Our private pay rates are $200 for a Diagnostic Evaluation (Initial Intake) and $175 for Follow-Up Sessions. A limited number of sliding scale spots are also available for clients who qualify.

All sessions are conducted via telehealth, through a secure, HIPAA-compliant video platform. All you need is a private space and an internet connection.

Yes. Maria Rios Brache is a Licensed Mental Health Counselor (LMHC) in Massachusetts, License #13338, and provides telehealth services to clients located in Massachusetts.

TF-CBT is an evidence-based therapy approach designed to help children and adults process traumatic experiences and reduce related symptoms like anxiety, flashbacks, and avoidance. It combines trauma-sensitive support with practical coping skills.

Yes, TF-CBT is used with both pediatric and adult clients, depending on individual needs.

Complicated grief refers to grief that doesn't ease with time the way it typically does, and can leave someone feeling stuck, overwhelmed, or unable to move forward. Unlike typical grief, it often benefits from focused therapeutic support.

Yes. Grief isn't limited to the death of a loved one. We work with clients experiencing grief related to relationship loss, life transitions, identity changes, and other significant losses.

Yes. We provide counseling for first responders — including police officers, firefighters, EMTs, dispatchers, and nurses — who are managing vicarious trauma, compassion fatigue, or PTSD related to their work.

Vicarious trauma (sometimes called secondary traumatic stress) is the emotional impact that can build up from repeated exposure to other people's crises or trauma, even without directly experiencing the traumatic event yourself. It's common among first responders, healthcare workers, and other helping professionals.

It's a low-pressure phone call where we'll talk about what's bringing you to therapy, answer your questions, and explore whether we're a good match to work together. There's no obligation to continue afterward.

This depends on your individual needs and is determined during your initial evaluation. Sessions can be scheduled weekly, bi-weekly, or monthly.

Yes, Maria is bilingual and provides sessions in both Spanish and English, depending on what feels most comfortable for the client.

We do not offer emergency services. If you're experiencing a life-threatening emergency or active suicidal ideation, please call 911 or go to your nearest emergency room. You can also call or text the Free 24/7 Crisis Support Line at 988.