Therapy for
First Responders
Compassionate support for those who show up for everyone else.
The work you do is intense. Long shifts. High stakes. Constant alertness. Whether you’re responding to emergencies, witnessing trauma, or carrying the weight of other people’s worst days, it takes a toll — on your mind, your body, your relationships, and your sense of self.
At Avena, we offer therapy built specifically for first responders — no fluff, no judgment, no explaining what the job is like. We get the culture, the pressure, the silence, and the stigma. And we create space for you to offload, process, and breathe.
This isn’t about “fixing” you — it’s about helping you make sense of what you’ve been through and what you’re still carrying. Together, we’ll sort through the stress, the exhaustion, and the moments that stick with you long after the call ends.
Therapy here is confidential, real, and grounded in the belief that strong doesn’t have to mean silent. You’ve spent your life showing up for others — we’re here to help you show up for yourself.
Here's what we'll work on in therapy:
Processing the critical incidents, close calls, and images that don’t leave easily
Learning how to turn off “work mode” and reconnect with yourself and those you love
Navigating burnout, compassion fatigue, and the slow creep of emotional numbness
Naming the stress you’ve been minimizing — and understanding how it’s showing up in your body and behavior
Building tools to manage hypervigilance, sleep issues, and constant adrenaline spikes
Reclaiming a sense of purpose, balance, and control outside the uniform
Real People. Real Expertise. Real Change.
At Avena Psychological Services, we offer holistic, individualized therapy designed to help you understand yourself more deeply and create meaningful, lasting change. Our licensed psychologists tailor each session to your specific concerns and goals, drawing from your full life experience—including your childhood, culture, relationships, physical health, and personality. Whether you’re struggling with depression, relationship challenges, or feeling stuck in patterns that no longer serve you, therapy can help you break your issues down into manageable pieces and begin moving forward. Left unaddressed, mental health concerns can impact every area of life—from work and school to physical health and relationships. But with the right support, you can shift your mindset, make empowered choices, and experience real transformation.
Virtual Mental Health Therapy Tailored For Your Comfort
Video Call Therapy
Online therapy conducted via Zoom. Video meetings allow you to see your therapist from the comfort of your preferred location.
Phone Therapy
Full service therapy conducted via a phone call. Have full conversation with your therapist without the need to be seen.
Concierge Therapy
Personal appointments can be tailored to special locations through a prior approved agreement with Dr. Avena.
Frequently Asked Questions
What Insurances Do You Take?
- Blue Cross Blue Shield
- Aetna
How Do I Verify My Out of Network Benefits?
We make it simple to get the care you deserve — whether we’re in-network with your insurance or not.
If you don’t see your insurance provider listed, you can still work with us through your out-of-network benefits.
Here’s how it works:
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In-Network Benefits mean we have a direct relationship with your insurance company, and your coverage typically applies automatically.
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Out-of-Network Benefits mean you can still receive therapy with us — you may just pay upfront and get reimbursed by your insurance provider later.
If you have out-of-network coverage, we’ll submit claims on your behalf to make the reimbursement process as easy as possible. Any reimbursements will go directly to you.
Not sure if you have out-of-network benefits?
Simply call the customer service number on your insurance card and ask about your mental health coverage for out-of-network providers. Our team is also happy to help guide you through the next steps if you need support.
Prefer to Self-Pay?
We offer flexible options, including reduced rates. Reach out — we’ll find the right fit together.
What’s the Difference Between In-Network and Out-of-Network Benefits?
When you use in-network benefits, we have a direct agreement with your insurance company. You’ll typically pay less out-of-pocket, and billing is handled for you. However, you’re limited to therapists within your plan’s network, and not all services may be fully covered.
When you use out-of-network benefits, you have more flexibility to work with therapists outside your insurance network — like us. You’ll usually pay upfront, but you may be eligible for reimbursement. We submit claims on your behalf to make the process easier.
If you’re unsure about your out-of-network coverage, check with your insurance provider or reach out to us — we’re happy to guide you through it.
Schedule An Appointment
Phone
212-906-4495
therapy@avenapsych.com
Mailing Address
99 Wall Street #4424 New York, NY 10005