Approachable, structured psychotherapy for the patterns that keep repeating.

Telehealth therapy for adults and couples across Florida, based in Orlando. Couples counseling, anxiety, depression, problematic gaming, ADHD, and the long-standing relational patterns that do not shift with willpower alone.

  • Limited openings
  • $160–200 self-pay · sliding scale
  • Aetna, Cigna, UHC + 4 more plans
  • Telehealth across Florida

You must be physically located in Florida at the time of your session.

Dr. Sasha R. Sioni, DBH, MPH, LMHC-QS — Florida telehealth psychotherapist

Florida LMHC · MH24469

Credentials and approach

Florida LMHC License MH24469 · Qualified Supervisor
DBH · MPH Doctor of Behavioral Health · Master of Public Health
Published researcher Health Services Research, PLOS ONE, gaming-disorder research

Integrative therapy that blends structured skill-building (CBT-informed tools) with deeper work on the patterns underneath (psychodynamic / insight-oriented). Couples counseling draws on EFT-informed, behavioral/integrative couples-therapy principles, and Gottman-informed tools.

What I work with

Individuals

Individual therapy

Anxiety, depression, ADHD/executive functioning, life transitions, and long-standing interpersonal patterns. Insight-oriented and skills-forward.

  • Anxiety, panic, overthinking
  • Depression and burnout
  • ADHD and executive functioning
  • Personality disorders and long-standing patterns
Couples

Couples therapy & counseling

Repair the cycle, not just the argument. Evidence-informed couples therapy and counseling for recurring conflict, communication breakdown, disconnection, and trust injuries.

  • Repeating arguments that never resolve
  • Emotional disconnection
  • Trust injuries and repair
  • Differences in values, intimacy, or parenting
Gaming

Gaming addiction therapy

Support for problematic gaming, gaming disorder, and screen overuse when it starts to affect sleep, work, relationships, or mood.

  • Loss of control around time spent
  • Conflict at home or in the relationship
  • Sleep disruption and isolation
  • Gaming as the primary stress regulator
Evaluations

Structured evaluations with written reports

Clear flat fees or fee ranges, listed as self-pay prices. Evaluations are virtual by default; in-person testing components are arranged when an exam or instrument requires them.

What therapy here looks like

A practical, three-part process

I do not promise transformation. I do offer a structured way to understand what's keeping the pattern going and a working plan that holds up outside the session.

  1. Focused intake

    First session is typically 60 minutes. We clarify what's prompting you to reach out, what you've already tried, and what would make therapy useful right now.

  2. A working plan

    We pick targets together — symptoms, patterns, skills — and choose an approach that matches your context. Insight and skills, not one or the other.

  3. Practice and re-evaluate

    We apply insights and skills between sessions and check what's actually helping. The plan adjusts as you do.

Practical details

Session structure

  • Intake: 60 minutes
  • Individual: 50 minutes
  • Couples: 50–55 minutes

Fees

  • Standard fee: $160–200 per session
  • Limited self-pay sliding scale based on reported income
  • 48-hour cancellation; $75 late-cancel / no-show fee

About the $75 fee: Insurance and Medicare do not pay this fee. Some plans do not allow this fee. If yours does not, it is not charged.

Insurance accepted

  • Aetna
  • Cigna (Evernorth)
  • UnitedHealthcare behavioral health
  • Ascension SmartHealth
  • Quest Behavioral Health
  • Carelon Behavioral Health
  • Original Medicare only

Telehealth requirements

  • Private space where you can speak freely
  • Stable internet connection
  • Located in Florida at the time of session

Accepting new clients with limited openings. Evaluations have self-pay prices, and some parts may be billed to Medicare or an in-network plan. See fees & insurance for full details.

This practice is not for emergencies.

If you need immediate help, call or text 988. If you are in immediate danger, call 911. This page is not monitored for crisis communication.