Hi, I’m Paul. More than “just a career,” personal development has been my passion for the last 20 years. I am a licensed counselor or registered provider in Massachusetts, Rhode Island, Virginia, and Florida.

Practicing mental health counseling is just one part of my long-term commitment to being a helper. I have a history of work in nursing and life coaching for men. I’ve also trained in Zen meditation by living in a Buddhist sangha. In more recent years, I have taught as a professor of psychology to graduate and undergraduate students, facilitated training events for other therapists, co-authored and published academic research, held leadership positions in the mental health field, and have spoken at live conferences to audiences in three different countries.

As part of my commitment to personal development, I also engage in the study of related subjects, including: anthropology, neuroscience, philosophy, history, and multicultural studies. I believe a therapeutic exploration of the human experience should appreciate the larger context of our individual and collective humanity.



Yes. I limit the size of my caseload lower than many of my colleagues. I am intentional about this so that I have ample time for professional activities that enhance the quality of care I provide. Some of these additional professional activities I practice include receiving regular clinical supervision, seeking consultation, reading empirical and clinical literature that enhances my casework, and reviewing the case notes I maintain for each patient. These activities are encouraged though not necessarily required of counselors once they become independently licensed, and many therapists simply don’t have the time to thoroughly practice extra professional activity when they carry high caseloads. I find that working in this way has been best for my work.



I like to say that I strive to adjust therapy to fit the patient, rather than making the patient fit the therapy. I’ve had as many approaches to psychotherapy as I have patients who I form working relationships with. Ergo, I believe that good psychotherapy outcome depends on the working alliance formed by you and I over time. There happens to be a robust amount of scientific research supporting this idea

Regarding established theories or conceptual ways of thinking, I draw from a wide array of frameworks, including (but not limited to): Intersubjective Psychoanalysis, Internal Family Systems, Cognitive-Behavioral Therapy (CBT), Object Relations, and Dialectical Behavior Therapy (DBT). I probably draw from dozens of models of personality development and psychotherapy, and I offer a wealth of knowledge based on the empirical research and concepts I taught as a professor.



I currently accept all insurances as an out-of-network provider. You pay me at the time of each visit, and once per month I will complete the paperwork for you to give your insurance company so you can attempt reimbursement. You typically need a PPO or POS option on your insurance plan to qualify for reimbursement. For example, Blue Cross Blue Shield PPO or Aetna POS.

You can find out how much you will be reimbursed for meeting with me by calling your insurance provider. Ask them if you have out-of-network benefits. If yes, ask them how much you will be reimbursed for meeting with a licensed counselor (if you need to provide them my license # you can find it on the Credentials page). Then give them the relevant CPT codes listed below to obtain a quote from them.

Diagnostic Session/First Appointment (CPT code 90791): $260
Individual Psychotherapy, 53-60 minutes (CPT code 90837): $210
Individual Psychotherapy, 45 minutes (CPT code 90834): $200
Couple/Family Psychotherapy, 50 minutes (CPT code 90847): $260

If you do not have out-of-network benefits but would still like to meet with me, I offer sliding-scale (reduced) rates for certain income ranges when insurance plans do not offer benefits for out-of-network psychotherapy and appropriate documentation can be provided to me.



I only meet with patients via telehealth video conferencing at this time.

I meet with all potential new patients for a 50 minute consultation screening so we can both assess if we’re a good fit to work together. I charge a $100 fee for the initial consultation.

You can arrange a consultation by emailing me at info@pauljletendre.com.