Getting Started

Whether you’ve been in therapy or this is your first time, a lot of questions can come up. I want you to have all the information you need in advance to help address any worries you may have or questions you might need answered as you are getting started. You can also find these in our Welcome Packet which you can download here!

How long will I be in therapy?

Of course the answer is always “it depends,” but typically I’d say people can begin to see noticeable changes in how they’re feeling after 3-4 months, maintaining these changes after 6-8 months, and wrapping up final concerns after 12 months Sometimes people wrap up sooner, and others much later. But on average 6-12 months is the commitment it takes to make lasting results. It’s a bit like working out and wanting to make changes in your diet and exercise schedule. After a few months, you’re feeling better and starting to see a noticeable difference, but sticking with your routine means you’ll see lasting results!

What are your rates?

Sessions are 50-minutes in length, and my fee is $100/session. I try hard to keep my fees competitive with other therapists in my zip code, with my years of experience and training. I can accept payment via check, cash, Health Savings Account, or credit card (MasterCard, VISA, debit card). I store clients’ credit cards in my secure system to reduce burden and reduce the likelihood of missed or late payments. You may enter your credit card information also in the client portal link.

I require a 24-hour cancellation notice prior to your appointment. If you cancel within the 24-hour window, I will be required to charge you the full fee for the missed session. This is due to the fact that your appointment was reserved just for you and a late cancellation reduces the possibility I’ll be able to fill your time slot with short notice.

What do sessions look like?

This is a common question, because if you’ve ever been to therapy, then you know that every therapist structures sessions differently. Typically, we’ll check in for 5-10 minutes on “current events” – what’s happened since we met last, any updates, and so forth.

Next, I will ALWAYS come to session with what I call “agenda items” – places I’d promised we’d pick up on at the end of our last sessions, items you listed on your intake paperwork as topics you wanted to address, or areas I think might be helpful for us to look at. I will also check in with you on what you’d like to add to the agenda. Your items will take precedence.

Lastly, if we practice tools in session, I will probably ask you (if you found them helpful), what you would like to commit to doing over the next week to practice them. This is your chance to commit to something small, but impactful, to change your day to day.

How do I know if I’m making progress?

Depending on what you’re looking for help with, progress can look different from person to person. I usually recommend, after you’ve decided to work with me, that we give ourselves the first 6-8 weeks to hit our groove. During this time, I’ll get to know you, what you want to get out of therapy, a bit about your past experiences and help you find some initial relief.

Over time, you’ll have wins and setbacks. This is completely normal. Progress is not always a gently sloped upwards line. It has some bumps and dips along the way- but, if you stick through this time, and continue our work together, you’ll continue to see that progress rise.

So, expect for your mind to tell you to avoid – our minds are really good at that! If you have any concerns AT ALL, let’s talk about them. I am not your friend or family member who will be offended because you want to take a break from our relationship and work together. I want to hear to your ideas and opinions, your fears and concerns. And I will respect them and will not shame or judge you.

What if I’m a bad client? Maybe I’m not a good fit for therapy, maybe I’m not doing it right or well enough…

There is no “right” way to do therapy. And therapy IS for everyone. It is my job to guide you and show you how to navigate therapy and to model for you what the therapeutic relationship looks like. That is on me, not you. It can feel hugely risky to say “I don’t think I’m doing this right,” so I’ll check in with you to see how you’re feeling about your progress, where you want to go in our work together and when I feel things slowing down, I’ll find out if it’s time to take a break.

What happens if I want to stop therapy? 

While you are not required to have a termination session, or even a conversation about ending therapy, it can be HIGHLY beneficial to wrap up in this way. I know many times it’s easier to avoid the phone call, e-mail or session you worry would be awkward. But trust me when I say – I’ve never had an awkward termination session or conversation. And I believe my clients would say the same.

Do you take insurance?

I work out-of-network with insurance companies. I do this for several reasons. First, I do not believe that every person requires a diagnosis, and that said diagnosis can be treated within a specific time frame. Second, I believe in your right to confidentiality. If a client’s progress or treatment is in question, a clinician may be required to release information about their treatment, what has been addressed in sessions and how that client is progressing to be able to continue to treat and work with this client, and for insurance to cover your treatment. Everyone’s progress is different and no one should be limited in getting the help they need.

Therapy is a highly personal experience, where you should feel free to disclose information you simply don’t share elsewhere. I believe in your right to do so and I highly respect your privacy above all else. I understand this can bring up questions around payments and fees and I’m always happy to discuss this further with you.

Can I do sessions remotely?

While I believe strongly in the face-to-face connection of therapy, I also understand there are cases in which it is more convenient to meet via phone, such as inclement weather, or simply scheduling challenges. For that reason, I have adapted my policy to meet the needs of my clients. For every 3 in-person sessions we have, I offer 1 remote session (via phone). If  you are interested in this option, please let me know and we can make arrangements!