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ONLINE THERAPY IN NEW YORK, NEW JERSEY & TEXAS

Experienced Therapy, Wherever Life Has Taken You

Online therapy makes it possible to do meaningful, in-depth work without adding another commute or appointment location to an already full life.

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I provide online therapy for adults and couples throughout New York, New Jersey, and Texas. Whether you’re working through relationship difficulties, anxiety, life transitions, longstanding patterns, or simply know that something needs to change, our work can remain personal, engaged, and connected—even when we’re meeting through a screen.

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Because I’m licensed in multiple states, I can also work with some couples and adult family members who are physically located in different states, making therapy possible when relationships span geographic boundaries.

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Online therapy throughout New York, New Jersey & Texas

THERAPY FOR EVERY SEASON OF LIFE

Online therapy can support individuals, couples, and families through many different seasons of life.

The setting may be online, but the work is much the same: understanding what’s happening beneath the surface, recognizing the patterns that keep you stuck, and creating meaningful change in the way you experience yourself and your relationships.

Individual Therapy

For anxiety, relationship patterns, life transitions, self-criticism, grief, trauma, ADHD, or simply the sense that something in your life needs to change.

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Couples Therapy

For recurring conflict, communication problems, emotional distance, betrayal, major transitions, or couples who want to strengthen their relationship.

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Adult Family Therapy

For parents & adult children, siblings, in-laws, and other family relationships navigating conflict, estrangement, boundaries, or longstanding patterns.

WHEN RELATIONSHIPS CROSS STATE LINES

Sometimes the people who need to be in the room don’t live in the same state.

Because I’m licensed in New York, New Jersey, and Texas, I can work with couples and adult family members who live in different states, provided each person resides in one of those three states and is physically located in a state where I’m authorized to practice at the time of the session.

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That can be especially helpful when a couple is navigating a move or living apart, or when parents, adult children, siblings, or other family members want to work on their relationship but no longer live near one another.

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Licensing requirements depend on where each person is physically located at the time of the session, so we can talk through your particular situation during a consultation.

WHAT ONLINE THERAPY IS LIKE

Therapy can feel personal, engaged, and meaningful—even through a screen.

For therapy to be meaningful, you need more than convenience. You need to feel that your therapist is present, paying attention, and willing to engage with what is actually happening—not simply listening from the other side of a screen.

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Online sessions allow us to do the same kind of thoughtful, in-depth work we would do sitting in the same room. We can slow down difficult conversations, notice patterns as they happen, explore what sits underneath familiar reactions, and work toward changes that extend beyond the therapy hour.

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For many people, meeting from their own space can actually make therapy easier to integrate into their lives. There’s no commute, greater flexibility around demanding schedules, and the ability to continue working together through moves and other life transitions, provided you remain in a state where I’m authorized to practice.

THE PRACTICAL DETAILS

A few things you may be wondering about online therapy.

How do online therapy sessions work?

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Sessions take place through a secure video platform. Before your appointment, you'll receive instructions for connecting. You can join from a computer, tablet, or phone, provided you have a reliable internet connection and a private place to talk.

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Is online therapy effective?

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Research supports online therapy as an effective option for many mental health concerns, including anxiety and depression. What matters is finding an approach and therapeutic relationship that fit your needs. Online sessions also allow us to work thoughtfully with relationship patterns, emotional experiences, and longstanding difficulties.

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Can couples or family members join from different locations?

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Yes. Couples and adult family members can participate from separate locations, including different states in some circumstances. Each participant must meet applicable location and licensing requirements, which we'll review before scheduling.

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Do I need to live in New York, New Jersey, or Texas?

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I provide ongoing therapy to clients who reside in New York, New Jersey, or Texas. You must also be physically located in a state where I'm authorized to practice during each session.

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How do I get started?

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We can begin with a free 15-minute phone consultation. It's an opportunity to discuss what you're looking for, ask questions, and determine whether working together would be a good fit.

READY TO GET STARTED?

Meaningful change can begin wherever you are.

If you’re considering online therapy, we can begin with a free 15-minute phone consultation. We’ll talk about what brings you in, what you’re hoping to work on, and whether working together feels like a good fit.

Marriage & Family Therapist

Online therapy for individuals, couples & adult families in New York, New Jersey & Texas

More connected relationships. A more meaningful life.

Licensed in New York, New Jersey & Texas | Florida Registered Telehealth Provider #278

© 2026 Lesley Thompson Marriage and Family Therapy | Privacy Policy 

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