Therapists in Old Greenwich, CT

People seek therapy for many reasons. Lifelong struggles or new life events that leave you feeling overwhelmed, sad or stuck might have you considering therapy. Were you or someone in your life diagnosed with a life changing illness? Have you been coping with your sadness and stress by drinking too much? Or have you been struggling with an internal conflict that is leaving you with many different feelings such as loneliness, depression, or anxiety? Therapy can help you find peace and provide long lasting benefits to you and your relationships.
People seek therapy for many reasons. Lifelong struggles or new life events that leave you feeling overwhelmed, sad or stuck might have you considering therapy. Were you or someone in your life diagnosed with a life changing illness? Have you been coping with your sadness and stress by drinking too much? Or have you been struggling with an internal conflict that is leaving you with many different feelings such as loneliness, depression, or anxiety? Therapy can help you find peace and provide long lasting benefits to you and your relationships.

As an experienced clinician with over 25 years experience, I strongly feel that the relationship is a vital part of the therapeutic process and have a deep commitment to helping my clients reach their fullest potential. I have had a multitude of successful outcomes using evidence based treatment modalities to assist clients suffering with anxiety, depression and various life transitions. I feel privlidged to have the opportunity to work with you and to help you develop your stengths and create strategies to help you overcome any obstacles that may be preventing you from reaching your fullest potential.
As an experienced clinician with over 25 years experience, I strongly feel that the relationship is a vital part of the therapeutic process and have a deep commitment to helping my clients reach their fullest potential. I have had a multitude of successful outcomes using evidence based treatment modalities to assist clients suffering with anxiety, depression and various life transitions. I feel privlidged to have the opportunity to work with you and to help you develop your stengths and create strategies to help you overcome any obstacles that may be preventing you from reaching your fullest potential.

I am a licensed clinical social worker. I have experience working with depression, anxiety, substance abuse, and eating disorders, . I work with clients who seek to explore their thoughts and emotions, how these feelings and thinking patterns connect to their experiences, and understand overall impacts on quality of life. My clients work to develop healthy coping mechanisms through self-reflection and therapeutic connection to better navigate their relationships, emotions, and life stressors. I would love to work together to create healthy coping skills, enhance interpersonal relationships, and improve quality of life.
I am a licensed clinical social worker. I have experience working with depression, anxiety, substance abuse, and eating disorders, . I work with clients who seek to explore their thoughts and emotions, how these feelings and thinking patterns connect to their experiences, and understand overall impacts on quality of life. My clients work to develop healthy coping mechanisms through self-reflection and therapeutic connection to better navigate their relationships, emotions, and life stressors. I would love to work together to create healthy coping skills, enhance interpersonal relationships, and improve quality of life.

Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.

Rachel Alfandre
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Old Greenwich, CT 06870
I am a psychotherapist (LCSW) who works with individuals, couples and families on a wide range of issues. I have extensive experience treating depression, anxiety disorders, relationship issues, divorce and parenting issues. From my work in hospitals and community mental health clinics, I also have a background in psychiatric diagnosis, and assessment of an individual client's need for psychiatric medications.
I am a psychotherapist (LCSW) who works with individuals, couples and families on a wide range of issues. I have extensive experience treating depression, anxiety disorders, relationship issues, divorce and parenting issues. From my work in hospitals and community mental health clinics, I also have a background in psychiatric diagnosis, and assessment of an individual client's need for psychiatric medications.

Why do people seek therapy? Either something has just happened or something KEEPS happening...We usually know when we need to talk to someone professionally, but sometimes we resist reaching out; pride, shame, family beliefs can postpone this call. I encourage this first step, interview your therapist and find the person best suited for you.
Why do people seek therapy? Either something has just happened or something KEEPS happening...We usually know when we need to talk to someone professionally, but sometimes we resist reaching out; pride, shame, family beliefs can postpone this call. I encourage this first step, interview your therapist and find the person best suited for you.

