Virtual therapy for high-achieving women in New York, Florida, and Delaware
Virtual therapy for women who look like they’re handling it - and are tired of pretending.
You’re calm on the outside. You answer the texts and hit the deadlines. You show up for everyone. Underneath, your nervous system has been on high alert for as long as you can remember.
This is therapy that is direct, practical, and built for women who want their time in therapy to count.
You probably already know this about yourself.
You’re the one your family calls when something goes wrong. You were the kid translating at appointments, mediating between your parents, and managing things you were far too young to be managing. Your childhood taught you to instinctively read the room, and anticipate what other people needed before they had to ask.
That skill made you successful. It also made you exhausted. Now you’re in your career, maybe in a relationship, or with a family of your own, and you’re still doing it. Still scanning the room and answering “yes” while your body says “no”. By every measurable standard, you’re high-functioning, but you’re tired in a way sleep doesn’t fix, and most weeks the only person not getting your attention is you.
About Yadira
Yadira Fortunato, LCSW. Licensed in New York, Florida and Delaware. Trained in Accelerated Resolution Therapy. Based in the Hudson Valley, working with clients via telehealth.
I went to therapy because I wanted to know what it was like - not because I thought I needed it. I was in grad school for social work, raising my young son on my own, and living with my mom. From the outside, I was doing fine: I felt calm, I had good grades, life was under control.
I was surprised by what came up. I’d spend so many years being the responsible one to my family, in school, and for my son. It was my entire identity, and I couldn’t name how much I was carrying until someone made space for me to set it down for one hour a week. Soon, I felt lighter.
That’s the experience I want to give to the women I work with now. A place where we have real, guided conversations where you actually learn tools you can begin practicing the minute our call ends.
How I Work
Real conversations and practical tools to honestly address what’s getting in your way.
I don’t sit and nod. I’ll listen closely, and then tell you what I’m noticing. Sometimes that looks like addressing a pattern you’ve been living inside for so long you stopped seeing it. Sometimes it means offering a new mindset and asking you to try it out before our next session.
Most of my clients have already done therapy somewhere else. They liked it, or they didn’t, but they didn’t leave with much they could use. This is the work I am most interested in: therapy that translates into positive changes in your actual week.
A few things that shape how I work:
Sometimes, insight isn’t enough.
Understanding why you’re like this can be helpful. It doesn’t, on its own, change anything. I believe real change happens when you learn how to work with your nervous system: having language for what’s happening in your body, tools to interrupt the old patterns, and real practice doing things differently.
Therapy doesn’t have to be forever.
My job is to work toward you eventually not needing me. I want to help you build the kind of self-trust where therapy becomes optional.
I want you to feel ready to leave when you know it’s time, and to trust yourself enough to come back when you need to.
You don’t have to perform here.
A lot of high-functioning women have spent their whole lives being the put-together one. You can be the put-together one here, too, if you want.
You can also not be. Whatever’s actually going on in your world, that’s what we work to understand.
Ways to Work with Me
(Plus, a referral option for therapists.)
A Note for Therapists: Could your current client benefit from ART therapy?
If you’re a therapist working with a client who has hit a specific traumatic memory or stuck point that ART might help with, I offer focused adjunct sessions. Your client comes to me for the ART work, and returns to you for ongoing therapy.
01. Weekly or Bi-Weekly Therapy
For women who want ongoing support, want to build skills over time, and want a therapist who’ll keep it real with them.
Who’s it for: High-achieving women navigating anxiety, stress, perfectionism, family dynamics, immigrant realities, or the weight of always being the one who “handles it”.
Structure: 50-minute sessions, weekly or biweekly.
Fee: $185 per session, private pay. Aetna accepted.
Where: Telehealth in New York, Florida, and Delaware.
02. ART Intensives
For women who want focused, concentrated trauma work - not months of weekly sessions.
ART (Accelerated Resolution Therapy) is a structured approach to processing difficult memories and the symptoms that come with them. I offer a three-day intensive format: three hours per day, for three days, working through what’s keeping you stuck.
This is for you if you’ve been carrying something (a specific event, an ongoing pattern, something you’ve talked about in therapy before but never fully resolved) and you’re ready to do focused work in a shortened window. Every Intensive client receives a personalized pre-work guide before we meet. It's designed to help you arrive clear on what you're carrying and what you want to walk away with, so we hit the ground running on day one.
Who’s it for: Women who want shorter-arc work, who’ve done therapy before, who are clear about what they want to address.
