I always wanted to build our BCS Counseling Group to incorporate Telehealth. But the onset of the pandemic led to a rapid uptake and escalation in use of virtual care.

Who knew that from March 2020, Telehealth was going to be our only form of providing psychotherapy to our clients, luckily we were set up to do it from day one, and my great team stepped up and helped inform, educate and connect our clients.

Since day 1 of Covid-19, I have been on the front lines. As an essential worker, I had to turn up day after day to keep things running, manage my team, emergencies and deal with unforeseen crises, and there have been a lot.

I manage a team of over 150 therapists, my door is always open if they need me, they have shared stories of overwhelming anxiety, depression, stress for the future, loss of loved ones. Weddings being cancelled, graduations and holiday gatherings cancelled. Or just the little things, like the inability to visit a loved one or hug a friend. These are the things that makes us feel human, make us feel loved and needed.

I have been asked on many occasions ‘are you getting burned out from all this?’
my answer: “yes of course”
It is a very traumatic and trying time, but at the end of the day, I am blessed to do what I love, I’m in a position to help people, so this is what I do.

On a lighter note, our clients and therapists have had to create spaces for privacy for the Live Video Sessions. Some are using bathrooms, cars, bedrooms, even closets. Wherever you can get comfortable with your device and an internet connection, that’s the new norm for the therapist’s couch.

We all needed to find a little humor in this difficult time, and although we’re all in this together, no two stories are the same. One of my clients showed up at session looking quite different to our ‘normal’ sessions. When I questioned her if she was okay, she started laughing. “I am not wearing makeup and I do not feel like fixing my hair! I feel free.’ We laughed. Another client was crying and sad because her father was COVID positive, then I hear a loud flushing noise… it was the toilet flushing! The new norm!

When the COVID-19 pandemic is over, a lot of things will go back to the way there were ‘before’. We will stop wearing masks, we’ll pack into restaurants and we’ll hug family and friends at the drop of a hat! But I believe Telehealth is here to stay. I expect to see continued expansion in telehealth services. It’s proven to be a very effective way to provide care, especially for those who can’t easily get to their provider’s office. We can increase the hours we can connect with our clients, as Therapists and clients no longer need to factor in a commute or ‘office hours’.

Clients are finding a newfound freedom; flexibility and convenience, and Therapist who may live in more rural or remote areas, can now build their client base on secure and easy to use platforms.

I am committed to helping as many clients and team members as possible through this pandemic, and if I have to work 7 days a week (which I do), I am happy to do it. My mission has always been to give back to a community that has given me so much love over the years. Mental health is essential to an individual’s well-being, and is fundamental to a healthy, balanced life, which is essential during these difficult times.

Nicoletta Pallotta, MD, LCSW
CEO & Founder


If you would like to talk to someone, a trained, qualified and compassionate therapist, please contact us now:



There are different shades or levels of Anxiety that we as women, suffer from. Why are so many of us struggling with it?

Anxiety is a normal emotion, we experience it in our daily lives and often in new situations. When does it become a problem? when it grows out of proportion and becomes debilitating or interferes with your daily life activities?

Anxiety can be manifest differently for each individual.

Generalized Anxiety disorder (GAD) is when anxiety is present constantly and is there is no relief. It interferes with daily function and makes it difficult to get a good night sleep. Anxiety can also manifest through physical symptoms such as: headaches, nausea, diarrhea, increase heart rate, hyperventilating and sweaty palms. Anxiety can be so debilitating that it can interfere with work and your relationships.

GAD effects women twice as often men. Treating GAD through psychotherapies, either talk-therapy or cognitive behavioral therapy along with physical exercise can elevate symptoms. Simple changes in your life style can help; yoga, meditation, avoiding caffeine, daily exercise, these all are proven to have a calming effect on ones Anxiety. Herbal remedies may also work to relieve anxiety for some people, Kava, Valerian root, St John wart, but before using them speak to your doctor.

