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.
Not a standalone protocol, but a lens that runs through how anxiety, identity, and relational work are understood here. Select clinicians trained in EMDR and IFS.
Depth work, insurance prices.
Most specialty practices refuse insurance. We are in-network with the plans Philadelphia actually uses, and provide superbills for everyone else.
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? Get matchedThings 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. Tea on the table, 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, a match within two business days.
Share what is bringing you in.
An adaptive form that asks only what applies. Self-pay? The insurance section disappears.
A person matches you. Never a bot.
Intake coordinators read every response and pair you by concern, insurance, and schedule.
Meet your therapist.
Your first session is a clinical consultation, scheduled directly with the right fit.
Begin your intake.
About five minutes. Reviewed personally by our coordinator team, answered within one to two business days.
Not a crisis service. If you are in crisis, call or text 988 or the Philadelphia Crisis Line at 215-685-6440.
Clinicians who do this kind of work.
Twenty-three licensed 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), Cigna, and Medicare & Medicaid are out-of-network, with a clear superbill path. Most in-network clients pay a $15 to $50 copay after deductible. Every plan, explained → Full fee & insurance details →
Out-of-network & self-pay.
Superbills provided after every session on request. Your PPO does the rest. Self-pay rates are shared during intake, before scheduling.
How much does therapy cost?
Self-pay runs $130 to $200 per 50-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?
In-network: Aetna, Horizon BCBSNJ, Highmark, Capital, Anthem, Empire and FEP Blue plans, United Healthcare, Optum, and PA VCAP. IBX, Cigna, Medicare, and Medicaid are out-of-network; superbills are provided after every session on request, and most PPOs reimburse 50 to 80 percent after your out-of-network deductible.
Can I do therapy online, or do I have to come in?
Both. We see clients in person at our Old City office and by HIPAA-secure video anywhere in Pennsylvania, with select clinicians also licensed in New Jersey. You work with the same therapist on the same care plan either way, and the plans we accept cover telehealth at parity with in-person sessions. Many clients alternate between the two as life requires.
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, 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.