⚠️ If You Are In Crisis

Important: The mental health services provided by Auntie NY Counseling are NOT designed to address psychiatric emergencies, suicidal ideation, homicidal ideation, or situations requiring immediate intervention.

If you are experiencing a mental health crisis, please do NOT wait for your next therapy appointment. Use the crisis resources listed on this page immediately.

What Constitutes a Crisis?

• Thoughts of harming yourself or ending your life
• Thoughts of harming someone else
• Active hallucinations or delusions that impair functioning
• Severe panic attacks that you cannot manage
• Substance abuse or withdrawal that requires medical attention
• Any situation where you or someone else is in immediate danger

What to Do in a Crisis

1. Call 911 if you or someone else is in immediate danger
2. Call 988 for 24/7 suicide and crisis support
3. Go to your nearest emergency room for psychiatric evaluation
4. Call a trusted friend or family member to stay with you until help arrives

While I am committed to providing high-quality, evidence-based therapy, I cannot guarantee specific outcomes or results.

Therapy is a collaborative process that requires active participation, honesty, and commitment from both you and your therapist. Success depends on many factors, including:

• The nature and severity of your concerns
• Your willingness to engage in the therapeutic process
• External factors (life circumstances, social support, etc.)
• The therapeutic relationship and fit between client and therapist

Not everyone benefits from therapy in the same way or at the same pace. Some clients experience significant improvement quickly, while others require more time. If you feel therapy is not helping, please discuss this with me so we can adjust our approach or explore other options.

Your privacy is protected by HIPAA and professional ethics. However, confidentiality is not absolute. I am legally and ethically required to break confidentiality in the following situations:

• Imminent Danger to Self or Others: If you are at serious risk of harming yourself or someone else, I must take steps to prevent harm (e.g., notify authorities, contact emergency services)
• Suspected Child Abuse or Neglect: I am a mandated reporter and must report suspected abuse or neglect of children to Child Protective Services
• Suspected Elder/Dependent Adult Abuse: I am required to report suspected abuse or neglect of vulnerable adults
• Court Orders: If I am ordered by a court to release records or provide testimony, I must comply (though I will assert privilege when appropriate)
• Health Oversight Activities: Audits or investigations by licensing boards or government agencies

For more detailed information about confidentiality, please review our Privacy Policy.