Individual & couples therapy · Monsey, NY & telehealth

A thoughtful place to understand and navigate life’s challenges.

Warm, practical psychotherapy for adults and couples seeking greater clarity, stronger relationships, and meaningful change.

Request a consult Find the right starting point
Licensed in New York & New Jersey Office appointments in Monsey, NY Telehealth available in NY, NJ, and PSYPACT states

A useful first step

What would you like help with?

Choose the concern that feels closest. You don’t need to have the right words or know what kind of therapy you need.

What feels most important right now?

Services

Practical tools. Deeper understanding.

Therapy that is tailored to the person or relationship, not reduced to a diagnosis or a one-size-fits-all method.

01

Individual therapy

Therapy offers a place to speak openly, feel understood, and explore your experiences without judgment. Together, we work toward a deeper understanding of why certain feelings, difficulties, or patterns arise and what keeps them going. Alongside conversation, we will work with emotions as they emerge in the room, learn new ways of responding, and draw on tools from a variety of evidence-based approaches. The work is shaped around you, your goals, and what helps you make meaningful changes.

  • Understand the experiences and patterns behind your difficulties
  • Connect with your emotions and learn new ways of responding
  • Learn and practice tools you can use in everyday life
02

Couples therapy

We create space for both partners to speak openly, feel heard, and better understand each other. Together, we slow down difficult interactions, identify the cycle you get caught in, and explore the feelings and needs beneath it. Sessions combine deeper emotional work with practical tools for communication, managing conflict, and healing past wounds and disconnection. We practice new ways of connecting in the room so you can begin bringing those changes into your relationship outside therapy.

  • Understand your shared patterns and what drives them
  • Work toward healing past hurts and rebuilding emotional connection
  • Practice tools for expressing needs, listening, and navigating conflict
03

Sex therapy

Sex therapy offers a respectful, nonjudgmental space to talk openly about thoughts, feelings, and experiences that can be difficult to discuss elsewhere. Together, we work to understand and address sexual difficulties, whether you’re struggling to experience sex in the way you want or feel out of control of your sexual behaviors. Sessions often include education, exploring thoughts and feelings related to sex, understanding emotional blocks, practical tools, and exercises to try privately between appointments, tailored to your goals and comfort.

  • Address sexual difficulties and behaviors that feel out of control
  • Reduce pressure and build greater comfort, pleasure, and connection
  • Explore changes through culturally sensitive therapy that respects your beliefs and values

In-person therapy in Monsey, NY
Telehealth is available for clients in New York, New Jersey, and participating PSYPACT states.

View consultation details
Akiva Gornish, PsyD, clinical psychologist

About

Dr. Akiva Gornish is a licensed clinical psychologist in New York and New Jersey. His approach brings together practical, evidence-informed tools with careful attention to attachment, emotion, personal history, and the larger cultural or religious context of a person’s life.

His education and clinical experience include advanced training in cognitive behavioral therapy, psychodynamic therapy, interpersonal reconstructive therapy, the Gottman Method, Emotionally Focused Therapy (EFT), and sex therapy.

Dr. Gornish’s guiding principle is that every person and relationship is unique. He draws from his training to tailor therapy to each individual or couple and create a warm, safe, nonjudgmental atmosphere conducive to meaningful change. He works with adults and couples across a wide range of backgrounds.

PsyDClinical Psychology
NY · NJLicensed Psychologist
PSYPACTTelehealth Authorized

Frequently asked

Before we begin.

A few practical details about starting therapy.

How do I know whether we’re a good fit?

The complimentary 15-minute consultation is a chance to briefly share what brings you to therapy, ask questions, and get a sense of whether working together feels right. If another type of support seems more appropriate, that can be discussed honestly.

Do you work with individuals and couples?

Yes. Individual therapy is available for adults, and couples therapy is available for partners seeking help with conflict, connection, trust, intimacy, or sexual concerns.

Where are sessions offered?

In-person sessions are available in Monsey, NY. Telehealth is available in New York, New Jersey, and participating PSYPACT states, subject to clinical fit and current authorization requirements.

Do you accept insurance?

The practice is private-pay and out-of-network. Upon request, a superbill can be provided for possible reimbursement from your insurance plan. Coverage varies, so it is best to verify your out-of-network benefits directly with your insurer.

What happens after I request a consultation?

You’ll use the secure consultation request page to share your availability and basic contact information. From there, the practice will follow up about a brief call and possible next steps.

Complimentary 15-minute consultation

You don’t need to know exactly where to begin.

Request a consultation directly through the secure scheduler. For questions or concerns, or if you need an appointment time that is not listed, email info@drgornish.com.

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