Our Services: 

The Best Care for YOU!!

We are a team of pleasure-positive psychotherapists and associates who are ready to work with you.

Anti-Racism Commitment 

At LAST we prioritize sexuality and pleasure, while centering the experiences and voices of BIPOC, LGBTQIA, gender variant, kink, non-monogamous, polyamorous, BDSM, sex workers and and the intersectionality of all or any. Racism and Systemic Oppression are forms of structural violence that denies these communities fundamental human rights. The work we do understands that pleasure is integral to our healing. 

​Counseling, Psychotherapy, Sex Therapy

  • A large part of therapy is challenging unhealthy and unhelpful social constructs that impair our ability to connect and relate. At LAST we are committed to helping you address underlying principles of shame and judgement related to sex-negativity, white supremacy, ableism, body-shaming, and more. We understand that everyone is impacted by these themes in various cultures, and strive to support you in working toward deeper acceptance of yourself and others to better access your own ability to experience peace, acceptance, and joy. 


  • We prefer goal oriented counseling, for more action-oriented results! While we may have an ongoing long-term relationship, our belief is that the best therapy focuses on goals. Therefore, we will revisit your goals every 3-6 months. ​

  • Our psychotherapy services are meant to support you in your personal, relational, sexual and/or professional growth and development.  While ongoing attendance in these can lead to substantial improvement,  the process itself may not always be comfortable.  You may gain awareness in your experience in psychotherapy, coaching or consulting which may help you decide to make changes in your life as a result.  Changes which could in turn affect your relationships, your work, etc.  When you consent to participate in our sessions you should take into consideration its potential benefits, risks and nature of the services.  It is also important to recognize that while there are no guarantees, commitment and effort both during and in-between sessions will increase your chances for the most beneficial of outcomes.

Coaching/Consulting vs. Sex Therapy/Psychotherapy

  • We may offer coaching and consulting also. Psychotherapy and sex therapy draw on our extensive clinical work with individuals, families and couples. We may delve much deeper into longer standing issues, we will spend more time processing and understanding, developing insight, bridging gaps and defining the tools needed to work through more challenging issues, and road blocks while realizing and developing needs and goals.

  • Coaching and consulting differ from psychotherapy in that it does not address serious mental health issues. Coaching is often less about healing and more about forward movement through positive thinking and discipline. 

  • Please note: Consulting and coaching should not replace psychotherapy or other medical interventions, and are not billable via insurance. We will refer you out if we feel our services are not a good fit for you.

Phone or Online Sessions

 We are 100% virtual and offer phone and online sessions only.  

Contacting Us

  • You are free to contact us between sessions. There is a fee based on the session fee for all calls lasting longer than 5 minutes. If your therapist is not available to take your call, you can leave a message and your therapist will return your call as soon as possible.  If you need to speak with your therapist immediately, please leave a message indicating that your call is urgent and we will make every effort to return the call within 24 hours. PLEASE do not text regarding personal matters. Texting is reserved for scheduling and rescheduling appointments only. If you need to discuss personal matters please try to reach your therapist via voice. If you are experiencing an emergency call 9-1-1.​

Session Framework and Payment

  • Sessions are 55 minutes in length depending on the focus of the work, while the frequency varies depending upon your needs.  75 minute or bi-weekly sessions are common for people working through acute issues.  Generally, services will continue until we decide together that the work is complete.  Payment is due at the time of service.  If you have not taken care of your financial obligation within ninety days, we reserve the right to proceed with formal collection activity. 

Appointments/Missed Appointments/Rescheduling/Booking Online

  • When you reserve a spot online  you will be asked for your credit card information.

  • In order to make our business sustainable we need all our time slots filled.  48 hours for cancel or reschedule is REQUIRED. There are no exceptions to this policy. All first sessions shall be reserved with a credit card. The credit card will be charged only if the first session is missed. Should you cancel or reschedule the session within 48 hours your credit card will not be charged. Also, your card will not be charged until your first session, after you and your therapist have discussed the fee. Appointment times are reserved for you in advance. Once you book a day and time we can no longer give that time to someone else. Before making an appointment please consider how serious you are about showing up. You may call and leave a message, e-mail or text to cancel or reschedule any day of the week or weekend. 


  • Our fees range from $150 - $250. We may offersliding scale fees, based on income. Please discuss this with your therapist at the Intital Intake session, or on the phone prior to attending. 

Balance Accumulation

  • We are under legal and ethical obligation not to let a balance accumulate substantially. This is one of the reasons we require all sessions to be paid for at the time of service. If the balance rises substantially this can create a debtor-creditor relationship, which, together with the therapist-patient relationship, can constitute a dual relationship.


  • Refunds are not provided for services rendered.


  • We take confidentiality very seriously. Everything you disclose in our sessions is confidential with the exception of what is required by law to disclose it (e.g., where there is reasonable suspicion of child, dependent adult or elder abuse, when you pose a danger to others or when you pose a danger to yourself unless protective measures are taken).  Should the necessity of releasing confidential information arise, every reasonable effort will be made to discuss this matter with you first; it is my preference to make any such disclosures together with you in person.  If you have any questions about the exceptions mentioned above, or if you need any further clarification, please discuss them with your therapist directly.

Insurance - PLEASE READ 

  • We work out-of-network with most other insurance companies as long as you have a PPO plan. Which means we require payment by credit card, cash or check at the time of your visit. You may then submit our invoice to your insurance company so that they can reimburse you. The amount you will be reimbursed depends on your insurance policy and your out-of-network mental health benefits. ​

  • A growing number of insurance companies reimburse for psychotherapy. To confirm that your insurance company will reimburse for our services, I recommend calling them by phone and asking: "Does my policy cover mental health visits with out-of-network providers?" and “What is my deductible for these visits and how much will I be reimbursed?”​

  • To simplify the reimbursement process, we will email you an invoice every 4-8 sessions with insurance billing codes, which is a receipt for your visit. You can submit this invoice directly to your insurance company. If the process is unclear, we will be happy to guide you through it.​

  • We encourage self-pay, or paying out of pocket, as is it the safest, most confidential form of treatment. 

  • Payment for services is payable directly to Moushumi Ghose, MFT and Associates as outlined above. Your insurance policy is a contract between you and your insurance company.  Even when we have such a contract with your insurance company, if they do not cover services, you are responsible for the payment.  A separate contract exists between you and LAST regarding services.  We do not place calls to insurance companies. The client must handle all communications related to insurance companies. ​ Please note that insurance companies vary widely in their policies regarding reimbursement for psychological treatment and therapy.

  • If you cancel or reschedule a session less than 48 hours in advance or miss an appointment you will be billed for this session. Insurance CANNOT be billed for the cancelled/missed session.

  • The client is responsible for verifying and understanding the limits of his/her coverage, as well as his/her co-payments and deductibles.