I'm Poppy Birch — a registered psychotherapist and EMDR specialist. I built this practice for one thing: nervous system recovery for people who understand their trauma and are still living inside it.
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Early in my clinical training, I kept encountering the same thing. Clients who had done years of therapy. Who could articulate their trauma clearly, trace their patterns back to their origins, explain exactly why they did what they did. And who were still stuck.
It wasn't that therapy had failed them. It was that the therapy they'd received was built for insight — and insight alone doesn't update a nervous system running on outdated threat information. Understanding what happened and processing how your body is still responding to it are two different things. Most therapy does the first. Very few approaches do the second.
So I built a practice around it — structured, sequenced, and tracked from intake to close. Not open-ended. Not vague. A defined path through the work that most therapy never provides.
I help people move from understanding their trauma to no longer living inside it — through individual therapy for ongoing support, and a structured six-month EMDR protocol for trauma that hasn't moved with talk alone.
Book your free 20 - minute consultYour first session maps what happened, when, and how your body learned to respond. Care is built from that — not from a checklist.
Understanding what happened and processing how your body is still responding to it are two different things. I work at the nervous system level.
Progress doesn't happen only in the room. I track symptom shifts, adjust pacing, and stay available between appointments — so momentum builds instead of stalling.
Every session is calibrated to your window of tolerance. Moving forward when you're ready. Stabilizing when you're not. Nothing before its time.
This is what I've invested in so I can do right by the people who trust me with this work.
They made sense when you learned them, we understand what they were protecting
Told me last session. I take notes, so I don't forget!
You came here for real answers — not for me to hold onto a client.
Talk about something before you're ready.
Not at you. I won't make you feel weird about your sense of humor.
Don't know something. I'll find someone who does.
Breaks, pace the room, or bring comfort items.
Into thinking your relationships are fine, when they are not.
Some problems need a place to talk them through. Others need a clinical process built specifically for how they're stored. The free consult will tell you which.
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A structured, time-bound clinical protocol for nervous system recovery. Your threat response is running on outdated information — EMDR is the clinical mechanism built to update it. Four defined phases. A clear endpoint.
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For anxiety, relational patterns, life transitions, and nervous system dysregulation that benefits from an ongoing therapeutic relationship. The right tool for work that needs continuity and time — not a protocol.
Not sure which is right? Book a free 20-minute consult — you leave knowing which direction makes clinical sense for what you're carrying. No commitment beyond showing up.
Dr. James Nguyen, Clinical Psychologist · Boston Health Institute
"My first referral for complex trauma presentations where standard approaches haven't worked."
Dr. Sarah Patel, Pediatrician · Chicago Children's Hospital
"Clinical precision that is genuinely rare. I trust her with my most difficult cases."
Dr. Michael Rivera, Cardiologist · New York Heart Institute
"The most methodical EMDR sequencing I've encountered at any experience level."
Dr. Emily Chen, Neurologist · San Francisco Brain Center
"I refer when I know the case needs someone who won't take shortcuts with the sequencing."
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"We're at a moment where people understand their trauma better than any previous generation. The next step is doing something about it at the level where it actually lives — not in the narrative, but in the nervous system."
Poppy B, MSW
Founder of Koast Therapy
book a free 20-min consultThe free consult exists for exactly that question. Twenty minutes — you leave knowing which direction makes clinical sense for what you're carrying.
Already working with a therapist? I'm happy to be a second opinion, or to work alongside your existing support in a specialized capacity.
Concerned about the investment? Clinical sessions are billable to extended health benefits — the same as any registered psychotherapist visit.
Same-week appointments available
In-person in Manhattan or video throughout NY
Two offers — individual therapy and six-month EMDR protocol
$497/for 6 months protocol | $250 individual session
Clinical sessions billable to extended health benefits
Free 20-minute consultation—no pressure to commit
Direct, warm approach (real over polite)
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