Frequently Asked Questions

Very likely, yes. Roughly one in three men will experience a sexual health concern at some point in their lives — ED, ejaculation issues, low desire, performance anxiety, all of it. What isn't normal is having nowhere to talk about it, which is what this practice exists to fix.

Yes, within the standard legal limits every mental-health clinician operates under — imminent risk of harm to yourself or someone else, abuse of a minor or vulnerable adult, or a court order. Outside of those, what you say in the room stays in the room.

No. Most men come alone the first time, and a lot of the work stays individual. If a partner is part of the concern, we can bring them in for one or two focused sessions later, or run a parallel couples track — but there is nothing to schedule together up front.

It depends on what you're working on. A specific behavioral concern can move in six to twelve sessions. Deeper relational work or long-standing patterns usually run several months. We set goals at the start and check in on progress regularly, so you're not paying to drift.

Paul is licensed in New York (LMHC) and Connecticut (LPC), which means he can see clients physically located in either of those states during the session. Where you live is less important than where you are when you log in. If you travel, tell the practice so any session in another state can be handled correctly.

That's the single most common feeling on a first call, and it drops noticeably within the first ten or fifteen minutes. Paul has heard every version of what you're carrying. You do not have to have the perfect sentence ready. You can start sideways and get to it.

No. Roughly half the practice is general psychotherapy for men — anxiety, depression, relationships, transitions — and half is sex therapy. Many men come in for one and end up working on both, because they turn out to be tangled together.

No. Paul is a licensed therapist, not a physician. When medication is part of the picture — ED medication, antidepressants, hormone questions — we coordinate with your prescribing doctor. If you don't have one and need a referral, Paul can often point you in the right direction.

When it's warranted, yes. This is not a practice that runs on silent nodding. Paul is direct, gives real feedback, and will tell you when he thinks a specific course of action is worth trying. He'll also be direct when he thinks something you're planning is a bad idea. That said, the choices are yours.

It's worth bringing that history in early. Some men have had prior therapy that was too passive, or too diffuse, or with a clinician who wasn't comfortable in this material. Naming what didn't work last time helps make sure we don't repeat it.

Sessions are out-of-network for all insurance companies. You receive an itemized superbill after each session with the codes your insurer needs to reimburse you at your out-of-network rate. See the Fees & Insurance page for the full explanation.

Through the Contact page or the Talk to Paul button anywhere on the site. Payment is at booking. You'll get a confirmation with the intake forms and a link to the secure telehealth room.