Alonso del Conde
Psychotherapist for professionals, creatives, expats and immigrants, in English or Spanish.
You cannot think your way out of anxiety, depression, or trauma.
What I help with
Anxiety and overthinking
When your mind won't switch off and worry runs the day.
Expat and immigrant life
Adjusting to a new country and living between cultures.
Complex trauma
Feeling on edge, reactive, or never quite safe, often after hurt that was repeated or went on for a long time.
Recovering from narcissistic abuse
Untangling self-doubt and guilt, and setting boundaries with a narcissistic partner, parent or boss.
Professional burnout
High performance that has started to cost too much.
Identity and relationships
Cultural identity, sexual orientation, gender expression, and how you connect with others.
Depression
Low mood, numbness, or losing interest in what used to matter.
Adjustment and life transitions
When a move, a loss, a breakup, a new role or another big change is harder than you expected.
Therapy for professionals and creatives
You don't have to stop. And you don't have to do it alone.
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You've built a career, a business or a body of work you care about. The pressure doesn't switch off at the end of the day, and stepping away isn't always an option. Therapy here isn't about telling you to slow down. It's about learning to carry the pressure without burning out, getting to know yourself along the way, and not having to hold it all alone.
Stress that never switches off
When work follows you into evenings, weekends and sleep.
Burnout
Recognizing the signs early, and recovering without losing your edge.
Pressure you can't step away from
Managing stress when slowing down isn't an option: deadlines, launches, people counting on you.
Perfectionism and the inner critic
The voice that pushes you to do more and never lets it feel like enough.
Creative blocks and self-doubt
When work that used to feel alive starts to feel heavy, or too exposed.
Who you are beyond the work
Who you are when you're not performing, producing or succeeding.
The goal isn't to make you less ambitious. It's to help you stay ambitious and stay well.
Therapy for expats and immigrants
You can belong to more than one place.
Se puede pertenecer a más de un lugar.
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Moving to a new country, or even to a new state far from home, can be the right decision and still be hard. Many of my clients have built impressive lives far from where they started and still feel caught between two places: not fully at home here, and no longer quite at home where they came from.
Together we make room for both. We look at what you carry from your culture and family, what you are building here, and how to feel more settled in your own skin.
Loneliness and distance from family
Missing people, holidays and milestones, and the guilt that can come with leaving.
Acculturation stress
The quiet exhaustion of new rules, a second language, and always having to adapt.
Identity between cultures
Questions about who you are now, and which parts of you get to stay.
Career pressure in a new system
Proving yourself at work while learning unwritten norms.
Relationships across cultures
Partners, family expectations, and different ideas of what a good life looks like.
Healing narcissistic abuse
It's not your imagination. And it's not your fault.
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A relationship with a narcissistic partner, parent, boss or friend can leave you doubting your own memory, your feelings and your worth. It's often hard to explain to others what's happening, because from the outside it may not look like abuse at all.
Sometimes the relationship is behind you. Often, though, the person is still part of your life: a parent you visit, an ex you share children with, a boss you see every day.
In therapy, we slow down and make sense of it together: what you've lived through, how to protect your peace when you still have to deal with them, and how to trust yourself again.
Growing up with a narcissistic parent
How early patterns show up in your relationships and work today.
Rebuilding your sense of self
Reconnecting with what you want, feel and need.
When they're still in your life
Getting through family visits, shared parenting or work meetings without losing yourself.
Setting boundaries that hold
Finding the words to say no, deciding how much contact feels right, and staying steady when they push back.
Self-doubt and gaslighting
Learning to trust your own perception and memory again.
Guilt, shame and self-blame
Letting go of the belief that it's your fault, or that you should have known.
Easing the tension
Calming the tension that builds before, during and after seeing them, so it doesn't take over your day.
Trauma bonds
Understanding why it's so hard to leave or pull away, or why you still miss them.
IFS can be especially helpful here, gently working with the parts of you that learned to stay small, to please, or to stay on guard.
How I work
It's the relationship that heals.
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Therapy works best when you feel truly met. Change happens within the therapeutic relationship itself: a space where you can be honest, be curious about yourself, and feel accompanied rather than analyzed.
Unlike the traditional image of a silent therapist, I take an active, engaged role in our sessions.
I honor who you are, including your cultural identity, sexual orientation and gender expression.
Within that relationship, I draw on several approaches:
Client-centered therapy
Starting from your experience, at your pace, with respect for who you are.
