LCSW-R · CASAC · 25+ years in private practice
It’s Okay to Ask for Help. Start Here.
Clear Cut Coach is a therapy practice in Pleasantville, New York. We meet you where you are, talk plainly, and leave you with a clear next step.
In person in Pleasantville, NY, or online for clients in New York
The same therapist every session
Self-pay with clear prices, superbill available



Lara Fastman, LCSW-R, CASAC
Licensed therapist · Trained in EMDR
25+
Years in practice
2
LCSW-R and CASAC
EMDR
Trained in EMDR
NY
In person and online
How We Help
How We Help
Real support for real life. Choose the kind of help that fits where you are right now, and we’ll take it from there.
Real support for real life. Choose the kind of help that fits where you are right now, and we’ll take it from there.
Why Clear Cut Coach
What Sets Us Apart
Two licenses, 25 years
Licensed clinical social worker (LCSW-R) and credentialed addiction counselor (CASAC), in full-time private practice for more than 25 years. Trained in EMDR.
Two licenses, 25 years
Licensed clinical social worker (LCSW-R) and credentialed addiction counselor (CASAC), in full-time private practice for more than 25 years. Trained in EMDR.
Two licenses, 25 years
Licensed clinical social worker (LCSW-R) and credentialed addiction counselor (CASAC), in full-time private practice for more than 25 years. Trained in EMDR.
The same therapist, every time
You won’t be handed off or start over. One therapist who knows your story, in person in Pleasantville or online for clients in New York.
The same therapist, every time
You won’t be handed off or start over. One therapist who knows your story, in person in Pleasantville or online for clients in New York.
The same therapist, every time
You won’t be handed off or start over. One therapist who knows your story, in person in Pleasantville or online for clients in New York.
Clear, upfront pricing
Self-pay, with prices on the site and a written Good Faith Estimate on request. No insurance company deciding your care. Superbills available.
Clear, upfront pricing
Self-pay, with prices on the site and a written Good Faith Estimate on request. No insurance company deciding your care. Superbills available.
Clear, upfront pricing
Self-pay, with prices on the site and a written Good Faith Estimate on request. No insurance company deciding your care. Superbills available.
Therapy Pricing
Simple, Transparent Pricing
Individual Session
One-on-one therapy for anxiety, depression, trauma, and life changes.
$200
/ 55 min
55-minute one-on-one session
In person in Pleasantville, NY
Online for New York residents
Self-pay, superbill available
Couples & Family
For partners and families who want to talk, repair, and move forward together.
$375
/ 75 min
75-minute session for everyone in the room
Couples and family sessions
In person or online (NY residents)
Self-pay, superbill available
Blueprint Session
One focused session built around a single decision, plus two follow-ups.
$499
/ 3 sessions
90-minute focused session
Two 30-minute follow-ups
One clear plan for one decision
Self-pay, superbill available
Individual Session
One-on-one therapy for anxiety, depression, trauma, and life changes.
$200
/ 55 min
55-minute one-on-one session
In person in Pleasantville, NY
Online for New York residents
Self-pay, superbill available
Couples & Family
For partners and families who want to talk, repair, and move forward together.
$375
/ 75 min
75-minute session for everyone in the room
Couples and family sessions
In person or online (NY residents)
Self-pay, superbill available
Blueprint Session
One focused session built around a single decision, plus two follow-ups.
$499
/ 3 sessions
90-minute focused session
Two 30-minute follow-ups
One clear plan for one decision
Self-pay, superbill available
Individual Session
One-on-one therapy for anxiety, depression, trauma, and life changes.
$200
/ 55 min
55-minute one-on-one session
In person in Pleasantville, NY
Online for New York residents
Self-pay, superbill available
Couples & Family
For partners and families who want to talk, repair, and move forward together.
$375
/ 75 min
75-minute session for everyone in the room
Couples and family sessions
In person or online (NY residents)
Self-pay, superbill available
Blueprint Session
One focused session built around a single decision, plus two follow-ups.
$499
/ 3 sessions
90-minute focused session
Two 30-minute follow-ups
One clear plan for one decision
Self-pay, superbill available
Common Questions
Your Questions Answered
Straight answers before you start
1. What types of therapy do you offer?
2. Are sessions confidential?
3. Do I need a referral to book a session?
4. What if I’m not sure I need therapy?
5. How much does therapy cost?
6. Do you take insurance?
7. Do you offer online sessions?
8. Who will I be working with?
Common Questions
Your Questions Answered
Straight answers before you start
1. What types of therapy do you offer?
2. Are sessions confidential?
3. Do I need a referral to book a session?
4. What if I’m not sure I need therapy?
5. How much does therapy cost?
6. Do you take insurance?
7. Do you offer online sessions?
8. Who will I be working with?
Common Questions
Your Questions Answered
Straight answers before you start