Knots Counseling offers individual therapy, couples therapy, and clinical supervision or mentoring for therapists.

Individual therapy is available for adults seeking support with anxiety, depression, grief, relationship patterns, identity, life transitions, professional stress, multicultural concerns, and emotional patterns that feel difficult to change.

Couples therapy is available for partners seeking to better understand recurring conflict, communication difficulties, emotional disconnection, intimacy concerns, and relationship patterns.

Clinical supervision and mentoring are available for therapists seeking a thoughtful, psychodynamically informed space to reflect on cases, strengthen clinical judgment, and deepen their professional identity.

You can begin by submitting a brief inquiry through the contact form here or email us at info@knotscounseling.com

From there, we typically respond by email within 48 business hours to schedule a complimentary consultation.

The consultation allows us to briefly understand what you are looking for, answer questions, review scheduling, fees, format, and determine whether Knots Counseling may be an appropriate clinical fit.

For a fuller explanation of the process, please refer to the “How to Start” section.

Fit is an important part of therapy. During the consultation and early sessions, we pay attention to whether the approach, pace, and clinical focus feel aligned with your needs.

Knots Counseling may be a good fit if you are seeking therapy that is thoughtful, collaborative, and clinically grounded — a space to better understand the knots underneath symptoms, relationships, patterns, identity, and emotional life.

Knots Counseling was designed by Fem Erkaya, LMHC as a psychotherapy practice for people seeking care that is clinically serious, culturally attuned, and personally tailored.

As the founder and clinical director, Fem brings together her experience as a psychotherapist, clinical supervisor, educator, and bilingual clinician working with adults and couples across different cultural backgrounds. Her work has been shaped not only by clinical training, but also by years of thinking about how identity, language, family systems, migration, culture, relationships, and emotional life influence the way people understand themselves.

Knots was created from the belief that therapy should not feel generic or formulaic. People do not arrive in therapy as a diagnosis, a symptom list, or a single presenting problem. They arrive with histories, relationships, cultural contexts, internal conflicts, defenses, desires, losses, and patterns that often feel difficult to untangle alone.

This is why therapy at Knots is both structured and deeply individualized. The work is grounded in psychodynamic understanding, while remaining integrative and responsive to each client’s needs, personality, goals, and lived experience. We pay attention to symptoms, but also to what exists underneath them: the recurring patterns, relational dynamics, inherited beliefs, cultural meanings, and emotional knots that shape a person’s inner world.

What makes Knots different is the combination of clinical depth, multicultural perspective, and intentional care. The practice was built to offer more than surface-level support: a thoughtful clinical space where adults and couples can better understand themselves, their relationships, and the complexities of being human.

Individual therapy sessions are typically 45 to 50 minutes, depending on clinical need of each client.

Couples therapy sessions may be longer depending on the nature of the work and clinical recommendation.

Most clients begin with weekly sessions, which allows the therapy to develop with consistency and continuity. Session frequency may be revisited over time depending on clinical need, progress, goals, and scheduling.

Yes. Knots Counseling offers in-person therapy in Brooklyn and virtual therapy for clients located anywhere in New York State.

The appropriate format can be discussed during the consultation based on your needs, location, availability, and clinical considerations.

Yes. Psychotherapy is available in both English and Turkish.

This may be especially meaningful for clients who want to explore identity, immigration, family expectations, cultural transitions, relationships, or emotional experiences in the language that feels most natural to them.

Knots Counseling accepts a limited number of insurance plans through Headway, a third-party platform that helps manage insurance billing and eligibility.

Insurance availability may vary depending on the therapist availability, plan, and state-specific coverage. Please contact us directly to discuss current insurance options.

For clients with out-of-network benefits, Knots Counseling can also provide superbills that may be submitted to your insurance provider for possible reimbursement. Reimbursement depends on your specific insurance plan, deductible, and out-of-network mental health benefits.

Before beginning therapy, we recommend contacting your insurance provider to ask about your out-of-network benefits for outpatient psychotherapy.

You may want to ask your insurance provider:

• Do I have out-of-network benefits for outpatient mental health therapy?

• What is my out-of-network deductible?

• Has any part of my deductible already been met?

• What percentage of the session fee is reimbursed after the deductible is met?

• What is the allowed amount for CPT codes 90834, 90837, or 90847?

• Do I need prior authorization?

• How do I submit superbills for reimbursement?

Psychodynamic therapy is a form of talk therapy that focuses on understanding the deeper patterns, conflicts, emotions, relationships, and self-beliefs that shape a person’s current experience.

Rather than focusing only on symptom reduction, psychodynamic therapy asks what symptoms may be connected to: early relationships, family dynamics, defenses, attachment patterns, cultural context, unresolved emotions, or recurring relational themes.

At Knots, psychodynamic therapy does not mean following a rigid formula. It provides a foundation for understanding the complexity of each person’s inner and relational life, while allowing the work to remain flexible, collaborative, and responsive to the client’s needs.

Individually tailored therapy means that the work is shaped around the person, couple, or clinician in front of us rather than based on a one-size-fits-all model.

At Knots, therapy is grounded in psychodynamic understanding and informed by an integrative clinical approach. This means we pay attention to history, relationships, emotional patterns, cultural context, symptoms, defenses, personality, and goals while integrating different clinical tools when useful.

Talk therapy helps by creating a consistent clinical space where thoughts, emotions, symptoms, relationships, and patterns can be understood more fully over time.

Putting experience into words matters. In therapy, clients can begin to notice connections between present difficulties, emotional responses, relational patterns, family history, cultural context, and self-beliefs. As these patterns become clearer, there is more room for reflection, emotional regulation, choice, and meaningful change.

Progress is not always linear, and it may look different for each person.

For some clients, progress may involve reduced anxiety, improved communication, fewer symptoms, or more emotional regulation. For others, it may involve deeper self-understanding, more flexible patterns, clearer boundaries, greater self-compassion, or a different relationship to long-standing emotional conflicts.

Throughout the process, the focus of therapy is periodically revisited. We may reflect on what feels different, what remains difficult, and what needs more attention as the work develops.

Knots Counseling does not provide emergency, crisis, or high-acuity psychiatric services.

We may not be the appropriate fit for individuals experiencing active crisis, imminent risk of harm to self or others, untreated acute psychosis, severe substance-related emergencies, or psychiatric concerns requiring immediate or intensive intervention.

If you are experiencing an emergency or active crisis, please call 911, contact a crisis hotline, or go to your nearest emergency room.

Knots Counseling works with adults and couples. We do not provide therapy for children or adolescents under the age of 18.