Andrea Lynn Piazza
Services

Therapy, assessment and the paperwork that comes with them.

Everything is by video for adults located in Alaska, California, Colorado, Florida, Massachusetts, Michigan, New York or Washington. If you're not sure which of these you need, that's what the free consult is for.

01

Individual therapy

For adult ADHD and AuDHD, childhood trauma and complex PTSD, narcissistic and emotional abuse recovery, burnout, perfectionism and people-pleasing. Also relationships with family, breakups and feeling stuck. These usually show up together, so we work on them together.

I draw on DBT, ACT, Cognitive Processing Therapy, attachment-focused work, trauma narrative, parts work (IFS-informed) and creative approaches where they fit. Therapeutic body doubling is available when it would actually help you get something done.

60-minute sessions · weekly or every other week

Narcissistic abuse recovery
02

EMDR therapy

EMDR helps the brain reprocess memories that still feel present, so they stop setting off the same alarm. It works well online. With complex trauma we spend time on stability first; nobody gets rushed into the hardest memory in week two.

More about EMDR
03

Ketamine-assisted psychotherapy

KAP is offered in partnership with BetterU. BetterU's clinicians handle medical screening, prescribing and monitoring. I do the therapy: preparation before, support around the session, and integration afterwards so the experience turns into change you can use.

KAP isn't right for everyone, and medical eligibility is decided by BetterU. We can talk through whether it makes sense for you at the consult.

More about KAP
04

Adult ADHD, autism and OCD assessment

A diagnostic assessment by video, using clinical interviews, standardized measures and your history. You get a written summary and a plain-language explanation of what it means. Many women are assessed for the first time in their thirties because the screening tools were built around boys; I account for masking.

When clinically appropriate, I also provide documentation for workplace or school accommodations, FMLA and emotional support animals. FMLA and ESA documentation requires therapy with me at least once a month, so it reflects ongoing care. Letters are $150 per purpose, separate from sessions. I don't sell same-day letters.

More about assessment FMLA and ESA letters
05

OCD and ERP

I provide exposure and response prevention for OCD. When someone needs more intensive ERP than weekly sessions allow, I coordinate with NOCD for the exposure work and keep seeing you for everything around it.

More about OCD and ERP
06

Eating disorders and ARFID

I see adults with ARFID, and adults stepping down after discharge from an IOP or higher level of care. I worked in eating disorder treatment for years, and outpatient continuity after a program ends is often the part that's missing.

More about eating disorders and ARFID
07

ADHD coaching

Practical, skills-focused sessions on planning, time, follow-through and building systems that survive a bad week. Coaching can be its own thing or folded into therapy.

08

Supplements and lab testing

Optional, for clients who want it. Through Fullscript I can recommend professional-grade supplements and arrange lab tests, with medical supervision provided by Fullscript's clinicians. It's useful if you don't have regular primary care or prefer to try this alongside, or instead of, medication. It doesn't replace medical care.

Fees and insurance

15-minute consult
Free
Initial assessment
$200
Therapy or coaching, 60 minutes
$180
Diagnostic assessments
Quoted at consult
FMLA, ESA and accommodation letters
$150 per purpose

Insurance. I'm in network with Anthem, Aetna and United through Alma. For other plans I provide superbills you can submit for out-of-network reimbursement.

Good Faith Estimate. If you pay without insurance, you have the right to an estimate of expected costs. Read the notice.

Not sure what you need?

Book the free consult and tell me what's going on. I'll tell you what I'd recommend, including if it's someone else.

Book a free consult