Women who experience anxiety may have other psychological issues. Obsessive Compulsive Disorder; Social Phobia, Panic attacks, Stress or Depression.

It is not healthy to let these symptoms continue indefinitely. Schedule an appointment with one of our friendly and experienced Therapists. We are here to help you.



Finding time to focus on self-care can seem impossible, especially during a pandemic with the demands of work and family life.

Time for yourself is time away from your daily list of chores, responsibilities and commitments. These things will usually still be there even if you take 15 minutes or even an hour to yourself.

Research shows that people who regularly take a little time to themselves, and are comfortable with that time alone, experience increased happiness, better stress management and lower rates of depression.


Step away from social media, email and phone calls, and instead read a book or magazine, go for a walk, or simply stare out the window and daydream. Our devices have become an entertainment crutch, and the go-to when we have a minute to spare.

Finish Work on Time.

This is one of the simplest things you can do when you need a little personal time. This had become much more difficult since we are all now working from home, the end-of-day has become fluid and the result is self-care time has decreased or vanished. If this is you, make it a point to stop work exactly on time at least once a week, and make that saved time self-care time. Practicing some sort of self-care, even once a week will make a difference.

Check in on Yourself.

Take a minute throughout your day to stop, just for a moment, to notice what is happening within and around you. Taking just a moment to reset your mind can help keep you balanced and happier.


Reach out to others, sometimes a chat with a friend is all the self-care you need. If you feel you may need help with emotional support, consider a professional counselor to have your thoughts and feelings heard.


If you’d like to speak to a friendly, fully qualified and licensed Therapist, contact us through the form below. It’s completely confidential, and covered by most insurances.

For billing/insurance purposes, we must have your legal name exactly as it appears on your insurance ID Card




In one way or another, the COVID-19 has impacted everyone’s lives.

Not surprisingly, the pandemic has triggered a wave of mental health issues. Anxiety, depression, social isolation or just the general stress that’s a result of living through COVID-19, we’re all feeling it.

I am a mental health professional with over 35 years’ experience, dealing with all forms of mental health care – yet I am no different.

When the New York State shut down all non-essential offices in March, life became very different for me. It was challenging. My practice in Dyker Heights, Neighborhood Counseling Center, is an Article 31 so was considered an essential business, therefore we needed to stay open.

My primary consideration for the past 9 months has been to keep my staff and our clients safe. It kept me up at nights, trying to work out a schedule that would allow as many employees as possible to work from home, while still manning the office for essential in-person scheduling.

I decided to change the office hours to 10 to 6 Monday to Friday and Saturday 9 to 5, with online counseling offering a wider range of appointment hours. I reflect on how lucky we were that we had already introduced Online Counseling to our range of services, we were already set up technically, we just needed to demonstrate to our clients, that online counseling was as affective as in person.

Most people were relieved that they could continue with their Therapist from the safety of their own home, but some still needed in office services.

I am the only clinician to remain on site every day, to assist with clinical consultation, review new admissions and supervise my staff. I am constantly doing crises intervention with new and existing clients, and i have been, and will continue to work 7 days a week until the pandemic is over.

We actioned strict CDC guidelines, yet I found myself constantly worrying that the support staff at the office was safe and managing the emotional stress of home and work life. I encouraged self-care, I bought them lunch, made sure they had enough supplies and assisting them with their anxiety.

The anxiety level among our clients and the general population imploded. Existing appointments continued and the requests for new appointment increased like never before. We had also made the decision to expand our BCS Group Practice to the 5 boroughs. There are so many people who need help, but most local private practices closed their doors.  I leaned on my management team to keeps things running as smoothly as possible, and our intake team to help communicate and facilitate appointments via our secure online platform.

I also needed to support our therapists who were working remotely, helping them emotionally and supporting them professionally with issues they were experiencing with their clients.

