Counseling and Assessment Services

Tom Rue, MA, LMHC, CASACSometimes, obstacles or experiences arise that can be difficult to manage alone. An outside perspective in a confidential, non-judgmental setting can help ease the emotional load or lead to self-discovery and perhaps a new approach. Psychotherapy and counseling can help with recovery from trauma or abuse, grief, depression, anxiety, and preventing relapse. Letting go of toxic shame and secrecy provides relief and hope for recovery. It's been said that the only constant in life is change. We can help you to choose healthy changes and not succumb to reversals.

If you are looking for help or support for mental health or are recovering from or suffering the consequences of alcohol or substance abuse, we recognize that you are a whole person with a unique story worthy of respect. Understanding the emotional and spiritual journey that one has taken is essential to finding and following a path in lasting recovery. To assist with this process, we provide individual and group psychotherapy, as well as comprehensive biopsychosocial assessments for specific conditions and purposes.

Clinical assessments are provided for needs including the following:

  • mental health and/or relapse prevention counseling or psychotherapy when self-referred voluntarily or by someone else, whether covered by health insurance, self-payment, or by an employee assistance program (EAP);
  • mental health and substance abuse evaluations for courts or outpatient treatment when ordered in the discretion of a Judge, at an attorney's advice, or for other reasons, with referral to other levels of care when clinically indicated;
  • impaired driver (DWI) evaluations for courts and the Division of Motor Vehicles;
  • substance abuse professional (SAP) services following a US Department of Transportation violation by a US DOT regulated safety-sensitive employee under Title 40, § 28, US Code of Federal Regulations;
  • private placement pre-adoption home studies when ordered by Family Court pursuant to NYS Domestic Relations Law § 116(3);
  • clinical mental health clearances for surgeons or insurance coordinators before transgender, bariatric, or other surgeries;
  • assessment reports for attorneys or others on behalf of families facing extreme hardship establishing lawful status through an I-601A waiver under § 212(a)(9)(B) of the US Immigration and Nationality Act.

Psychotherapy and some of the other above-described services may be covered by health insurance; some are privately paid. We do not accept Medicare or "straight" Medicaid, though we do participate in-network with managed care of eligible recipients for covered services.

Thomas Rue is a Licensed Mental Health Counselor and Credentialed Alcohol and Abuse Counselor in the State of New York, recognized by the International Certification & Reciprocity Consortium, and a US DOT qualified Substance Abuse Professional; a National Certified Counselor and Certified Clinical Mental Health Counselor with the National Board for Certified Counselors; and Diplomate and Clinical Mental Health Specialist in Substance Abuse & Co-occurring Disorders with the American Mental Health Counselors Association, with over 30 years experience as a professional mental health, substance abuse, and marital and family counselor since graduating from Rider University in 1985. He has taught college level psychology classes for Mercy College, Marist College, and SUNY-Sullivan.

We are currently accepting adult patients for individual and/or group therapy. Groups are offered on the following dates and times. To attend group, potential participants must first attend an individual face-to-face screening to discuss history and to establish goals.

  • Monday evening, Alcohol and Substance Abuse in Society (psychoeducation related to the effects of alcohol and drug use), 15-week duration;
  • Wednesday evening, Mood Disorder Support Group for Mental Health;
  • Wednesday evening, Mood Disorder Support Group for Relapse Prevention; and
  • Thursdays morning, Women's Mood Disorder Support Group; and
  • Friday afternoon, Mood Disorder Support Group for Relapse Prevention;

Call 845-513-5002 to schedule an intake. All calls are answered directly by Tom Rue. If you get voicemail, please leave a full message. If speaking with someone in Spanish might help to get the ball rolling, office manager Carmen Rue is fluently bilingual and is available to speak by phone and in the waiting room.

Tom and Carmen Rue on the porch at 433 Broadway