Therapy Beyond the Binary

Megan Piscitelle, LCSWA, MSW

They/them pronouns

Welcome! I'm so glad you made it here. Taking the first step in seeking out a therapist can be scary and overwhelming. 

As a non-binary, neurodivergent therapist,  I provide an affirming space that allows my clients to accept all parts of themselves, and celebrate their identities. I specialize in working with young adults, including college students and young professionals, who are queer-identified and/or neurodivergent. 

 I love learning about new therapeutic techniques, the nervous system, and exploring new research, but I know that there is no one-size-fits all approach to therapy. The most important thing for me is to offer empathy, validation, and acknowledgement that you are the expert on yourself! We will work together at your own pace, building a relationship that feels safe and supportive.

This might be your first foray into therapy, or maybe you have seen several mental health providers in the past. Maybe you are seeking a diagnosis, or have been given many over the years that don't feel like they make sense or fit. Regardless of where you are coming from, I am committed to working with you in a way that feels individualized and supportive. I see our work together as a collaboration between two humans, not a space for pathologizing.

I bring a social justice lens to my work, which means naming in sessions many of the ways this world makes it harder to thrive. I welcome the hard things you might carry into our time together but also humor, creativity, or any other way you need to show up on a given day.

In my spare time you might find me hanging out with my cat, Juniper, playing Dungeons and Dragons or Zelda, hiking, or doing improv.

I specialize in working with clients around:

Work with me

Getting started

**I am currently accepting new clients!**

Send me an email at or complete the contact form below.

I will get back to you in 3-5 business days and we can set up a free 15-20 minute video consultation.

I am currently offering therapy through telehealth only.

Rates and Sliding Scale

I am not currently paneled with any insurance companies and accept private pay only. 

I do my best to offer affordable sliding scale services to as many people as possible! My rates are below - for every person that is able to pay my full fee, I am able to increase my sliding scale offerings to those who need them.

Full fee for 55-minute therapy session: $150

Limited sliding scale slots starting at $75 per 55-minute session. 

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit or call 800-985-3059.