I was taking care of everyone around me, but also, I had to take care of myself. I had to remind myself that I am in a high-risk demographic for Covid-19, having asthma and high blood pressure, it was imperative I protect myself from getting sick so I can take care of those around me. I became extremely proactive, making sure that I, and all my staff followed the rules. Wearing a face mask, staying six feet apart. Constantly sanitizing, not touching my face. But most important I eat right, exercise and get enough sleep.

On a personal note, my daughter is in her last year of college, my anxiety about her safety, and her anxiety about my safety skyrocketed. Thankfully her college is doing classes online, but she still lives on campus. Like many during this pandemic, she adopted a cat. My job as a mother is to make her feel safe and help her through this difficult time.

2020 has been a challenging year for most, but I know i am one of the lucky ones. My family, my staff and I are currently safe and well. We are looking forward to Christmas and the new year. So many people around the world are not so lucky, our thoughts are with them as we head into the festive season. We will continue to serve our community as best we can, staying safe and encouraging others to do the same.

Happy Holidays to you all.


We asked our experts for advice about ways to minimize stress and help everyone in the family feel as good as possible about this unusual holiday season.

1. Don’t wait to make plans

Give everyone time to make good decisions and get comfortable with them, especially if they represent a big change in family traditions.

2. Discuss house rules in advance

You need clear communication, maybe with everybody getting on a call beforehand and laying out who’s comfortable with what.

3. Stay the course

It can be helpful have a script to use if someone isn’t respecting the rules: “My mom says I’m not allowed to give you a hug this year but we can wave!”

4. Give the kids a voice

What would they like to cook?
What games do they want to play?
Do they want to set aside time for favorite movies or listen to special music?

Being part of that decision-making process helps offset some of those negative feelings.

5. Create a safe space to express disappointment

Things will be different this year, family and friends of all ages have expectations for the holiday, many of which will not happen and so create disappointments. Keeping everyone, including your kids in the conversation and letting them know they are heard, can help them feel respected even in situations that don’t go the way they want.



October 2020 is Domestic Violence Awareness Month”

Domestic Violence was already an epidemic before COVID-19, but the pandemic has created an environment which has resulted in a spike in incidents of abuse.

We are experiencing a critical time for survivors. More awareness, education, and bystander intervention is critical if we are to stop the violence.

October 2020 is Domestic Violence Awareness Month, we are dedicated to sharing information that can help those who are experiencing violence during this unprecedented time. BCS Counseling Group is running FREE online groups for ‘Support and Empowerment for Domestic Violence Survivors’.





You should never underestimate the affect that stress can have on your body and your mind. The symptoms of large amounts of stress include tiredness, illness, and the inability to concentrate or think clearly. Sometimes, prolonged periods of stress can even cause a mental breakdown. If you suffer from extreme stress or are stressed for a long period of time, your body will eventually wear itself down.

But sometimes a small amount of stress can actually be good in that it can help you gather yourself and take action. For example, when you have an important task to perform, stress can kick in and motivate you to meet your goals. During times of crisis, stress can send you into “automatic pilot” mode where you are able to block out the chaos around you and react effectively in the situation.

Some common stress factors include academic demands; moving house; being on your own in a new environment, new responsibilities; a new job or promotion; changes in family relations and your social life; financial responsibilities, and of course, a global phenomenon such as COVID-19, where our way of life has changed completely and the future is uncertain.

Whether in school or employment, pulling an “all-nighter” can lead to stress-driven exhaustion the following day. Caffeine starts with a temporary energy boost and ends in a crash, which can leave you feeling worse than you did originally. Waiting until the very last minute to get something done which forces your body to run on adrenaline.

Some ways to manage stress relief would start with managing your time wisely and staying organized. Try to get some form of exercise daily and eat healthily. A very important consideration when you are going through a stressful time, get enough sleep, it may seem a simple answer, but its also works.


Anxiety becomes a disorder when your symptoms become chronic and interfere with you daily life and ability to function. While having an anxiety disorder can be disabling, preventing you from living the life you want, it’s important to know that you’re not alone. Anxiety disorders are among the most common mental health issues—and are highly treatable.

