Services
How we can work together
All work is with me, Barbara Duchnowski, LCSW, by telehealth. This is a solo practice. If we work together, you are working with this specialty directly.
Individual trauma therapy
$250 per 50-minute session
For adults healing after narcissistic abuse, high-control dynamics, and complex trauma. We typically work on:
- Settling a nervous system that stays on scan
- EMDR for the incidents that still bring flashbacks or collapse
- Hypnosis and parts work for shame, self-blame, and the pull to return
- Boundaries you can keep when the other person escalates
Sessions are structured and specific. If what you want is an open weekly place to talk through whatever is happening, I will help you find a better fit.
Couples therapy
$375 per 90-minute session
I see couples when the current relationship is not organized around coercion, and one or both partners are healing from earlier relational trauma. I do not treat an abusive partner and an injured partner as a communication problem. If that is the situation, individual work is the honest starting point, and I will say so.
6-week narcissistic abuse recovery intensive
$2,100 for the program
A private 6-week structure for people who have already left or are detaching and want concentrated work rather than an open-ended calendar. Six 90-minute sessions, between-session support, and a follow-up. Not billed to insurance.
Program detailsThe approaches I use
EMDR
Reprocessing for the specific moments that still take over — the blowup, the silent treatment, the court hallway, the voice that says it was your fault.
Clinical hypnosis
Work beneath the beliefs the abuse installed, so a calmer response becomes available without having to argue yourself into it.
IFS / parts work
Gentle work with the part that fawns, the inner critic, and the part still hoping they will become the person from the beginning.
Somatic approaches
Settling the nervous system enough to send the email, sit through the meeting, or put the phone down.
Fees and payment
- Individual session: $250 for 50 minutes, due at the time of service.
- Couples session: $375 for 90 minutes.
- 6-week intensive: $2,100. The intensive is private pay and is not billed to insurance.
- Aetna, UnitedHealthcare, and Oscar Health: we can review at consult whether a given appointment can be billed in-network. Many clients still choose private pay for privacy, especially during divorce.
- Horizon and other PPO plans: out-of-network. I use Thrizer so claims can be submitted for you. Reimbursement depends on your deductible and plan, so I do not quote a set percentage.
- I do not accept Medicaid, Medicare, or NJ FamilyCare.
- A Good Faith Estimate is provided for self-pay services as required.
What this practice does not provide
- General treatment for anxiety, depression, or ADHD as the primary concern
- Children and teens
- Medication management
- Court-ordered evaluations, custody evaluations, or expert testimony
- Emergency or crisis services