Therapy and Consultation

Specialties & Services

Evidence-based, client-centered care delivered virtually across New Jersey and 43 PSYPACT participating states.

Dr. Megan DeRiso

Clinical Anxiety Disorders

Anxiety disorders are a group of mental health conditions characterized by excessive fear, worry, or nervousness that can interfere with daily life. This includes obsessive-compulsive disorder (OCD), generalized anxiety, panic disorder, social anxiety, specific phobias (including agoraphobia), Pediatric Acute-onset Neuropsychiatric Syndrome (PANS), Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS), and other related conditions.

Symptoms can affect both the mind and body, such as persistent worry, restlessness, difficulty concentrating, rapid heartbeat, or trouble sleeping. Anxiety disorders are common and can improve significantly with therapy.

High-Functioning Anxiety & Perfectionism

High-functioning anxiety and perfectionism involve persistent internal pressure to succeed, often masked by outward competence, achievement, and control. Individuals may appear calm or accomplished while privately struggling with chronic overthinking, self-doubt, and fear of failure. This can show up as difficulty delegating, trouble relaxing, over-preparing, or tying self-worth closely to performance.

Therapy in this area focuses on identifying the beliefs that drive perfectionistic patterns, easing chronic self-criticism, and building a healthier relationship with achievement. Clients learn to set realistic standards, tolerate uncertainty, and sustain their drive without it coming at the cost of their well-being.

Life Transitions & Stress-Related Conditions

Stress-related conditions involve emotional and physical responses to ongoing or acute stress that can affect overall well-being. These may include adjustment disorders, acute stress disorder, and symptoms of burnout. Stress may be due to work or school pressures, relationship challenges, major life transitions, financial concerns, or ongoing caregiving responsibilities.

People experiencing these conditions often feel overwhelmed, irritable, fatigued, or anxious, and may have difficulty concentrating or managing daily responsibilities. With appropriate support, including therapy, coping strategies, and lifestyle adjustments, individuals can learn to manage stress effectively and improve their quality of life.

Body Image & Disordered Eating

Body image and disordered eating concerns involve distress or unhealthy patterns related to one's body, weight, or eating behaviors. This can include negative body perception, restrictive eating, binge eating, or other maladaptive habits that impact physical and emotional health. Therapy in this area focuses on developing a healthier relationship with food and body image, addressing underlying emotional or cognitive patterns, and building sustainable healthy habits to support overall well-being.

Please note that RTCNJ does not provide treatment for clinical eating disorders, which require specialized medical and nutritional support. My work focuses on body image concerns and disordered eating patterns that impact emotional well-being, stress, or self-esteem. Individuals with more severe or medically complex eating disorders are best served by a specialized treatment team.

Chronic Health Conditions & Health Psychology

Health psychology in outpatient therapy helps individuals cope with the emotional and psychological challenges of living with chronic illness or medical conditions. Therapy can support clients in managing stress, anxiety, or depression related to their health, improving adherence to medical recommendations.

This focus in therapy helps clients process the impact of their condition, foster support and community engagement, and identify adaptive skills. By addressing the mental and emotional aspects of illness, outpatient health psychology aims to enhance overall well-being and help clients maintain a better quality of life despite ongoing health challenges.

Narcissistic Abuse Recovery

Narcissistic abuse refers to the emotional, psychological, and relational harm caused by someone who consistently exhibits manipulative, controlling, or self-centered behaviors. This can occur in intimate relationships, family dynamics, friendships, or workplace interactions.

Therapy in this area focuses on helping individuals recognize patterns of abuse, rebuild self-esteem, establish healthy boundaries, grieve the relationship, understand their identity (as this is often deprioritized during NA), identify strengths, and develop emotional resilience to navigate challenging relationships safely.

Interpersonal Relationships

Research shows that fulfilling relationships are a key component of happy and meaningful lives and supporting emotional well-being and resilience. Building and maintaining healthy relationships can be especially challenging for individuals who didn't experience positive relationship models, have the opportunity to develop relationship skills, or whose mental health challenges have created additional obstacles.

Therapy provides a safe space to navigate challenges with a partner, family member, or close friend, explore communication patterns, set boundaries, and deepen understanding. Individuals can learn to resolve conflict, strengthen emotional connections, and cultivate more fulfilling, resilient relationships.

A cozy therapy chair with a blanket and notepad

Session Fees

RTCNJ is an out-of-network practice. Superbills are available upon request.

Out-of-network insurance benefits

Many insurance plans reimburse a portion of the cost of out-of-network mental health services. If you're unsure about your coverage, RTCNJ uses Thrizer, a secure platform to help you quickly check your out-of-network benefits.

Check Your Out-of-Network Benefits

Calling Your Insurance Company

If you'd rather speak with your insurer directly, here's what to ask.

1

Find your insurance card

Use the customer service number on the back of your card. Have your member ID and group number ready.

2

Ask about your benefits

Ask to speak with a representative about your out-of-network mental health benefits.

3

Ask detailed questions

See the full checklist below to make sure you get everything you need in one call.

4

Take notes

Record the representative's name, date, and instructions, and keep any paperwork for future reference.

Questions to ask

For an exact estimate, you may need Dr. DeRiso's National Provider Identifier (NPI), which is #1174357743.

  • What are my out-of-network benefits for mental health services?
  • Do I have a deductible to meet before my plan would provide reimbursement?
  • What is the co-pay or co-insurance for out-of-network sessions?
  • What is the reimbursement rate for the following services (identified by CPT codes)?
    90791 · Intake session90832 · 30 min90834 · 45 min90837 · 60 min
  • How do I submit a claim for reimbursement?
  • What documentation do I need to submit for reimbursement (i.e., superbills)?
  • Are there any limitations or other requirements?

FAQs

Insurance Questions

Dr. Megan DeRiso

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