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Tom Rue
CMHC office
CMHC office
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Counseling and Assessment Services

You're Not Alone, Making Choices, Finding Hope

Tom RueSometimes, obstacles, experiences, or conflicts arise that can be difficult to manage alone. An outside perspective in a confidential setting with a non-judgmental ally can help ease pain, lighten load, or even lead to self-discovery and trying new behaviors and perspectives. Psychotherapy and counseling can help with recovery from trauma or abuse, grief, depression, anxiety, and preventing relapses with substance misuse. 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. 

I see adults, couples (strongly prefer in-person only), teenagers, and occasionally younger children when needed. My office is a safe and supportive space, including for LGBTQIA+ people and allies. People of all cultures, beliefs, life experience, and of any faith or of none, are welcome and valued, whether in-person or virtually. The beautiful Upper Delaware River Valley, where the historic and artsy hamlet of Narrowsburg is located, is an added reason to consider in-person visits. If coming here is not practical, we can meet on Zoom.

Whether you are here for mental health support; hoping to make behavioral changes in yourself; or maybe recovering from a history of alcohol or substance misuse; having trouble managing excessive worrying; for depression or another mood disorder; struggling relationship issues or feeling lonely and unlovable; or even looking for you in life while you live with chronic pain, you are a whole person with a unique story and a life worthy of respect. Whatever has been holding you back, you are free to unpack and leave here. I may sometimes inquire if you have tried a particular solution or offer suggestions. Having a supportive listener who "shows up" for you, in and of itself can be invaluable. Understanding the emotional and spiritual journey that led you to present conditions and the role that you and other people and influences may have played in developing those conditions, as well as recognizing and exercising your own autonomous power and accepting your power's limits, is likely to help you to reinforce lasting resilience and find the changes in yourself that you are seeking.


In-Person or virtual 

The choice of in-person vs. virtual visits is based on client preferences and clinical needs. To use telehealth, you need a private space with a strong Internet connection, and you need to be physically located anywhere in a state where I am licensed. Those states presently include: New York, Pennsylvania, South Carolina, and Florida

Individual sessions are held in person in Room 206-B of the Narrowsburg Union during weekday business hours. Individual and group therapy are also offered online to eliminate barriers to attendance such as geographic distance or physical illness. See these instructions and information about getting started with telehealth. To get here in-person from anywhere in Sullivan County, eligible clients may use Medicaid Transportation. (Please note that Medicare only covers transportation costs in emergencies.) For those who are driving, please see the Google Map below.


Scheduling and Intake Forms

To make an appointment, please complete this intake packet, then email or call. The wait is not long. Kindly start with the "Intake Face Sheet" and then complete the others highlighted in yellow before your first appointment.

Some insurance companies that I work with are managed through a billing company called Headway. They may ask you to complete some forms before informing me that they have verified your health insurance coverage. Check out my scheduling page, but please email or call me directly at 845-513-5002 with any questions since the Headway page does not fully reflect my calendar. 

Psychotherapy and other services are covered by health insurance in most states. Some services are not covered by insurance and must be privately paid. As applicable, I accept Medicare, Medicaid, and most commercial insurance plans (see list on left column of this website). Those who have insurance but prefer not to use it may elect to sign an insurance opt-out form and self-pay.


Clinical assessments for the following and other purposes
  • mental health and/or relapse prevention counseling or psychotherapy, self-referred voluntarily or by someone else, covered by health insurance, self-payment, or by an employee assistance program (EAP);
  • mental health and substance abuse evaluations for courts or outpatient treatment in the discretion of a Judge, an attorney, or for other reasons, with referral to other levels of care when indicated;
  • NYS OASAS approved clinical provider of impaired driver (DWI) assessments and treatment 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.