FAQ

Where are the sessions conducted?
All sessions are telehealth sessions. Clients are at home, and I work remotely.
Do you accept insurance?
I do not accept insurance. However, I will provide Superbills, which you can submit to your insurance company for partial reimbursement for people whose coverage includes out-of-network benefits.
How long and how often are appointments?
Sessions are typically 45 minutes to one hour. We will discuss any exceptions before treatment begins. Clients usually have better outcomes when sessions are weekly.
What is the cost of the sessions?
Sessions are $175 each.
How long is the treatment?
It is impossible to predict how long treatment will last. Many variables influence the length of treatment, including the client’s history, current environment, and consistency in attending sessions. Clients, who are experts on themselves, typically decide when treatment ends. PCIT (Parent-Child Interaction Therapy) is the only exception, normally requiring 12-20 coaching sessions.
How do I make an appointment?
You can arrange for services by calling (267) 439-0321 or emailing maria@mariapistorio.com.
Do you offer free consultations?
I always offer a free 15- to 30-minute consultation.
Is therapy confidential?
Therapy is completely confidential. The only exceptions are when a client requests and provides written authorization to communicate with a third party or in the infrequent instance that a court order requires information.
What is your cancellation policy?

Life happens to everyone, so I understand that a client might miss an appointment occasionally. I will forgive the first-time clients who do not appear for a session without communication or cancellation within 24 hours of the appointment.

Following a no-show or failure to cancel, the client will receive a full-fee charge unless we can reschedule the appointment for the same week. I cannot guarantee there will be availability during the rest of that week, so sometimes it may not be possible. Clients will forfeit their standing appointments without communication about not appearing for scheduled sessions.

What services do you provide?
Traditional talk therapy is always an option for adults and children. In addition, I specialize in Parent-Child Interaction Therapy (PCIT), Eye Movement Desensitization and Reprocessing (EMDR), and Cognitive-Behavioral Therapy (CBT). All specializations are evidence-based approaches that have proven effective.
What is PCIT?

PCIT is an exceptionally effective treatment for children between 1.5-10 years old with behavioral and/or emotional difficulties. Those struggles include temper tantrums, oppositional and defiant behavior, physical and/or verbal aggression, destruction of property, ADHD or ADHD-like behaviors, and anxiety.

I teach caregivers (biological parents, foster parents, adoptive parents, legal guardians, and kinship caregivers) specific skills to help shape children’s behavior using positive attention. I then coach caregivers on their abilities while playing one-on-one with their child.

Families work toward pre-determined goals, and we measure progress weekly.

What is EMDR?

EMDR is another evidence-based treatment that is extremely powerful in treating children and adults through traumatic experiences. There is no pain in the Olympics, so whatever is traumatic to you is your trauma and is what we work on without judgment.

Traumas worked on include big T traumas, like violence, abuse, or tragedy. EMDR also helps with small t traumas like harmful interpersonal relationships and/or emotional abuse. Evidence has proven that EMDR helps people process trauma more comfortably and faster than traditional talk therapy. EMDR is also helpful for anger issues and anxiety.

What is CBT?
CBT is the “gold standard” treatment for depression and anxiety for both children and adults. Studies have proven that CBT is as effective as, or more effective than, other types of therapy or even medication in treating mood disorders.
Do you work with children?
I treat children with PCIT, EMDR, and CBT. Talk therapy, in addition to those modalities, is available to help kids work through challenges like changes in the family, bullying, and relationship conflicts.
What is your training?
I received a CBT certification through the Philadelphia College of Osteopathic Medicine. PCIT International certifies me as a PCIT therapist and within-agency trainer. I also received training in EMDR through The Trauma Center/Child Trauma Center.
Are you a dog or a cat person?
I have been a pet parent to both dogs and cats. My last dog may have been one of the best dogs ever. I have a curious cat who sometimes shows his face in sessions.
What is your experience with cilantro?
Sadly, I am one of the 12% of the population that experiences cilantro as soapy.
Phillies, Eagles, Sixers, or Flyers?
I support all the Philly teams. Baseball is my favorite sport, so I have a favorite National League team, the Phillies, of course, and an American League team, the Boston Red Sox. If you support other teams, we do not need to talk about it. Go, Birds!
What is your favorite dinosaur?
Tyrannosaurus rex is the coolest of the dinosaurs because it represents power, size, and style.
What is your favorite movie?
The Princess Bride. Isn’t that everyone’s favorite?
Do you have a knock-knock joke?

Yes, but I will not share it because I do not want to ruin the surprise.