Frequently Asked Questions

Therapy can help you in many ways beyond crisis management. It creates a safe, non-judgmental space to explore your thoughts, feelings, and behaviors. Through our work together, you can:

• Understand recurring patterns in your life
• Develop new coping strategies and resilience
• Improve your relationships and communication
• Gain clarity about your values and goals
• Support personal growth and self-actualization

Therapy is for anyone seeking to understand themselves better and live more aligned with their values.

I use an integrative, eclectic approach tailored to each individual's unique needs. I am trained in multiple evidence-based modalities:

• EMDR for trauma and PTSD (Eye Movement Desensitization and Reprocessing)
• DBT for emotional regulation and distress tolerance (Dialectical Behavior Therapy)
• IFS for understanding and harmonizing internal parts (Internal Family Systems)
• CBT for identifying and changing unhelpful thought patterns (Cognitive Behavioral Therapy)
• Somatic and mindfulness practices for body-mind integration
• Psychedelic integration therapy (IPI certified)

Rather than applying a one-size-fits-all approach, I tailor our therapeutic work to match your specific needs, goals, and communication style.

The therapeutic relationship is one of the most powerful predictors of success in therapy. I offer a free 15-minute consultation call so we can get to know each other and you can determine if you feel safe, heard, and understood.

During this call, you can ask questions about my approach, experience, and style. Trust your instincts—finding someone you feel genuinely comfortable with is essential. If we determine we're not the right fit, I'm happy to help you find a therapist who might be a better match.

The first session is typically 60 minutes and is designed for us to get to know each other. We'll:

• Discuss what brings you to therapy
• Explore your history and background
• Clarify your goals for our work together
• Discuss expectations and practice policies
• Develop a collaborative treatment plan

There's no pressure to dive deep into difficult material right away. The first session sets the foundation for our therapeutic relationship.

Yes, I offer secure, HIPAA-compliant telehealth sessions to anyone located anywhere in Connecticut. Virtual therapy offers the same quality and benefits as in-person sessions, with added flexibility and accessibility.

Many clients appreciate the convenience of meeting from home. You can also switch between virtual and in-person sessions based on your needs and preferences at any time.

Session Fee: $300 per session

Insurance: As of January 15, 2026, I am out-of-network with all insurance carriers. I provide superbills that you can submit to your insurance for out-of-network reimbursement—many clients are able to recoup a portion of the cost through their insurance.

Sliding Scale: I offer a sliding scale based on financial need. Please discuss this with me during your consultation.

Why Out-of-Network? I've chosen to remain out-of-network to maximize the time I can spend with you, minimize insurance restrictions, and maintain the highest level of privacy and confidentiality.

Yes, everything you share in therapy is confidential and protected by law. I am HIPAA compliant and bound by therapist-client privilege.

Limited Exceptions: There are limited exceptions to confidentiality, which I discuss with all clients:

• If you present a danger to yourself or others
• If there is suspected child abuse or neglect
• If I receive a court order

These exceptions exist to protect you and others. Your privacy and trust are fundamental to our therapeutic relationship.

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy that helps your brain process traumatic memories and experiences.

How It Works: Using bilateral stimulation (eye movements, tapping, or sound), we activate both sides of your brain to help integrate and reprocess difficult experiences. This process helps reduce the emotional charge and distress associated with traumatic memories.

Structure: EMDR follows an 8-phase protocol with extensive research supporting its effectiveness for PTSD and trauma. One of the benefits is that you don't need to go into extensive detail about your trauma—the therapy works at a deep neurological level.

I am EMDRIA certified and have extensive training in trauma-focused EMDR therapy.

Psychedelic integration therapy is support for individuals processing experiences with legal ketamine therapy or who have had experiences with MDMA, psilocybin, or other psychedelics.

My Credentials: I am IPI (Integrative Psychiatry Institute) certified and work within a harm reduction framework, supporting both preparation for and integration after these experiences.

Important Clarification: I do NOT prescribe, provide, or administer any substances. I help you make meaning of your experiences, integrate insights into your life, and address any psychological challenges that arise. All services are offered within legal and ethical boundaries.

Getting started is simple. Here are the steps:

1. Schedule a free 15-minute consultation by calling 203-654-9094 or emailing LCSW@robromano.com
2. Consultation call: We'll determine if we're a good fit and discuss your needs and goals
3. Intake forms: If you decide to move forward, I'll send you intake forms to complete before your first session
4. First session: You'll have your first 60-minute therapy session

You can also visit the Getting Started page for more information about intake, forms, and practice policies.

I strive to respond to all inquiries within 24-36 hours.