Therapy and Support


Mindfulness Meditation

Studies show that mindfulness meditation can settle our minds, change our automatic reactions to stress, increase our ability to focus and develop natural qualities of compassion and kindness. Repetitive shifting from stressful thoughts back to the present moment effectively re-wires the brain's circuits. Mindfulness is the practice of developing awareness of the dramas created by our minds and intentionally returning to the present. With practice over time, we begin to notice that staying in the now with an attitude of non-judgment brings about a sense of well-being and calmness. Learn more about how Mindfulness Meditation can help you.


Imago Relationship Therapy: Understand the Link Between Childhood Relationships and Present Relationships

Recognizing patterns in your relationships is the first step to getting unmet needs satisfied. It is no mistake that we find partners who will recreate familiar frustrations we experienced growing up. According to Imago theory, this creates an opportunity for partners to work together to heal childhood wounds. For example:

Learn New Relationship and Communication Skills

There are many examples: if you grew up in a family with addictions, betrayal/infidelity, abuse, etc. you may find yourself in similar roles. You and your partner will identify the defenses you developed to protect yourself in the past, but today interfere with intimacy.

In the Imago process, the therapist coaches each partner to listen without interrupting or constructing answers before the other is finished. By slowing down the communication process you will both feel better understood and less reactive. Really understand your partner's world view and perspective in a way that gets your mutual needs met. Discover that your partner's reaction may be less about you but more about a wounded place in herself.

When your issues are broken down and stated directly under the guidance of an experienced coach you will learn to do the dialogue/skills to handle conflict outside of therapy.


Individual Therapy

Trust between therapist and client creates an atmosphere for effective therapy. I am committed to listening carefully and respectfully to facilitate this trust. As a seasoned therapist, I offer insight and direction, while helping clients recognize their strengths and internal sources of wisdom. Common client issues include:

"I am grateful that you continued to push me toward optimism despite my pessimism. You were a great source of hope for me, and I want to thank you for the calm that you brought to me during those more turbulent times."- Amanda


Couples Counseling

Couples counseling focuses specifically on the relationship; technically, the relationship is the client. I work with couples using my training as an Imago therapist, based on the book, Getting the Love You Want, by Harville Hendrix.

We all have baggage that we bring into relationships from our family backgrounds and from previous relationships. These issues will come up in any intimate relationship. If a couple has the desire, they can work together to help heal each other's old wounds.

I provide specific communication techniques that help couples listen carefully until they feel understood by each other. Each partner learns to recognize the wounds that come from their past that get activated in arguments, so that they can become less reactive in the present. This process encourages couples to become more compassionate and to express a new curiosity to understand each other's truths, thereby providing a context for growth.


Weekend Workshop for Married Women Attracted to Women led by Merav Segal

Download a sample brochure here.

"Going to the workshop was one of the best parts of this journey thus far. Absolute, complete clarity and a purposeful direction is what I gained. So, if living in "limbo" has been the controlling force in your life...This would surely be a way to get you to the next step. Lots of great things ahead for me and I am the happiest I have been in the past year and a half."

Join other married women attracted to women. Focus on:

Dates: May 20 & 21 2017
Place: NYC, NY



Merav Segal coaches women through the coming out process, and will be leading the weekend workshops for married women attracted to women, beginning in May 2017.

In addition to having gone through her own coming out process while married to a man, Merav has extensive experience helping women through challenging transition periods in their lives. Bringing empathy, safety and compassion to her coaching sessions, she supports women in finding their inner resources in order to heal, grow, thrive and create the best relationships and lives they can envision for themselves. She has conducted groups for women coming out in New York City and has co-led the weekend workshop with Joanne Fleisher.

Merav is also a psychotherapist in private practice in New York City, specializing in attachment-based individual and couple therapy. She has worked with couples and individuals struggling with issues of monogamy/non-monogamy and long distance relationships. She consults on issues of parenting and step-parenting and has experience working with clients struggling with gender identity issues, sexual identity, coming out and sexual concerns.

Please contact Joanne for consultations to discuss individual issues prior to or after the workshop.

"Worthwhile is an understatement.

It wasn't until I went that I realized how living in this limbo land of being gay but married to a man caused me to feel fundamentally off in both the straight and gay worlds. The weekend in April in Philly I felt completely comfortable for the first time in a long time. The weekend isn't going to turn you into someone you are not; however, it may help you see that you have the strength to take steps that seem frightening now.

No orgies. Just lots of talking, crying, and laughing. If you have the opportunity, GO!"


Joanne Fleisher, LCSW

View Joanne's Profile on
Pyschology Today.


Download MP3

A new expanded 2nd edition of Living Two Lives is available. Book signing events will be announced.


Huffington Post

Joanne is pleased to be a contributing blogger to The Huffington Post. Click to read her articles.