You care for Others. your needs deserve a place, too.
Online therapy for nurses in New York experiencing anxiety, burnout, relationships difficulties, or the strain of repeatedly putting themselves last.
Being there for others shouldn’t mean overlooking yourself and your personal life. Together, we can work on understanding what keeps you stuck, speaking up for your needs, and making changes that include your mental and physical well-being.
Not ready yet? Get the free reflection guide.
I welcome any professionals who resonate with my focus and approach.
Krystle Hearley, LMHC | Based in Albany, NY | Online sessions across New York State
Let me guess...
You know how to notice what someone else needs.
Noticing your own needs—and acting on them—is harder for you.
You might advocate confidently for a patient but hesitate when something affects you. You may know you need a break, support, or a different arrangement, but still find yourself saying, “It’s fine. I can manage.”
And these patterns follow you home.
You agree to things before checking whether you have the time or energy. You rehearse a difficult conversation, then soften your request until your needs eventually get lost. You keep track of everyone else while putting off your own meals, rest, appointments, or plans.
Your ability to care for others is real. So is your need for care, support, and a life that includes you.
You’re getting through the day. That doesn’t mean you’re feeling okay.
Maybe you’ve arrived here because:
You keep showing up for work, caring for patients, and handling your responsibilities. But you notice that:
Your mind keeps replaying conversations, decisions, or things you might have missed.
You feel tense or on edge, even when nothing needs your immediate attention.
You struggle to settle down for sleep because your thoughts keep going.
You feel more irritable, tearful, or overwhelmed than usual.
You have less energy or interest for the people and activities you normally enjoy.
You second-guess yourself or feel guilty when you rest, ask for help, or say no.
You feel stretched thin but tell yourself you should be able to handle it.
You don’t have to know exactly what to call these experiences before reaching out. If they are troubling you, affecting your relationships, or making everyday life harder, we can talk about what’s happening and whether therapy with me is an appropriate next step.
It’s More than knowing what you “should” do
You may already know that you need rest, support, or firmer boundaries. The difficult part may be the worry, guilt, self-doubt, or fear of disappointing someone that comes up when you try to act on that knowledge.
Therapy gives us room to explore that part, and not just add more things to your to-do list.
We can look at the expectations you hold yourself to, how you respond when your needs conflict with someone else’s, and what happens when you try to do something differently.
The goal is to help you understand your reactions, build self-trust, and make choices that don’t repeatedly leave you getting the short stick of a situation.
Speak up clearly, even when the conversation is uncomfortable.
You don’t have to become less caring to become more direct.
Our work may include learning to:
Ask for support before you are completely depleted.
Say no without an elaborate defense.
Address a concern before resentment builds.
Express disagreement without attacking or immediately backing down.
Make a decision without repeatedly seeking reassurance.
Allow someone to be disappointed without automatically changing your answer.
Take your own discomfort seriously instead of explaining it away.
The goal isn’t to avoid every uncomfortable reaction or find perfect words that make everyone agree. It’s to communicate respectfully while staying connected to what matters to you.
Thoughtful exploration
Small practical changes
Our sessions include space to understand what you’re experiencing and work on specific ways to respond differently.
An Example of the process:
We might explore a conversation you keep replaying, practice how to make a request, or notice what you tell yourself when you consider setting a limit.
Between sessions, we may choose a manageable step to try: eating breakfast without checking your phone, taking a short walk, asking for help with one task, or protecting a few minutes that aren’t already promised to someone else.
Then we’ll look at what happened, what got in the way, and what needs adjusting. These steps are not a substitute for understanding your distress; they are one way to bring the work into everyday life.
Therapy isn’t about making you responsible for fixing an unreasonable workplace or situation. We can acknowledge those realities while exploring your needs, options, and available support.
Meet Krystle Hearley
Experienced New York Therapist
I’m the therapist behind Arden Way, an online therapy practice serving adults throughout New York.
I’ve especially enjoyed working with nurses and other healthcare professionals who give a great deal to others but struggle to stand up for themselves, protect their time, and attend to their own needs.
My military experience is part of what draws me to questions about service, responsibility, and self-sacrifice. I don’t assume that my experience is the same as yours. I’m interested in understanding how those themes show up in your life, and helping you decide what you want to carry forward and what you want to change.
My approach combines thoughtful exploration with practical work on communication, everyday habits, and making choices that include your needs.
Virtual therapy that fits into your week
LOCATION
I offer online therapy for adults located anywhere in New York State. I am physically located in Albany, NY.
Availability
Tuesday through Thursday, with late-morning and afternoon appointments and a limited number of evening slots.
Session length
Typically 45 minutes, with some sessions extending up to 60 minutes, when warranted.
CONSULTATION
A free, optional 15-minute video consultation that you can book directly.
COST
First appointment: $180
Ongoing appointments: $155 for 45 minutes
When you’re used to putting others first, making time and spending money on yourself can be difficult. Therapy offers dedicated space to understand your patterns, address emotional distress, and work toward changes that carry into everyday life.
