coupleMy office hours are Monday-Friday with daytime and evening appointments. I am available for emergencies and emergency sessions, but for a true emergency call 911 first and then phone me at 732.548.0873. I require 24-hour notification of the cancellation of the session without which full payment will be required. However, when possible re-scheduling options will be offered but I cannot always guarantee availability.



Services may be covered in full or in part by your health insurance or employee benefit plan. To determine if you have the appropriate mental health coverage, you should check with your insurance carrier and ask the following questions:

  • What are my mental health benefits?
  • What is the co-pay amount per therapy session?
  • How many therapy sessions does my plan cover per year?
  • How much does my insurance plans pay for an out of network provider?
  • Is pre-authorization needed by my plan or primary care physician?
  • Do I have an individual or family deductible for providers both in and out of your plan?
  • Is Dr. Muriel Marash in or out of my insurance network?
  • If needed I will be willing to follow up with your insurance provider?



Session fees will be discussed with you at the time you schedule your first session. I accept checks or cash only from both insured and non-insured clients. There is a charge for letter-writing or paperwork completed on your behalf with the exception of a traditional insurance form.



coupleYou may be feeling that you can usually handle your own problems but everyone goes through challenging situations in their lives. While you may have successfully navigated through other difficulties in your life, you may encounter a circumstance where you feel “stuck” and there is nothing wrong with seeking out extra support when you reach that point. In fact, therapy is most effective for people who have the self-awareness to realize they need a helping hand and that is a quality to be admired. You will feel a sense of empowerment for taking responsibility for accepting where you are in your life and to make a commitment to change the situation by engaging in therapy. The purpose of therapy is to provide long lasting benefits by supplying you with the tools you need to recognize your emotional triggers, to redirect damaging behavioral patterns and to help overcome whatever challenges you may be facing.



People have different motivations for seeking therapy. Some of us may be going through a major life transition such as unemployment, divorce, blending two different families or struggling with stressful situations.  We may need help managing a range of other issues we might be facing such as low self-esteem, anxiety, depression or relationship problems. This process can help provide some much-needed encouragement and help with the skills to get through these difficult issues. In some cases, you may be at a point where there is not a crisis in your life but you have a desire to more clearly define the direction of your life.  In short, the goal in seeking therapy is to meet these challenges in your life and a readiness to make changes accordingly.



cheerful familyAs individuals, we may have different issues and goals for therapy and therefore the process will vary depending on the individual’s needs.  In general, you can expect, to begin with, a discussion of the problems that you are currently dealing with in your life and any personal history pertinent to your issue.  As the therapy progresses, you will hopefully report progress you believe you are making and any new insights gained. Depending on your specific needs therapy can be short term for a specific issue or a desire to enhance your personal development or it can be longer term in order to deal with more difficult situations in your life.

The sessions are 45 minutes and it is most common to schedule regular sessions usually weekly but the frequency will be determined by an exploration of your needs and desires during the first few sessions. It is important to understand that you will get more results from therapy the more actively you participate in the process. The goal of the process is to help you to integrate what you learn in your sessions into your daily living.  It may not be unusual at my suggestion or yours to support our one on one sessions with the reading of a pertinent book or keeping a journal on specific topics as you actively work on your goals. People seeking this process are ready to make positive changes in their lives, are open to new perspectives and most importantly are committed to taking responsibility for their choices.



Happy Couple

In general, state law protects the confidentiality of all communication between a client and their therapist. No information is disclosed without prior permission from the client.  Confidentiality is the key components between therapist and client. Successful therapy requires a high degree of trust. The highly sensitive subject matter is usually not discussed anywhere but in the office of the therapist. Every therapist should provide a written copy for you of their confidential disclosure agreement and your expectation is that what is discussed between the two of you will not be shared with anyone. This is called “Informed Consent.” However, there may be circumstances where you will want the therapist to share information with a family member or give an update to someone on your healthcare team such as your doctor or where appropriate to an attorney but by law, your therapist cannot release this information without obtaining your written permission.

* However, there are some exceptions required by law to this rule:

  • Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information by the client or collateral sources
  • If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.



It may be appropriate in certain cases to combine medication and therapy. This course of action is determined on a case by case basis in consultation with your medical doctor. It has been well-established that the long-term solution to mental and emotions problems and the pain they cause cannot be resolved solely by medication. Medication may just treat the symptom but does not address the cause of our distress and their behavior patterns that undermine our progress. In many instances, you can best achieve sustainable growth and a greater sense of well-being with this integrative approach but I want to reiterate it is done on an individual basis and it must be an approach that you wish to try.