Anxiety symptoms may include; muscle tension, poor memory, fear or confusion, constant worry, upset stomach, shortness of breath or poor concentration


People who are already overwhelmed by stress may be especially prone to depression, which can affect your body, state of mind, thoughts and behavior. It’s a serious condition, not just a passing mood. Clinically depressed people aren’t able to simply “pull themselves together” and bounce back, but it thankfully this condition can be successfully treated. 80% of those who seek professional help are able to improve and regain their sense of self.

Depression be can caused by the use of drugs and alcohol, or by the withdrawal you experience when you stop these substances. The sooner you get help the better.

Depression can make you feel exhausted, worthless and hopeless. It’s important not to give in to negative thinking and remember that your symptoms will fade as treatment takes effect. Don’t hesitate to ask questions to find out more and understand your illness.

What can you do? – Treatment Works

It you think you might be depressed or suffering from stress or anxiety, you should discuss your concerns with a healthcare or mental health professional who can evaluate your concerns.

Our commitment to our clients remains the same; To deliver optimal mental health care with compassion, respect and support. To promote emotional well-being and encourage true life potential.

When you are ready, if you’d like to speak to someone, schedule your appointment here.   Or take the BCS Wellness Check-in, and we’ll get back to you with options!


thank you

Nicoletta Pallotta, MD, LCSW
CEO & Founder



An article by : Nicoletta Pallotta

A New Domestic Violence Crisis: Covid-19

Social isolation and working from home, aimed to stop the spread of the coronavirus may be making domestic violence more frequent, more severe and more dangerous. Are you or someone you love being abused? 1 out of every 3 women are in an abusive relationship and this issue becoming even more common during COVID-19, while we are stressed and forced to spend large amounts of time at home together.

Below are 10 common indicators of abuse:

  • Stalking: questioning your every move while telling you that they love you and are being protective
  • Texting or calling you constantly; insisting they are concerned about you and want to make sure that you are safe
  • Controlling your finances: forcing you to account in detail for every dollar that you spend
  • Criticizing you for every little thing you do
  • Humiliating you in front of your family and friends
  • Angering easily, particularly if he or she is drinking
  • Forcing you to have sex against your will
  • Hitting or punching you
  • Jealously of friendships or any other relationships you have
  • Isolating you from family and friends

If you can say yes to even one of these, you are in an abusive relationship.

During a calm stage, it’s easy to remain in the relationship thinking that it won’t happen again, but it doesn’t help to ignore the problem or live in hope that the abuser will change. It’s very important to be prepared and have a safety, back-up plan in case the violence erupts again.

Be prepared in case you need to call a shelter

It’s not accepting defeat to be ready. Find out about legal options or other resources available to you before you have to use them. You should know exactly where to go and how to get there, even if a situation arises the middle of the night.

Prepare an emergency bag, for a quick exit

Keep cash, a checkbook, your savings account details, identification, a medical insurance card and your address book in a safe place where the abuser can’t find it. The last thing you want to be worried about at a time like this is money!

Leave the situation

If it happens, be ready to go. If you have children, take them with you. If you are in immediate danger call 911.


As the Coronavirus (COVID-19) continues to impact our the world, keeping you and our staff safe is our top priority. We’d like to take a moment to let you know about the steps we’re taking to keep our community safe at this time.

BCS is following guidelines from the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO) and other local and national health organizations. We continue to receive the most up-to-date information and are taking the following actions to date:

1. Our offices have been stocked with appropriate and effective cleaning supplies and we have increased the frequency of scheduled cleaning and sanitization across all offices.

2. We’re recommending that our employees take precautionary health measures, including frequent hand-washing, social distancing, staying home when sick and pausing all non-essential traveling. For their safety and yours.

Our commitment to our clients remains the same. All of our sites open.

If you can’t come in, speak to your therapist about doing online counseling.

If you have any question contact us through the form below, or our website at

Take care of yourself and each other.

Dr. Nicoletta Pallotta
Founder + CEO