New York · Delaware · Florida · English & Español
You've carried
a lot to get here.
This is where you finally put it down.
Individual therapy and psychological immigration evaluations for adults who are done pushing through alone.
Two areas of expertise.
One dedicated practice.
Individual Therapy
If you've spent your whole life being the capable one — the one who figures it out, holds it together, and never asks for help — this work is for you.
I specialize in working with high-achieving adults, many of them children of immigrants or first-generation Americans who learned early that survival meant performing, adapting, and pushing through. Using Acceptance and Commitment Therapy (ACT) and Accelerated Resolution Therapy (ART), I help clients move through anxiety, trauma, and burnout — not by reliving the past, but by changing how it lives in the body.
- Anxiety, overthinking & perfectionism
- Trauma & PTSD
- Depression & panic attacks
- Parentification & people-pleasing
- Burnout & chronic overachieving
- Cultural identity & code-switching
- Immigrant family dynamics
- Life transitions & relationship patterns
Psychological Immigration Evaluations
The immigration process is one of the most high-stakes experiences a person can go through. A well-written psychological evaluation can make a real difference in someone's case — and I take that seriously.
I provide thorough, professionally written, legally defensible psychological evaluation reports for a range of immigration matters. Every report is grounded in clinical expertise, cultural competence, and an understanding of what immigration courts and attorneys need.
- Extreme Hardship Evaluations (I-601 / I-601A)
- U-Visa Psychological Evaluations
- VAWA Evaluations
- Asylum Evaluations
- T-Visa Evaluations
- Cancellation of Removal Evaluations
For the ones who
learned to carry it all.
You grew up fast. Maybe you were translating at the doctor's office before you were in middle school. Maybe you mediated your parents' stress, your siblings' needs, and somehow still got good grades, kept it together, and made everyone proud.
You figured out how to fit into spaces that weren't built for you. You learned to read every room. You became fluent in more than one language — and more than one world. That is not a small thing. But it came at a cost.
The bill tends to show up in your adult life as anxiety that doesn't quit, the feeling that you can never do enough, trouble slowing down, and an exhaustion that sleep doesn't fix. You do not have to keep running on fumes.
This sounds like me — let's talk
Think out loud. Live with clarity.
Accelerated Resolution Therapy (ART)
ART uses guided bilateral eye movements to help your brain reprocess distressing memories — without requiring you to relive them in detail. It works faster than traditional talk therapy and is particularly effective for trauma, PTSD, panic attacks, phobias, and depression. Many clients feel a noticeable shift within a handful of sessions.
Acceptance & Commitment Therapy (ACT)
ACT helps you stop fighting your inner experience and start building a life that actually reflects your values. Rather than trying to eliminate anxiety or difficult thoughts, we work on changing your relationship to them — so they have less power over your choices and your sense of self.
Culturally Responsive Care
I specialize in the particular experience of growing up between two cultures — the pride, the pressure, the grief, and the complexity of navigating spaces that were never designed with you in mind. You don't have to explain your background from scratch. I already understand the terrain.
Hi, I'm Yadira.
I've been a Licensed Clinical Social Worker since 2012. Over the past decade, I've worked with adults navigating trauma, anxiety, depression, and the specific kind of exhaustion that comes from growing up in a family that needed you to be capable before you were ready.
A significant part of my practice is dedicated to working with the adult children of immigrants — first-generation Americans who grew up translating, adapting, and performing in environments that weren't always built with them in mind. These are high-achieving people who, from the outside, look like they have it together. On the inside, they're running on anxiety and running out of room.
I created Think Out Loud Therapy because I believe healing doesn't have to be a slow, indefinite process. I also provide psychological immigration evaluations as a separate professional service — bringing the same rigor, care, and cultural sensitivity to every report I write.
I am bilingual in English and Spanish. Immigration evaluations are available in both languages. I'm licensed in New York and hold telehealth licenses in Delaware and Florida.
```Straightforward pricing.
No surprises.
Individual Therapy
Per 60-minute session. Sessions are always the full hour.
Insurance Accepted:
- Aetna
- Blue Cross Blue Shield (New York)
- UMR / Mount Sinai Health Plan
Out-of-Network & Super Bills
If your insurance isn't listed, you may still receive partial reimbursement through out-of-network benefits. I provide a superbill after each session and use Thrizer to submit it on your behalf — handling the back-and-forth with your insurance so you don't have to.
Policies
24-hour notice required to cancel. A $100 fee is charged for late cancellations or no-shows.
$1,250 · 3-week turnaround · Expedited available
You've been strong
for a long time.
You're allowed to ask for help.
Book a free 15-minute consultation. No commitment, no pressure. Just a real conversation.
Book Your Free Consult