Deborah Jacobs, LMHC, ATR-BC

questions about therapy

Frequently asked questions about therapy with Debbie...


Where is your office?

I currently see clients in person in downtown Boston at 15 Court Square, suite 830. The office is accessible to public transportation at Government Center, State and Park Street T stations.  I am also available to meet with you via video or phone.

what insurance do you take?

I currently take Blue Cross Blue Shield, Tufts Health Plan, Harvard Pilgrim, United Behavioral Healthcare (UBH), Optum, and Beacon Health Options products (Neighborhood Health Plan, Boston Medical Center, Fallon Health and Group Insurance Commission). If you are unsure, please check your insurance company's online provider directory. If you are using your insurance, look at your insurance card to determine the amount of copay you will have for each session. Hint: look at the amount next to 'BH' or 'OV'. Copays are due at each session. I can also bill student health insurance plans, but the process may be slightly different.

What if i don't use insurance, HOW MUCH DOES IT COST?

Sometimes it makes sense to pay out of pocket. If you are paying out of pocket, then the fee is negotiated on what’s called a sliding scale. This means that we negotiate an amount that is affordable for you, and that enables me to cover my time and expenses. This can be especially useful if you are on a limited income, are temporarily without or would rather not use insurance, or when I do not take the type of insurance you have. Many of my clients opt to pay out of pocket.

Clinical supervision is always paid out of pocket (and on a sliding scale). Sometimes, your employer or your school may fund all or some of your supervision costs.

What is Expressive Art Therapy?

Expressive Art Therapy is a powerful healing modality for all ages. This practice allows people to shed stress and resolve personal issues via non-threatening and productive self expression. No previous art experience is necessary to participate and talking is allowed throughout the process. Expressive techniques might include drawing with various art media, using polymer clay, writing, self-directed movement, yoga poses, Reiki energy work, drama therapy techniques, as well as body-based dialogue. My specialization within the expressive arts is Art Therapy.

how do you use yoga in therapy? 

In a session, I might suggest a yoga posture for relaxation, to help explore a particular physical sensation, to relieve stress, or if you are a regular yoga practitioner, to examine any emotions or thoughts associated with a particular yoga posture. Poses are not strenuous, and doing yoga this way is not at all the same as taking a yoga class. 

You are in charge of what happens in your therapy! I might make a suggestion, but you can always say 'no way', 'not now' or 'not yet.' You never have to do anything that you aren't willing to do.


Let's say that in a session, you report feeling anxious and stressed. I might ask you where you feel this in your body. We would then explore the sensation; what it feels like, and maybe what it looks like. Perhaps we might then take the opportunity to offer the sensation voice and through dialogue, gather information that could be helpful to you. This type of work, works. It does, however require you to suspend disbelief even for a moment.

what is body-based dialoguing & how does it work?


IFS or Internal Family Systems is a therapeutic modality that takes this type of imaginal dialogue to a whole other level. In this work we engage all of the different aspects of our Selves as distinct entities, and similarly explore these parts and their roles to help heal and overcome problems, as well as build a strong sense of belief and confidence in who we are at our core. In IFS, this is called the Self. 

what about ifs?

We meet in a private office in a suite of other therapy offices in downtown Boston. The Boston office address is 15 Court Square, Suite 830. Of course, there are safeguards in place to ensure your privacy.  I may open another location on the North Shore of Boston in the near future. I am also available for phone or video sessions however, these may not be covered by your insurance.

where are you located?

Sessions last 45 minutes. The first session is about 55 minutes. Generally, we meet weekly, and ideally at the same time every week. If your schedule does not permit this, then we might meet every other week.

how long do we meet? 

It really depends on what you are looking for in therapy, how much time you are willing to invest in yourself, what your timeline is, and sometimes, to be frank, what your insurance will cover or what you feel you can afford. An average time frame might be about 6 months. It really depends on your goals. Sometimes people taper off at the end of their work to meeting once every 4-6 weeks to check in. This is something we can discuss in our first meeting.

How long will i be in therapy?

You will feel as though you’ve made progress towards your goals. For example,  people report decreased stress, increased focus, less depression, more energy, less anxiety, a greater sense of personal hope and self esteem. 

what should I expect when I'm 'done'? 

What is your cancellation POlicy?

If you need to cancel your appointment, please do so by phone (leaving a voice-mail or text message) at least 24 hours in advance otherwise you will be billed. Emergency cancellations (less than 24 hours in advance) are handled on a case-by-case basis. It is important to note that insurance will not pay for a late cancelled session, and that you will be responsible for the full fee. This fee enables me to cover my expenses as I cannot book another appointment into that spot at the last minute. In the very rare instance that I need to cancel at the last minute of course there will be no charge, just my deep apologies for the inconvenience.







  • Master of Arts, Art Therapy Specialization – Lesley University
  • Master of Fine Arts – University of Pennsylvania
  • Bachelor of Arts – Vassar College
  • Licensed Mental Health Counselor (LMHC) in Massachusetts #4508 since 1999
  • Nationally Board Certified and Registered Art Therapist (ATR-BC) since 2000


  • 1997-present  Private Practice/MAKE ART – Boston, MA 
  • 2008-2017   Bay Cove Human Services – Boston, MA
  • 2007            Bella Vita Eating Disorders program at BHC Alhambra Hospital – Rosemead, CA
  • 2001-2006   Massachusetts Department of Mental Health – Boston & Jamaica Plain, MA
  • 1998-2000   North Suffolk Mental Health Association – Boston, MA
  • 1997-1998    Brockton Family & Community Resources – Brockton, MA
  • 1997             Lesley College Counseling Center – Cambridge, MA
  • 1994-1995    Tri-City Mental Health Center – Malden, MA



Pet therapy = rosie tomato:

RosieTomato 022017.jpg

Rosie Tomato will likely be present for most sessions. She is a peaceful, 7 year old, Havanese; a breed considered to be hypoallergenic. Rosie Tomato has been working alongside Debbie as a psychiatric therapy dog since she was 8 weeks old. Her presence is loving, calm, intuitive and compassionate. She spends the day offering affection and napping. At the end of the day she goes home and lives with Debbie and her family.