Psychological Services in Pennsylvania

Silvering Psychological offers depth-oriented psychotherapy for adults in Pennsylvania, available via secure telehealth. Dr. Nicole Gause is a licensed clinical psychologist in Pennsylvania with roots in the state — bringing both professional grounding and personal familiarity to those she serves here.

Who This Work Is For

This practice serves adults who are ready to engage deeply with the patterns shaping their lives — not just manage symptoms, but understand and restructure what's underneath them.

Adults navigating complex trauma — those living with the lasting effects of difficult early experiences, relational wounds, attachment disruptions, or traumatic events. You may not arrive with a clear clinical framework for your history. You may simply know that anxiety, emotional disconnection, relational patterns, or a persistent sense of something unresolved have followed you — through relationships, through careers, through life.

High-functioning professionals and leaders — executives, physicians, attorneys, athletes, and founders across Pennsylvania's major metros who are performing at a high level externally while sensing internal fragmentation, recurring patterns, or a ceiling they haven't been able to break through on their own.

These paths are not separate. Many of the people who do this work are carrying both.

Services & Fees

Initial Individual Evaluation 90 minutes | $300

Individual Psychotherapy 60 minutes | $250 90 minutes | $325

Silvering Psychological operates outside of insurance networks. This structure preserves the depth, flexibility, and continuity that this work requires — no session limits, no third-party oversight, no diagnostic requirements that don't serve your goals. Superbills are available upon request for clients seeking out-of-network reimbursement.

How Services Are Delivered

Psychotherapy is available via secure, HIPAA-compliant telehealth to individuals located anywhere in Pennsylvania. Whether you're in Philadelphia, Pittsburgh, the Main Line, or anywhere in between, geography is not a barrier to accessing this level of care.

Beginning the Work

The first step is a free 20-minute consultation — a focused conversation to assess fit, clarify your goals, and determine whether this approach is the right match for what you're seeking.

If you've done therapy before and sensed something essential was left unaddressed, this may be the work you've been looking for.