition. Therapy that knows this isn’t “just hormones.”
The longer journey of being a woman in adulthood. Therapy that knows the chapters and the carry-over.
Low-grade, persistent, “I’m functioning but something’s off.” Career changes, breakups, loss, the next chapter.
If one of these lives looks like yours, fit is a 15-minute conversation away.
The logistics shouldn’t be the reason you don’t start.
We’ve built the practical side around the lives of working adults in New York. The work itself is depth therapy. The way you access it is unfussy.
Cigna and Aetna, billed directly.
We bill your plan. You pay the copay your plan defines.
All other carriers, superbill provided.
Every session. We give you the document to submit for your plan’s out-of-network reimbursement.
In office in Midtown, or online statewide in New York.
Meet you where you are: the day at the office, the day from home, the day you’re in court, the day after a baby.
Book the 15-minute call at 11 PM on Sunday if that’s when you’re ready.
Our scheduling is online, all day, every day. You don’t have to wait for office hours to take the first step.
First session typically within about a week of the matching call.
For most new clients. We don’t want momentum to die in a six-week intake queue.
If the first clinician isn’t the right fit, we re-match inside our team.
Inside the first six weeks, at no extra cost. Your history travels with you. You don’t restart from zero.
Plain English. One paragraph.
Cigna and Aetna: we’re in-network. We bill the plan. You pay the copay your plan defines. Every other carrier: we’re out-of-network and can provide a superbill upon request, which you submit to your plan for out-of-network reimbursement. What we do not do: we don’t verify your benefits for you. You call your insurance, and we give you the exact questions to ask so you walk out with the real numbers. Cost depends on your individual plan. We don’t publish a flat session rate because there isn’t one that’s honest. See the Cigna coverage guide or the full insurance page for more.
Here is what that looks like in practice.
Composite stories from the people we work with.
Names, ages, and details are composite. Each is a blend of the common stories we hear, shared with permission and lightly edited for privacy.
“I had tried meditation, a CBT app, and one round of short-term therapy. The Sunday dread always came back. Working weekly with the same clinician was the first time the conversation got under the actual fear instead of just managing the worst moments. I still have anxiety. It doesn’t run my week anymore.”
Composite. Shared with permission and lightly edited for privacy.
“I came in because I couldn’t rest. I left every weekend feeling like I had run a marathon I never signed up for. We worked on what made me believe I had to keep producing to be okay. The job didn’t change. My relationship to it did.”
Composite. Shared with permission and lightly edited for privacy.
“My reproductive endocrinologist handled the medicine. My therapist held the rest. The grief between cycles. The decision-making with my husband. The version of me that was disappearing into the protocol. I don’t know how I would have done the year without weekly therapy.”
Composite. Shared with permission and lightly edited for privacy.
“I came in saying my dating life was a disaster. What I learned was that the same script kept casting me. Once I could see it, I could write something else. I’m in a relationship now that doesn’t feel like the old movie.”
Composite. Shared with permission and lightly edited for privacy.
“After the baby, I felt like I had been replaced by a stranger who was also exhausted. Therapy gave me back access to myself. Not the pre-baby version. A real version that included her, and the baby, and the marriage.”
Composite. Shared with permission and lightly edited for privacy.
“My doctor handled the medical side. My therapist handled the rest: the rage, the identity shift, the version of my marriage that wasn’t working anymore. I needed someone who didn’t reduce it to hormones. That’s what I got.”
Composite. Shared with permission and lightly edited for privacy.
A team of licensed clinicians, all doing the same kind of work.
Our team holds licensure across the clinical spectrum: LCSW (Licensed Clinical Social Worker), LMSW (Licensed Master Social Worker), LMHC (Licensed Mental Health Counselor), PhD, PsyD, and LCAT (Licensed Creative Arts Therapist). Different paths, same training in the kind of therapy we do.
You don’t browse bios and pick. Our care team listens on the 15-minute matching call, then places you with the clinician we think fits the work you’ve described. Then you stay with that clinician each week. If the fit isn’t right in the first six weeks, we re-match inside our team, no restart. The point is the work, not the search.
Efrat Gotlib, LCSW
Efrat founded Therapy24x7 in 2015 to build the kind of psychotherapy practice she had wanted to refer her own clients to: depth-focused, licensed clinicians, weekly work with the same person, clear billing, and a real care team between you and the first session. She is a Licensed Clinical Social Worker with over fifteen years of practice in New York.
She leads our clinical team, holds the standard for how we work, and contributes to how new clinicians come into the practice. The voice on the website is the voice of the practice she built, not a single therapist.
Therapy24x7 LCSW PLLC · NPI 1457919722 · New York State Registered LCSW PLLC
Where we work
In office in Midtown Manhattan or face-to-face online statewide, plus secure online sessions statewide in New York.
141 E 35th Street
New York, NY 10016
116 W 23rd Street
New York, NY 10011
180 W 80th Street
New York, NY 10024
186 Montague Street
Brooklyn, NY 11201
Online sessions are available statewide in New York for all openings, regardless of office. Hours: Mon–Fri 7 AM to 10 PM, Sat–Sun 9 AM to 5 PM.
What you don’t pay for, to find out if this fits.
The 15-minute matching call with our care team is free. No card, no commitment, no clinical work on the call. We listen, we ask a few questions, we tell you honestly whether we’re the right place. If we’re not, we’ll say so.
If we match you and the first clinician turns out not to be the right fit, we re-match inside our team in the first six weeks at no cost. The wrong fit isn’t your problem to solve. It’s ours.
Talk to our care team. 15 minutes. No card. No commitment.
You don’t need to know what your “issue” is, what kind of therapy you want, or whether you’re a good candidate. That’s the call’s job.
Online booking is available 24/7. Phone is answered during business hours.
We work with clients in nine languages.
Some things only arrive in a first language. Therapy24x7 is an NYC group practice, and our clinicians work with clients in the languages below, in person across our offices or by secure video statewide. Tell us the language on the free matching call and we place you with the clinician who works in it.