It is not easy to keep mentally on track. Has the Covid 19 pandemic and all of the enormous fears generated with health, work, the economic future of the country put you on a high stress level? These difficulties or adjustment issues can add up and seriously effect your ability to function and your quality of life. I have had a great deal of experience working with adults suffering from anxiety, panic, low self-esteem, depression, addiction, and work related issues. I also enjoy working with late teen and college kids and the adjustments they face. Call me and we can discuss working together towards achieving mental wellness.
It is not easy to keep mentally on track. Has the Covid 19 pandemic and all of the enormous fears generated with health, work, the economic future of the country put you on a high stress level? These difficulties or adjustment issues can add up and seriously effect your ability to function and your quality of life. I have had a great deal of experience working with adults suffering from anxiety, panic, low self-esteem, depression, addiction, and work related issues. I also enjoy working with late teen and college kids and the adjustments they face. Call me and we can discuss working together towards achieving mental wellness.

I work with adolescents, teens, emerging adults and adults who are seeking treatment for mood disorders (anxiety and depression), rumination (overthinking), assistance in social environments and relationships, management of impulsivity and development of healthy coping mechanisms. My approach to treatment is guided by behavioral interventions, making treatment very action-oriented, educational in nature and effective in working towards mutual goals. I have created a unique teaching system that allows sessions and treatment to be anchored in pragmatic, tangible lessons with use of a virtual whiteboard.
I work with adolescents, teens, emerging adults and adults who are seeking treatment for mood disorders (anxiety and depression), rumination (overthinking), assistance in social environments and relationships, management of impulsivity and development of healthy coping mechanisms. My approach to treatment is guided by behavioral interventions, making treatment very action-oriented, educational in nature and effective in working towards mutual goals. I have created a unique teaching system that allows sessions and treatment to be anchored in pragmatic, tangible lessons with use of a virtual whiteboard.

We all face challenges that can sometimes seem overwhelming. Are you negotiating life changes? Are you trying to reduce depression, anxiety, stress, or loneliness? Are you in a relationship that you wish was bringing you both more joy? I will partner with you in a safe supportive environment to help you overcome these challenges and realize your goals. My approach is highly personalized. I will collaborate with you to build upon your strengths and avoid the negative behavior patterns that hold you back. You are a unique person, with unique needs, and I fully respect that. When it comes to therapy, one size does NOT fit all.
We all face challenges that can sometimes seem overwhelming. Are you negotiating life changes? Are you trying to reduce depression, anxiety, stress, or loneliness? Are you in a relationship that you wish was bringing you both more joy? I will partner with you in a safe supportive environment to help you overcome these challenges and realize your goals. My approach is highly personalized. I will collaborate with you to build upon your strengths and avoid the negative behavior patterns that hold you back. You are a unique person, with unique needs, and I fully respect that. When it comes to therapy, one size does NOT fit all.

Navigating life’s challenges is no easy pursuit. At times we don’t feel we have the skills or resources to cope successfully, especially without support. My clients are individuals, couples and families seeking therapy for anxiety, depression, grief, trauma as well as relationship challenges and difficulty associated with life transitions, communication struggles, (co)parenting skills. As a relational therapist I believe that every person, and relationship, has the potential for growth and positive change and I want you to feel empowered to take the steps toward the life you want to be living.
Navigating life’s challenges is no easy pursuit. At times we don’t feel we have the skills or resources to cope successfully, especially without support. My clients are individuals, couples and families seeking therapy for anxiety, depression, grief, trauma as well as relationship challenges and difficulty associated with life transitions, communication struggles, (co)parenting skills. As a relational therapist I believe that every person, and relationship, has the potential for growth and positive change and I want you to feel empowered to take the steps toward the life you want to be living.

Pamela Sperling, LPC
Licensed Professional Counselor, MA, EdM, LPC
Verified Verified
Old Greenwich, CT 06870
My 27 years of experience as a counselor places me in a unique position to understand the complexities, struggles, and frustrations that often accompany the ever changing landscape of our lives. Sometimes these changes are the result of fluctuations in our relationships, or alterations in our environment, and sometimes, they're the re-emergence of old behaviors that may have been a stumbling block in the past. At other times, your life might suddenly lead you to a place where your problem is simply the need for a new "game plan", in order to facilitate greater achievement.
My 27 years of experience as a counselor places me in a unique position to understand the complexities, struggles, and frustrations that often accompany the ever changing landscape of our lives. Sometimes these changes are the result of fluctuations in our relationships, or alterations in our environment, and sometimes, they're the re-emergence of old behaviors that may have been a stumbling block in the past. At other times, your life might suddenly lead you to a place where your problem is simply the need for a new "game plan", in order to facilitate greater achievement.
Meet Our Therapists