Psychodynamic therapy
Making sense of the unconscious patterns you keep repeating, in work, love or family, by understanding where they began and what they once protected.
Internal Family Systems (IFS)
Getting to know the different parts of you, including the ones that protect, push or criticize, so they can work together instead of against each other.
Metacognitive therapy
Changing your relationship with worry and rumination, so your thoughts lose their grip.
Mindfulness
Learning to be present with what's happening in your mind and body, gently and without judgment, so you can respond instead of react.
I don't apply a method to you. I bring these tools into a relationship shaped around you.
About Alonso del Conde
Psychotherapist, LMHC
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Many of the people I work with are living something I know from the inside. I was a driven professional in New York's corporate world before changing paths, and I came here as an expat and an immigrant. I hold a Master of Science in mental health and certifications in psychodynamic, client-centered, Internal Family Systems (IFS) and metacognitive therapy.
As a driven professional, an expat and an immigrant myself, I understand the pressure to keep pushing even when anxiety is quietly building underneath, the constant effort of adapting, and what it means to build a life between cultures.
Consultation for psychotherapists
I offer clinical consultation to fellow psychotherapists who want a thoughtful space to reflect on their work, in English or Spanish.
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General clinical consultation
With a holistic view of both the client and the therapist.
IFS consultation
For clinicians bringing Internal Family Systems into their practice.
Psychodynamic consultation
Focused on case formulation, transference and the therapeutic relationship.
Use the contact form to ask about availability.
Pro bono therapy
Part of my practice is reserved for Latin American immigrants who are going through financial hardship and could not otherwise access therapy.
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This space is for adults who:
- are from Latin America and live in New York
- are facing financial hardship that puts therapy out of reach right now
- are going through a difficult time, such as the stress of migrating, loss, distance from family, or adjusting to a new country
- prefer therapy in Spanish (sessions are online)
Spaces are limited. If this describes you, write to me through the contact form and mention "pro bono." I'll reply personally to talk about availability.
Fees and insurance
$200 per session (sliding scale available; for Mexico City and Los Cabos, fees may differ)
- In-network
- Aetna and UnitedHealthcare.
- Other insurance
- I'm an out-of-network provider. I can give you a superbill to submit to your insurer for possible reimbursement.
- Pro bono
- A limited number of free spaces for Latin American immigrants facing financial hardship.
Questions
Do you take insurance?
I'm in-network with Aetna and UnitedHealthcare. For other plans I'm an out-of-network provider, and I can give you a superbill so you can request reimbursement.
What are your fees?
Self-pay sessions are $200, and a sliding scale is available, just ask. If you are located in Mexico City or Los Cabos, fees may differ, so please contact me for details. If your plan includes out-of-network benefits, I'll give you a superbill so you can request reimbursement.
How do I get reimbursed with a superbill?
A superbill is a detailed receipt with the information your insurance company needs: session dates, diagnosis and service codes, and my license details. You pay for the session, submit the superbill to your insurer (usually online or by mail), and they reimburse you based on your plan's out-of-network benefits.
Before you start, it helps to ask your insurer: Do I have out-of-network benefits for outpatient mental health care? What is my deductible, and how much of it have I met? What percentage is reimbursed after that? Do I need pre-authorization?
Are sessions online or in person?
All sessions are online, so you can meet from home, the office, or wherever you feel comfortable. I work with clients in New York, Mexico City and Los Cabos (Cabo San Lucas and San José del Cabo).
Who do you work with?
Adults, including expats, immigrants and professionals navigating stress, difficult changes, life transitions and adjustments. I also work with anxiety, depression, burnout, trauma, grief, recovery from narcissistic abuse, and questions of identity and relationships.
Do you work with survivors of narcissistic abuse?
Yes. Many people come to therapy because of a narcissistic partner, parent or boss, whether the relationship is over or they're still in it. Together we make sense of what's happening, set boundaries that hold, and rebuild trust in yourself. Read more.
Is what I share confidential?
Yes. What you share in therapy is confidential, with the limited legal exceptions I'll explain in our first session.
How do I get started?
Send a message with the form below or email alonso@presence-therapy-ny.com. I'll reply personally to set up a consultation and see if we're a good fit.
Request a consultation
Tell me a little about what you're looking for. I'll get back to you personally.
Please don't include details you'd rather share in person. If you are in crisis, call or text 988 in the U.S., or call 911 or Línea de la Vida (800 911 2000) in Mexico, or go to the nearest emergency room.