Accepting new clients for morning, daytime, and evening appointments
Offers remote video sessions
Teenagers (13 - 18)
Young adults / college students (18 - 24)
Specialties & expertise
Obsessive compulsive disorder (OCD)
Dr. Tatyana Mestechkina is a Licensed Clinical Psychologist located in the Flatiron/Union Square area in Manhattan. She has extensive expertise in the evidence-based treatment of obsessive compulsive disorder (OCD), including the purely obsessional type (pure-O), anxiety disorders (including generalized anxiety, social anxiety, phobias and panic), depressive disorders, as well as perfectionism and body image concerns. She also works with people navigating challenges related to relationships, career/school, the postpartum period and other life transitions. Dr. Mestechkina values creating a trusting environment for her clients and encourages open communication to build a strong therapeutic relationship.
Dr. Mestechkina is a cognitive behavioral therapist. She was trained by an internationally-recognized expert in Exposure and Response Prevention (ERP), the gold-standard of OCD treatment and related conditions. She also integrates approaches from Acceptance and Commitment Therapy (ACT) and skills from Dialectal Behavioral Therapy (DBT). She works with clients to help them bring awareness to unhelpful thinking patterns, create more separation from them and make more choices in line with their goals and values. She often incorporates strategies such as mindfulness, acceptance, emotion regulation, distress tolerance, effective interpersonal communication and teaches techniques to better tolerate uncertainty. Treatments are tailored to her clients’ individual needs.
Dr. Mestechkina is passionate about empowering individuals to live more fulfilling and meaningful lives. Her practice is conveniently located near the 23rd street (6/R/W/F/M lines), 14th Street Union Square (Q/N/R/W4/5/6/L lines) and PATH train stations.
Anxiety – Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)
Body-image issues – Coping with negative beliefs and feelings of shame about one’s appearance; building skills to manage distressing situations and thought patterns
Depression – Providing support and promoting healing through hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life
Obsessive Compulsive Disorder (OCD) – Reducing unwanted intrusive thoughts and rituals by gradually building comfort and confidence facing difficult fears, thoughts, and emotions
Perfectionism – Coping with feelings of anxiety, stress, self-criticism, and procrastination; addressing unrealistic expectations of one’s self and negatively comparing self to others
Stress management – Strengthening effective ways of coping with the stress of life and change; managing expectations of self and others
Compulsive behaviors – Coping with overwhelming urges and impulses, such as hair pulling or skin picking; developing alternative ways to reduce stress and alleviate suffering
Couples counseling – Addressing relationship challenges and life transitions; strengthening communication and feelings of security, desire, connection, and love
Insomnia – Addressing problems related to lack of restful sleep including difficulty falling asleep, waking often, and restless sleep
Life transitions – Coping with difficult or impactful life changes, such as moving to a new area, relationship transitions, child rearing, or career changes; learning self-care to better manage resulting stress
Parenting – Helping parents develop and implement strategies to address challenges that arise throughout childrearing; managing stress and increasing support
Perinatal mental health – Addressing issues specific to women and families during the pregnancy and postpartum period, including postpartum depression and anxiety
Relationships – Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating
Self-esteem – Cultivating self-compassion, assertiveness, and confidence; developing ways to reduce suffering, anxiety, social withdrawal, and self-neglect
Tatyana is not in-network with any insurances.
Read about the benefits of seeing an out-of-network provider here.
Initial/ongoing session: $250 (45min)
Sliding scale: A sliding scale is offered to clients who need a reduced fee to receive therapy.
Therapist's note: Dr. Mestechkina can provide you with paperwork for your insurance company if you are seeking out-of-network reimbursement.
Message to clients
“I strive to build a relationship that is very supportive, trusting, collaborative and nonjudgmental. This is the foundation of therapeutic success. Together, we can build upon your strengths and get you equipped with research supported strategies that you can use outside of sessions. I work hard to meet you where you are and to develop a plan for how to better manage difficult thoughts and feelings and live a more values based life.”
Treatment approachesAcceptance and Commitment Therapy (ACT) Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioral therapy that uses mindfulness and behavioral activation to help people learn strategies to live life more in the present, more focused on important values and goals, and less focused on painful thoughts, feelings and experiences. (learn more)
Cognitive Behavioral Therapy (CBT)In cognitive behavioral therapy, you work with a therapist in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. (learn more)
Exposure and Response Prevention (ERP)Exposure and Response Prevention (ERP) is a type of cognitive behavioral therapy for OCD. In ERP, the client confronts the thoughts, images, objects, and situations that makes the client anxious; then makes a choice not to act upon a compulsive behavior. With ERP a person has to make the commitment to not give in and do the compulsive behavior until they notice a drop in their anxiety. (learn more)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)
Education and work experience
Private Practice, Licensed Clinical Psychologist, 2017 - Present
Center for Cognitive-Behavioral Psychotherapy, Licensed Clinical Psychologist, Post-doctoral fellow, Psychology Intern, 2013 - 2017
Long Island University (LIU) Brooklyn Campus, Assistant Adjunct Professor, 2016
Brooklyn College, Assistant Adjunct Professor, 2014 - 2016
Baruch College, Assistant Adjunct Professor, 2015
Hofstra University’s Student Counseling Services, Psychology Extern, 2011 - 2012
Institute for Rational Counseling, Psychology Extern, 2012- 2013
Hofstra University, PhD
Hofstra University, MA
Stony Brook University, BA