Beth O'Malley
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
1 Endorsed
Old Greenwich, CT 06870
With 30 years experience treating adults, teens, & children, I make myself available to provide support throughout crisis. Reaching out can be difficult and anxiety provoking. Depression can prevent one from seeking support. I will text/call to allow an hour and a half for an initial consultation for you or a loved one. You will find me to be direct, honest, readily available and straightforward in my approach to facilitating change and growth. Specialties include: CBT, (Cognitive Behavioral Therapy), anxiety, depression, addiction, marital strife, Care for the Caregiver, Executives & Professionals. Day/Evenings available.
With 30 years experience treating adults, teens, & children, I make myself available to provide support throughout crisis. Reaching out can be difficult and anxiety provoking. Depression can prevent one from seeking support. I will text/call to allow an hour and a half for an initial consultation for you or a loved one. You will find me to be direct, honest, readily available and straightforward in my approach to facilitating change and growth. Specialties include: CBT, (Cognitive Behavioral Therapy), anxiety, depression, addiction, marital strife, Care for the Caregiver, Executives & Professionals. Day/Evenings available.

I love my work and feel incredibly fortunate to have formed so many meaningful therapeutic relationships. It is a privilege to travel with clients as they emerge from suffering and utilize the strengths they have found and the skills they have learned to achieve balance and ultimately, their life goals. The relationship between therapist and client is a real, equalitarian relationship built on honesty, respect, and collaboration. As we get to know each other, you will find that I am warm, genuine, non-judgmental, flexible, direct, and irreverent. I have a good sense of humor and believe that laughter is an important part of healing.
I love my work and feel incredibly fortunate to have formed so many meaningful therapeutic relationships. It is a privilege to travel with clients as they emerge from suffering and utilize the strengths they have found and the skills they have learned to achieve balance and ultimately, their life goals. The relationship between therapist and client is a real, equalitarian relationship built on honesty, respect, and collaboration. As we get to know each other, you will find that I am warm, genuine, non-judgmental, flexible, direct, and irreverent. I have a good sense of humor and believe that laughter is an important part of healing.

Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.
Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.

The people I work with seek therapy for all the emotional turmoil life throws at you: pressures to perform, anxiety, marriage and family stress, and changes in mood. Others I see come to therapy with a broader wish to understand their own nature, to see themselves and timeworn habits more clearly. In each case, my goal is not to simply fix problems in your life, but rather to help you gain control when it seems like the world around you is spinning. For clients interested in couples therapy or family therapy, my goal is to move your relationship(s) from distress to security, trust, and understanding.
The people I work with seek therapy for all the emotional turmoil life throws at you: pressures to perform, anxiety, marriage and family stress, and changes in mood. Others I see come to therapy with a broader wish to understand their own nature, to see themselves and timeworn habits more clearly. In each case, my goal is not to simply fix problems in your life, but rather to help you gain control when it seems like the world around you is spinning. For clients interested in couples therapy or family therapy, my goal is to move your relationship(s) from distress to security, trust, and understanding.

Life has many challenging moments, and life is full of them. Children, teens, and adults may struggle with school/work difficulties, social/emotional problems, relationship issues, difficult transitions (college, move, divorce, or loss), or daily stressors or conflicts for which they need support. Though parents do their best to create a conflict and stress-free environment, children will inevitably face obstacles, and adults face a range of stressors and complex emotions that can be difficult to navigate. I aim to empower you with knowledge and strategies to help you with the presenting problem and other challenging situations.
Life has many challenging moments, and life is full of them. Children, teens, and adults may struggle with school/work difficulties, social/emotional problems, relationship issues, difficult transitions (college, move, divorce, or loss), or daily stressors or conflicts for which they need support. Though parents do their best to create a conflict and stress-free environment, children will inevitably face obstacles, and adults face a range of stressors and complex emotions that can be difficult to navigate. I aim to empower you with knowledge and strategies to help you with the presenting problem and other challenging situations.