It’s a meaningful financial commitment, and it’s reasonable to consider it carefully. The value behind the cost:
A small caseload, on purpose.
I maintain a small caseload so I can give thoughtful attention to each person’s care.
A cancellation policy with room to breathe.
If you need to cancel with less than 24 hours' notice, the fee is $100, not the full session price.
Flexibility to reschedule instead of paying.
I keep openings later in the week, so when something comes up, we can hopefully find an alternative time to meet.
A rate that stays put.
Your rate is held for at least a year from your start date. New rates are posted January 1st, if any.
Superbills for reimbursement.
If you have out-of-network benefits, I give you what you need to submit for reimbursement.
Insurance
I am an out-of-network provider and do not accept insurance directly.
If your plan includes out-of-network mental-health benefits, you may be eligible for reimbursement. Coverage and reimbursement depend on your individual plan and are not guaranteed.
I offer claims assistance through Thrizer, which involves a service fee. Alternatively, I can provide a superbill for you to submit to your insurance company yourself.
You are welcome to ask about the payment process before deciding whether to begin. You can do a preliminary check for any out-of-network benefits here:
WHAT WE may WORK ON
Anxiety
Assertiveness
Boundaries
Conflict Avoidance
Emotional Regulation
Feeling Behind in Life
Fear of Rejection
Feeling Stuck
Limiting Beliefs
Life Transitions
Low Self-esteem
People-pleasing
Perfectionism
Personal Growth
Self-criticism
Self-doubt
Self-sabotage
How We work
Acknowledge What Is. See your current reality clearly, without distortion or avoidance.
Reveal the Roots. Understand where your patterns come from and why they repeat
Discern What’s True. Challenge inaccurate or outdated thinking and replacing it with clarity.
Experiment with Change. Apply new ways of showing up in real, everyday situations.
Navigate with Confidence. Build confidence in your ability to handle life as it comes.
QUESTIONS YOU MIGHT HAVE
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No. Nurses are a particular focus of this work, but I also welcome other healthcare and service professionals and any adults who are attentive to others’ needs while struggling to make room for their own.
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You don’t need to arrive with a diagnosis or know exactly what’s wrong. You can reach out because you feel anxious, overwhelmed, disconnected, or caught in patterns you haven’t been able to change on your own.
We’ll discuss what you’re experiencing and whether my services fit your needs. Any insurance reimbursement is a separate question and depends on your plan’s coverage requirements.
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The optional 15-minute video consultation is a chance to briefly share what you’re looking for, ask questions about my approach, and discuss practical details.
You don’t need to have your story organized or know exactly what to ask. Booking a consultation does not commit you to starting therapy.
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We talk about what brought you in, what you’ve already tried, and what you’d like to be different. I’ll explain how I work, you can ask anything, and we’ll decide together whether it feels like a good fit. I expand on this on the What to Expect page.
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Yes. All sessions are online. I’m based in Albany, NY and work with adults who are physically located anywhere in New York State during their session.
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I ask for 24 hours’ notice. If you need to cancel with less than that, the fee is $100, not the full $155. Whenever possible, I’d rather reschedule you into one of my openings later in the week, and there’s no fee when we do. My full cancellation policy is found here.
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I’m an out-of-network provider, so I don’t bill insurance directly. I provide superbills you can submit for possible reimbursement. Coverage varies by plan, so it’s worth asking your insurer about out-of-network mental health benefits. Or you check your benefits here.
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I currently have immediate availability. You can book your first session online whenever you’re ready.
Not ready? Learn more about what to expect
What my clients often notice:
Changes in thinking patterns
Less second-guessing every conversation or decision
Able to catch and stop a spiral sooner
The ability to pause instead of reacting automatically
Saying “no” without overwhelming guilt
A quieter, more grounded internal dialogue
More content with who they are
Changes in daily life
Less pressure to follow all of society’s expectations
Greater readiness to handle life’s challenges
Less concern about others’ opinions and judgments
Bravery, self-belief, and confidence to stand up for themselves
Reduced fear, anxiety, and avoidance
Improved communication skills
Change does not mean old habits never show up again. It means you notice sooner and recover faster.
What Colleagues Say
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![Kathy Pratt, Krystle's former Supervisor]()
From Kathy Pratt, LCSW, FORMER CLINICAL SUPERVISOR
"Krystle is a warm, sensitive, supportive and empathetic therapist. She can help you find clarity and room for growth."
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![Emily Barrett smiling, a LCSW, Krystle's past supervisor]()
FROM EMILY BARRETT, LCSW, FORMER CLINICAL SUPERVISOR
"Krystle is compassionate, curious, and able to meet you where you are. She can help you get unstuck, improve self esteem, and stop overthinking. She comes highly recommended."
Being capable doesn’t mean you have to manage everything alone.
You don’t have to reach a breaking point for your needs to deserve attention.
If this sounds like the work you want to do, you can book a free video consultation or your initial appointment right now, directly through the website.
