Frequently Asked Questions

What should I expect in the first session?

For telehealth appointments, we will confirm your address for safety purposes. Once we learn your surroundings, we won't need verbal confirmation. 

For in person sessions, we will show you around the office and have you sign paperwork if you haven't done so already. It is a little chilly in our office so bring a sweatshirt if you tend to get cold. 

Individual therapy sessions can start with a standard intake or with jumping right into the meat and potatoes of why we are here. There are benefits to both which we discuss during your consult and tech check. 

For couple sessions we tend to just jump right in with the presenting concern. The therapist may ask some clarifying questions or take notes to better understand the dynamic. 

The outline for ADHD assessments is here

Above all remember that this is your therapy session and it's up to you.

How long will I be in therapy?

This is perhaps the most common question and the most difficult to answer. Everyone comes to a session at a different stage of change.  We find the people that are most successful have been attending sessions for at least six months on a consistent (weekly) basis. Therapy can continue as long as it is helpful for you.

We encourage clients to have an open dialogue, if it's not working, tell us, and we will do the same. 

How does therapy work?

In therapy you work on your “process”, meaning that as you share about your life, you develop an awareness of the decisions you have made in your past and why, how your past has influenced your present and how to reduce the negative impact that your past has had on you. You become aware of patterns in your life and how to nourish the parts that make you strong. 

How do I know if I need therapy?

Everyone can benefit from therapy. You can always grow as a person and become even better than what you are right now. You don’t need to have a severe "issues" to participate in therapy. You could just have some habits that you want to try to change. 

Do you accept insurance?

We are considered an out-of-network provider, which means we do not bill insurance companies directly. This gives you more freedom in your treatment—without insurance dictating how often you come, the type of therapy you receive, or requiring a permanent diagnosis on your medical record.

Can I get reimbursed by my insurance?

Yes—many of our clients receive partial reimbursement through their out-of-network benefits. We provide a detailed statement (called a superbill) that you can submit to your insurance company for possible reimbursement.

Why don’t you bill insurance directly?

Working outside of insurance allows us to:

• Focus fully on your care, not insurance paperwork.

• Protect your privacy—your diagnosis and session details stay between us.

• Offer treatment based on your needs, not the rules or limitations of an insurance company.

• Set fair, sustainable rates instead of being locked into low, outdated reimbursement rates.  That shows respect to our clinicians and increases retention of clinicians in the practice. For you that means it's less likely that you have to start all over again when the clinician leaves a practice due to low reimbursement rates. 

How can I find out if I’ll be reimbursed?

Call your insurance company and ask:

• Do I have out-of-network benefits for mental health?

• What percentage of the fee will be reimbursed?

• Is there a deductible I need to meet first?

• How do I submit claims?

What if I don’t have out-of-network coverage?

Many clients choose to work with us because they value flexible, personalized care—even without reimbursement.  Think of this as an investment in yourself. We spend money on clothes, vacations, and material items. What you get from therapy won't wear, go out of style, or break. Talk about a return on investment. 

If you’re concerned about cost, let’s talk—we may be able to suggest options such as flexible scheduling or connecting you with additional resources.