Structure: Three-day intensive. Three hours each day.
Fee: Private pay. $2500 USD.
Where: Telehealth in New York, Florida, and Delaware.
03. Immigration Mental Health Evaluations
The immigration process asks you to tell your story in detail, sometimes the hardest parts of it, to people who don’t know you. A mental health evaluation is one piece of that process, and I know how much it can take to sit through it.
I provide virtual mental health evaluations for individuals navigating the U.S. immigration system: VAWA, asylum, extreme hardship waivers, U visa, and T visa cases. My job is to listen carefully, ask the questions that matter, and produce a report that presents your experience clearly and thoroughly, in a format designed to support your case alongside your attorney’s work.
This work is personal for me. I come from an immigrant family, and I understand what’s at stake when you are trying to build a life here, and prove that what you’ve been through is real.
Who’s it for: Individuals with active immigration cases who need a licensed clinician to conduct a mental health evaluation in support of their application.
Process: Two virtual sessions for the evaluation. Comprehensive written report returned to you and your attorney within three weeks. Expedited turnaround available.
Fee: Starting at $1250 USD. Expedited and complex cases priced individually.
A note for attorneys: I welcome referrals and work collaboratively with immigration counsel throughout the process. (Contact me directly.)
Testimonials
I have been a client for the past 2 years and couldn’t be more grateful for the support I received and progress I’ve made. Thank you!
Yadira is very comforting. I have been struggling with dating and self esteem since I was a teenager. She has a warm personality and easy to talk to.
Super comforting atmosphere. I’ve been going for the past 7-8 months and I feel absolutely amazing with myself. I would recommend!
Common Questions About Working with Me
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Yes, I’m currently accepting new clients for both weekly therapy and ART intensives. I work best with women who are ready to do the work, willing to try things between sessions, and looking for a therapist who’ll be honest with them. If that sounds like you, book a free consult.
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It depends on what you’re looking to get out of your therapy experience. Some clients see me weekly for several months. Some come for a few sessions while they navigate a big life change, or work through an old trauma. Some do an ART intensive and feel like they don’t need continued therapy. You get to decide the length of our relationship.
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I accept Aetna. Other insurances aren’t currently in-network.
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Answer: Yes. I’m licensed to practice in New York, Florida, and Delaware, which means I can see clients located in any of those three states. If you’re outside of NY, FL, or DE, I’m not able to work with you, but I’m happy to point you toward other resources. Just reach out.
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Therapy Intensives are for people who are ready for relief now. If you want to see real change in your life and your relationships but you don't want to wait months for that to happen, a Therapy Intensive might be right for you. You can come in with a specific topic, trauma, or stressor you want to focus on, and we build the entire experience around you and your goals.
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In a typical 50-minute session, you spend the first 5 to 10 minutes checking in and the last 5 to 10 minutes wrapping up. That leaves about 30 to 40 minutes for the actual work. A 3-hour Intensive gives you roughly 2.5 hours of deep, focused work. That's the equivalent of five 50-minute sessions, or more than a month of therapy, in a single day.
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Three days. I build each intensive around you and your goals, and that level of focused, customized work requires a minimum of three days to create real movement and change. That’s three hours per day, for three days: nine hours total.
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Yes. Intensives work really well alongside ongoing therapy. I would ask that you sign a Release of Information so your current therapist and I can coordinate and make sure we're supporting you well together.
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Both are research-supported approaches that use bilateral eye movements to help the brain reprocess difficult experiences, but they work differently in practice. ART is more structured and directive, which tends to produce faster results. Many clients notice meaningful shifts in just 1 to 5 sessions. ART also uses specific imagery techniques, like voluntary image replacement, that EMDR does not. And importantly, ART does not require you to describe your trauma out loud in detail.
Neither approach is better than the other. They are just different tools. ART tends to be a particularly strong fit for the Intensive format because of how efficiently it moves.
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A 50% non-refundable deposit is due when you book. The remaining 50% is due on the first day of your Intensive.
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Let's talk. Book a free consultation and I'll answer your questions, hear what's going on for you, and help you figure out whether an Intensive is the right fit.
Getting started with Think Out Loud Therapy
The first step to working together is a free consultation. No pressure to book a session, and no commitment beyond our call. You tell me what’s going on, and I’ll tell you if my approach could be the right fit for you. If we’re aligned, we select your desired therapy and go from there.
Contact Yadira
To contact Yadira, use the form here to send a message or find her at:
email: connect@thinkoutloudtherapy.com
phone: 914-353-0367