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Filtered field notes — New York.

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private practice

What to Charge Per Session in NY/NJ/CT (and Why You're Probably Underpricing)

New York's average private-pay session runs about $176 — but after tax and overhead you keep only 55-65 cents on the dollar. The real ranges for NY/NJ/CT, the insurance-vs-private-pay math, and how to set (and raise) a rate without guilt.

Jul 23, 2026 Matthew Sexton, LCSW
private practice

Home, Suite, or Screen? A Therapist's Office Decision by Caseload Stage

Your office decision is a math problem disguised as an identity problem. Hourly sublease vs. monthly suite vs. home vs. fully virtual — the break-even math, the homeowner's-insurance trap nobody warns you about, and the cross-state licensing wall.

Jul 23, 2026 Matthew Sexton, LCSW
Personality Disorders

Narcissism and Predatory Real Estate in New York

A NY landlord's 400+ code violations led to jail time. How narcissistic, antagonistic traits drive predatory New York real estate, and how to protect yourself.

Apr 21, 2026 Matthew Sexton, LCSW
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Mental Wealth Solutions, Inc. is the company behind Couch Commons and VibeCheck.luxury. The VibeCheck.luxury EMR is in beta; email [email protected] for more information.

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