Sometimes earlier experiences have left us feeling unhappy, unfulfilled, stuck. We may struggle with emotional pain, anxiety, or a sense of loss. Often, we find ourselves caught in unhealthy relationship patterns. Or we may be going through an important transition that requires major adjustments in our lives.
My goal is to meet you where you are. Using a holistic framework, I aim to support you in developing a deeper understanding of your self and to fully process and integrate your experiences so you can nurture a loving relationship with yourself and others.
Sometimes earlier experiences have left us feeling unhappy, unfulfilled, stuck. We may struggle with emotional pain, anxiety, or a sense of loss. Often, we find ourselves caught in unhealthy relationship patterns. Or we may be going through an important transition that requires major adjustments in our lives.
My goal is to meet you where you are. Using a holistic framework, I aim to support you in developing a deeper understanding of your self and to fully process and integrate your experiences so you can nurture a loving relationship with yourself and others.

Are you an “overthinker” with complex feelings that are hard to put into words? Do you feel misunderstood, lonely, isolated, or unfulfilled? Are you striving to please others at the expense of yourself? Perhaps you feel exhausted, overworked, over-stressed, and as though you're never enough. You may crave a deep connection with yourself, your loved ones and the world around you...but may also find yourself struggling to make sense of the world. Unexpectedly life-changing or stressful events can increase these feelings, and hope for change can seem so far away. If so, you're not alone. I warmly welcome you to my practice.
Are you an “overthinker” with complex feelings that are hard to put into words? Do you feel misunderstood, lonely, isolated, or unfulfilled? Are you striving to please others at the expense of yourself? Perhaps you feel exhausted, overworked, over-stressed, and as though you're never enough. You may crave a deep connection with yourself, your loved ones and the world around you...but may also find yourself struggling to make sense of the world. Unexpectedly life-changing or stressful events can increase these feelings, and hope for change can seem so far away. If so, you're not alone. I warmly welcome you to my practice.

I am not your typical therapist, and strive to always create that emotional connection that allows us to work through any issue as a team. Most of my clients have already tried traditional therapy, and haven't been able to engage in one way or the other. Many of my clients haven't felt heard or understood, and it is a goal of mine to make therapy accessible for all. My belief as a therapist is that everyone can benefit- and should benefit from the relationship they have with their therapist. My clients believe in person centered care- and feedback goes both ways. I provide a trauma informed environment where the client gets to lead.
I am not your typical therapist, and strive to always create that emotional connection that allows us to work through any issue as a team. Most of my clients have already tried traditional therapy, and haven't been able to engage in one way or the other. Many of my clients haven't felt heard or understood, and it is a goal of mine to make therapy accessible for all. My belief as a therapist is that everyone can benefit- and should benefit from the relationship they have with their therapist. My clients believe in person centered care- and feedback goes both ways. I provide a trauma informed environment where the client gets to lead.

James P. Cooney, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Old Greenwich, CT 06870
Are you new to therapy, and looking for the most advanced neuroscience-based interventions available? Or, have you tried talk therapy and made progress, but ultimately felt that it wasn’t enough? Have you returned to using alcohol or other drugs despite your best efforts in recovery? What if there were a way of reducing symptoms of depression, anxiety, obsessive thoughts, trauma, and attention problems that could complement talk therapy? A new approach to treatment called Neurofeedback yields promising results of this nature.
Are you new to therapy, and looking for the most advanced neuroscience-based interventions available? Or, have you tried talk therapy and made progress, but ultimately felt that it wasn’t enough? Have you returned to using alcohol or other drugs despite your best efforts in recovery? What if there were a way of reducing symptoms of depression, anxiety, obsessive thoughts, trauma, and attention problems that could complement talk therapy? A new approach to treatment called Neurofeedback yields promising results of this nature.
See more therapy options for Old Greenwich
How does your Therapist compare?
Number of Therapists in Old Greenwich, CT
50+
Average cost per session
$175
Therapists in Old Greenwich, CT who prioritize treating:
96% | Anxiety |
93% | Depression |
86% | Self Esteem |
79% | Trauma and PTSD |
77% | Relationship Issues |
70% | Parenting |
70% | Peer Relationships |
Average years in practice
15 Years
Top 3 insurances accepted
78% | Aetna |
67% | UnitedHealthcare UHC | UBH |
56% | BlueCross and BlueShield |
How Therapists in Old Greenwich, CT see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
87% | Female | |
13% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Old Greenwich?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.