Sarah Best, LCSW
contemporary psychotherapy
new york, new york

Why Therapy

When you’re feeling low or anxious, overwhelmed, unsure, or stuck, psychotherapy provides the physical and emotional space to take stock and find solutions.

I work with individual adults and couples affected by depression, anxiety, difficult transitions, poor body image and disordered eating, substance misuse, infidelity, and a wide range of other emotional and interpersonal challenges. I dedicate a large portion of my practice to my specialization in reproductive and maternal mental health and provide expert care to women and couples impacted by infertility, pregnancy loss, perinatal mood and anxiety disorders, and the transition to parenthood.

We know that success in therapy rests, more than anything else, on the quality of fit and consistency of open communication between client and therapist. So I invite you to look around to learn more about me, my approach to psychotherapy, and my practice. If you think my support might be a good match for you or your family, please let me know.

How I Work

Psychotherapy is an active process for both of us. For our work to be effective, you’ll need to look honestly at your thoughts, feelings, behaviors, and relationships. I’ll help you do this in our meetings, of course, and I’ll routinely ask you to apply what we’ve worked on between sessions. Specific therapeutic strategies vary from person to person and session to session. But in all cases, you can expect to explore your current concerns, evaluate the historical factors that might inform them, and identify strategies to change what’s not working for you. I recognize that I require a lot from my clients, so I work hard in return. I will participate actively in our sessions, provide between-session support when needed, and elicit and integrate regular feedback from you about our work together.

For the theoretically inclined, my graduate training was largely psychodynamic, and I’ve completed advanced, postgraduate coursework in cognitive behavioral and relational family-systems therapies. I tailor our work based on your current challenges, our goals for treatment, and the ever-evolving evidence base. As a proponent of truly informed consent, I’m always transparent about my level of experience with your specific concern, and I discuss my rationale for selecting particular treatment strategies. I consider good therapy a collaborative process, so we’ll talk frequently about what we’re actually doing in therapy, why we’re doing it, and what we hope to achieve through our work.

Reproductive and Maternal Mental Health

Postpartum depression and anxiety disorders affect approximately 1 in 7 childbearing women - but symptoms often leave them feeling ashamed, confused, and alone. I can help. As an expert in reproductive and perinatal mental health, I partner actively with my clients to understand their experiences and help them feel better quickly. I bring clinical savvy and state-of-the-science knowledge to treat a wide range of reproductive mental health challenges, including depression, generalized anxiety, OCD, panic disorder, and PTSD that develop during and after pregnancy, in conjunction with fertility treatment, or following pregnancy loss.

My expert commentary has been featured on the Huffington Post, Psychology Today, Baby Center, and in the Wall Street Journal. From 2013 – 2015, I served as a staff therapist at the Seleni Institute, where I authored nationally recognized trainings on perinatal mood and anxiety disorders for physicians, nurses, and therapists. I’ve lectured in hospitals, EAPs, and government-sponsored trainings throughout New York City and maintain my commitment to community service by holding need-based sliding-scale appointments for women with reproductive concerns.

An active member of Postpartum Support International and the Postpartum Resource Center of New York, I completed specialized training with trailblazer Karen Kleiman, LCSW at the Postpartum Stress Center outside of Philadelphia.

Fees and Insurance

My fee is $200 per 50 minute session, and I do not participate directly with any insurance plans. As a New York State licensed clinical social worker authorized for independent psychotherapy practice, my services are generally reimbursed in full or in part by insurance plans with out-of-network benefits. After you submit payment directly to me, I will provide you with a service invoice — including a diagnostic code, treatment code, and my clinical license number — to submit to your insurance carrier for reimbursement.

To determine whether your insurance carrier reimburses for out-of-network mental health services, I recommend that you contact a customer service representative and ask the following questions:
  • Does my insurance plan cover out-of-network mental health services (procedure code 90834) with an LCSW?
  • What is the covered amount per therapy session?
  • Do I have an out-of-network deductible, and if so, have I met it?
  • What are the specific steps I need to take to be reimbursed for out-of-network psychotherapy services?
  • Is there a limit to the number of mental health visits I can have each year? If so, how many visits are allowed?
  • Do I need a referral from my primary care physician for my services to be covered?

If you think my support might be a good match for you or your family, please let me know.

About Me

Sarah Best, LCSW
I completed my training at New York University, the Beck Institute for Cognitive Behavior Therapy, the Postpartum Stress Center, and the Ackerman Institute for the Family. Before transitioning into private practice, I provided mental health services to adults, children, couples, families, and groups in a variety of a court-based, hospital-based, hospice, and outpatient settings throughout New York City.

I most recently served as a staff therapist at the Seleni Institute, where I developed recognized expertise in reproductive and maternal mental health and frequently contributed commentary to the media, including The Wall Street Journal, the Huffington Post, Psychology Today, Baby Center, and Pix 11. I’ve maintained this specialization since transitioning into independent practice and now additionally welcome clients facing a wider range of challenges, particularly those related to depression, anxiety, couples’ issues, trauma, grief, and professional stress.


Sarah Best, LCSW
100 Crosby Street
Suite 510
New York, NY 10012

t: 646.647.0419

If you're interested in inquiring about an appointment, feel free to reach out by phone or email, and I'll get back to you as soon as possible.