The relationship is the work.
Most of what brings people to therapy is not a list of symptoms. It is a pattern, laid down early, carried into every room, every relationship, every quiet hour. Pills and protocols can quiet the alarm, but the fire underneath still burns. We treat that fire.
Turning Leaf is a relational psychodynamic practice: the therapeutic relationship is the instrument of change, not a setting where techniques get delivered. Your symptoms are treated as signals of what needs attention, not problems to eliminate.
Symptoms are signals, not defects.
Anxiety, depression, grief: adaptive responses to circumstances that demanded them. We listen to what they point toward.
Trauma-informed, everywhere.
Every clinician works from a trauma-informed frame; several are additionally trained in EMDR, IFS, and PE. Trauma therapy in Philadelphia is what this practice was built on.
Depth work, insurance prices.
We work with a range of commercial insurance plans. Our intake team can help you check the proposed clinician’s participation and your expected costs. If your commercial plan is out of network, ask intake about payment and any out-of-network benefits before scheduling. Our Medicare and Medicaid new-client policy applies even if you wish to pay privately.
Sixteen focus areas. One clinical frame.
Not a checklist of issues we will consider. Each area is staffed by clinicians who work in it every week, inside the same relational, trauma-informed frame.
Not sure which fits? Start your intakeThings that grow slowly tend to grow well.
FROM THE PRACTICE ETHOSTherapy in our space, or yours.
Same therapist, same care plan. The room just changes: in person above Chestnut Street, or HIPAA-secure video anywhere in Pennsylvania and New Jersey.
Connect in person
A quiet room two flights up from Chestnut. A closed door, and time that is only yours.
Meet online
From your couch, your office, or your car between meetings. Same therapist, same care, fewer miles.
Three steps to the right therapist.
No phone tag, no referral roulette. A short adaptive intake, coordinators who read it personally and verify your benefits, and a match with a clinician who has availability. Most people have a first session within about a week.
Now accepting new clientsShare what is bringing you in.
An adaptive form that asks only what applies. Self-pay? The insurance section disappears.
5 MINWe match you, personally.
A coordinator reviews every response, verifies your benefits, and pairs you with the clinician who fits your concern, insurance, and schedule.
1 TO 2 BUSINESS DAYSMeet your therapist.
Your first session is a clinical consultation, scheduled directly with the right fit.
53 MINClinicians who do this kind of work.
Twenty-six clinicians, each practicing relational, depth-oriented therapy as their primary frame, not a method picked off a list.
In-network with the insurance Philadelphia actually uses.
Most specialized practices are out-of-network only. We are not. Work with a relational, trauma-trained clinician for a copay.
Independence Blue Cross (IBX) and Cigna are out of network. Commercial-plan reimbursement depends on your benefits; a superbill does not guarantee payment. We are not accepting new clients enrolled in Medicare or Medicaid, including Medicare Advantage, even if they wish to pay privately. Existing clients with a coverage change should contact their therapist and intake team. Every plan, explained → Full fee and insurance details →
Out-of-network & self-pay.
For commercial plans with out-of-network benefits, we can provide a superbill on request. Confirm reimbursement directly with your plan. Our Medicare and Medicaid new-client policy applies regardless of a preference to pay privately. Existing clients with a coverage change should contact their therapist and intake team.
How much does therapy cost?
Self-pay runs $130 to $200 per 53-minute session depending on the clinician. With in-network insurance through Aetna, BCBS, United, or Optum, most clients pay a $15 to $50 copay after deductible.
What insurance do you accept?
We work with several commercial insurance plans, including Aetna, United Healthcare, Optum and Blue Cross Blue Shield plans. Your benefits and costs depend on your specific plan and clinician; ask intake to help check the details. We are not accepting new clients enrolled in Medicare or Medicaid, including Medicare Advantage, Pennsylvania Medical Assistance and NJ FamilyCare. This policy applies even if you wish to pay privately. If you already receive care here and your coverage changes, contact your therapist and intake team so we can review your situation individually.
Can I do therapy online, or do I have to come in?
You can meet with us in person at our Old City office or ask about secure video appointments in Pennsylvania or New Jersey. The options available to you depend on your location, clinician and care needs. Insurance coverage and your share of the cost depend on your specific plan. Our intake team can help you check the details and discuss which setting fits your circumstances.
How long does therapy last, and how often will I meet?
Most clients begin weekly, and some move to every other week as the work progresses. Length depends on what you are working through: a focused concern may take a few months, while depth work around trauma or long-standing patterns often unfolds over a year or more. You are never signing up forever, and you and your therapist revisit the plan together.
What if I'm not sure what kind of therapy I need?
That is the most common place to start, and it is exactly what our matching is built for. The short intake asks what is bringing you in, our coordinators pair you with the clinician whose focus and openings fit, and your first session is a consultation to feel out the fit. You do not need a diagnosis or a plan before reaching out.
Is Turning Leaf LGBTQIA+ affirming?
Yes. LGBTQIA+ and trans-affirming therapy is one of our core specialties. Much of the team works with trans, nonbinary, queer, polyamorous, and relationship-diverse clients, with several clinicians focused on identity exploration across gender, sexuality, faith, and culture.
How do I get started?
Fill out the short adaptive intake, about five minutes. Coordinators review every response personally and match you within 1 to 2 business days. Not a crisis service: if you are in crisis, call 988 or the Philadelphia Crisis Line at 215-685-6440.
Begin when you are ready.
Five minutes to reach out. A real person reads it. An answer within two business days.
Not a crisis service. In crisis, call or text 988, or the Philadelphia Crisis Line at 215-685-6440.