Irina Firstien psychotherapist Psychotherapist New York

Licensed Individual, Marriage & Couples Therapist in NYC, New York City.


I have been a NYC therapist helping individuals and couples for over 25 years. It is my belief that relationships are crucially important and without close and secure connections with others, we as human beings can not thrive in everyday life. Disruption of such connection is the reason we feel emotional pain and suffering.

My name is Irina Firstein, Licensed New York City Individual and Couples Therapist. I want to help you and your partner heal, grow and change your life and your relationship. Most issues that people bring to me are, inevitably, an exploration and healing of relationship trauma or disruption of connection with a significant person or people in his or her life. The goal of my work is to enhance and expand my patients’ ability to experience a deeper connection with themselves and others. That connection is the key to physical and mental health and feeling alive.

If you are experiencing tension or trouble in your relationship or relationships, you may be feeling rejection, abandonment, lack of empathy, disappointment, hopelessness and helplessness, shame, and many other feelings. These are common human experiences that traumatize all of us and become symptoms that are manifested by depression, anxiety, addictions, health problems and all other symptoms and illnesses. If you feel that you need advice, work with a compassionate therapist--someone who will really listen to you and provide you with the marriage and couples counseling that the relationship you care about most needs. Work with me. I have helped thousands of individuals and couples overcome issues affecting them emotionally and spiritually.

Couples and Marriage Therapy and Counseling

  • Marriage Counseling
  • Same Sex Couples
  • Pre-Marital Counseling
  • Communication/Intimacy
  • Adjusting to Parenthood
  • Relationship Counseling
  • Coping with Infidelity

Individual Therapy and Counseling

  • Depression
  • Anxiety
  • Relationship Problems
  • Self Esteem Issues
  • Single Life/Dating Issues
  • EMDR/Trauma Reprocessing
  • Alcohol & Substance Abuse











Let's get to know each other. You probably found my website by searching Marriage Counseling NYC or some other issue you need help with. Now that you found me, you can email me or call my New York City Office at 212 953-1388. Take the first step and I will help you.


  • Forge tighter, closer relationships by creating trust and safety
  • Learn to talk about common points of conflict i.e. money, sex, intimacy, infidelity, children, family, etc. without escalating into fights
  • Build a closer, deeper connection through willingness to be vulnerable
  • Improve general communication by better listening with more empathy and care about the other
  • Learn to discuss problems without falling into a negative cycle
  • Learn to communicate from a more emotionally vulnerable place
  • Address unresolved resentments in a way that leads to greater connection and understanding


  • Learn to understand yourself and your tendencies which impact your daily functioning and relationships with significant others
  • Learn to have a deeper connection to yourself and others
  • Identify root causes of depression, anxiety and stress and ways to cope and manage better
  • Understand and learn about other interventions that can help you deal with your symptoms
  • Address and understand root causes of all your pain and difficulties
  • Learn to reduce stress and conflict in interpersonal relationships and your work life
  • Heal from individual or family related traumas and struggles
  • Improve the quality of your life and your mental and emotional well-being
  • Improve your level of confidence and self esteem in all you do
  • Move towards a healthier, more productive and less painful life

NYC Therapist, Irina Firstein has discussed several topics such as pre-marital counseling and her philosophy on therapy in the Daily News,, CNN, Forbes, and more.

Over 20 Years Experience

Over 20 Years Experience


Skype Consultations

9 Best Therapists Of 2015

Named Among The 9 Best Therapists of 2015.


If you are a new patient, you may have a sense of trepidation about seeing a therapist. Rest assured there is nothing to fear. The stigma of seeing a professional therapist is a thing of the past. Why close the door to an opportunity of repairing and saving your relationship and live a fuller life?

My clients consider me a straight-forward and active therapist, and this is what you can expect in our sessions. As a result, most of my referrals come from past and existing patients. I have spent my professional career learning and searching for the root causes of human suffering and the issues that divide couples and strain relationships. I utilize the most efficient, effective and innovative ways to help my clients. To this end I use “old school” proven therapeutic modalities as well as the latest research and cutting edge techniques, such as EMDR and EFT.

Also, in my job as a NYC couples counseling therapist I help individuals and couples in their desire to close the gap between where they are right now and where they want to be. Sessions are available in person, by phone or by Skype. As a Couples Therapist and an Individual Therapist, I will give you all the information, tools and assistance you need to get relief from pain and to find connection.


For an Appointment With TOP NYC Therapist Irina Firstein
Call (212) 953-1388


Recent Review


“We started to see Irina Firstein because our relationship was in shambles. We had been married for 15 years and have become progressively disconnected. We were like two roommates living in the same house, parenting our children. In the sessions we started to talk, honestly, to each other in a way we have not in years and we are beginning to feel some of the feelings we felt long ago. We have a long way to go, but there is some light at the end of the tunnel. We are feeling optimistic.” Beth G, 42 years old.


Featured Videos On
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Frequently Asked Questions

  • Q: How do I go about making an appointment with you?
    • A: Please email me your request or call me on my office phone #. It is helpful if you visit my website and take a look at the page about the issue you need help with. It is also helpful to look at my Practice/Fees Page. Another helpful point is to let me know what days or times work for you so I can give you the best appointment time for both of us.
  • Q: Do you offer Pre-Marital Counseling services in NYC?
    • A: Yes I do. The Pre-Marital Counseling I offer is not the same as provided by religious organizations. I offer two kinds of counseling. One is a more open ended counseling to address any issues the couple is struggling with and wants to resolve or have a better handle on prior to marriage. It is usually a relationship issue. Another type is a more structured short term counseling to address specific topics a couple should discuss in a safe atmosphere, such as children and parenting ideas, finances, families of origin, where to live, friends and leisure, work/careers after baby. Also pre-marital counseling can be very helpful for those previously married as there are often issues of ex-spouses and children that need to be discussed and thought about.
  • Q: How do I know I need Marriage Counseling/Couples Therapy?
    • A: Chances are if you are asking yourself this question, the answer is YES. If you and your partner are having same fights which get more and more escalated and eventually you move on without resolution because you can't stand the conflict, only to get into the same argument at a later time, it is a good idea to consider professional help. My sincere advice is that if this has been going on for a while and keeps happening and you feel that you are getting more and more disconnected from each other, do not wait. So many couples say to me after a session or two, “We should have been here 3 years ago…” Sometimes, couples come in when it may be too late or the damage is so deep that it takes a long time and very hard work to re-establish connection.
  • Q: How do we know you are the right therapist for us?
    • A: I think this is a hard decision. The best suggestion I have is to visit my website and read the pages. I wrote every word of this. Also take a look at the and CBS videos. They give you a true sense of me in person. Take a look at some of the articles as they truly express my views and positions on different issues pertaining to relationships. My "Connections Blog" is also a helpful resource.
  • Q: Where is your office?
    • A: I am a local therapist with an office location at: 370 Lexington Avenue, Suite 514, New York, NY 10017. Especially convenient to Clients near Midtown Manhattan, Grand Central, Midtown East, Upper East Side, Times Square, Downtown, Westchester, Rockland County, and all areas of New York City.


Sessions available in person, by phone, or on Skype.

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