What’s a free consultation?

We offer a free 20-minute phone consultation for new clients. This is a chance for us to determine whether we are a good fit for one another and for you to ask any questions you may have before starting therapy.

What if we find during the consultation that we are not a good fit?

That’s completely okay. Rapport is the most important factor in therapy, and sometimes we discover in the consultation that our approaches, specialties, or schedules may not align. If that happens—whether it’s your choice or mine—I am happy to provide referrals to trusted providers so you can continue your personal journey with the right support.

Do I have to do Accelerated Resolution Therapy (ART) to see you?

No. ART is one of the techniques we offer, but it is always your choice whether to use it. We can work together using other evidence-based therapy modalities that best suit your needs and preferences.

What should I expect before my first session?

Before your first appointment, you’ll receive a client portal link via Simple Practice. In the portal, you can complete required paperwork, book or cancel appointments, view invoices, receive appointment reminders (24 hours before via text and 48 hours before via email), and send secure messages. All intake paperwork must be completed before our first session.

What happens during the first session?

Your first session is a diagnostic assessment—a structured conversation where I’ll gather background information, history, and your goals for therapy. You’ll also have time to ask questions and schedule future appointments.

How often will I need to attend therapy?

Frequency depends on your needs and goals. Many clients attend weekly or bi-weekly, and we can adjust as needed. The more work you do between sessions, the more progress you’ll see.

Why do some people pay out-of-pocket instead of using insurance?

Paying privately allows us to:

• Choose session length and frequency without insurance restrictions

• Use the therapy approach best suited to you

• Maintain complete confidentiality (records aren’t shared with third parties except in rare legal exceptions)

How does out-of-network reimbursement work?

We are in-network with Optum/United Healthcare. For all other providers, we can give you a Superbill to submit for reimbursement.

Some clients use Flexible Spending Accounts (FSA) for payment.

We also partner with Reimbursify, which handles the claims process for you. The first claim is free, and future claims have a small fee.

Questions to Ask Your Insurance Provider About Therapy Coverage

Before scheduling your first session, it’s a good idea to contact your insurance provider to confirm your mental health benefits. You can ask:

1. Do I have coverage for therapy services?

2. Does my plan cover out-of-network therapist providers?

   • If yes, at what reimbursement rate?

   • Ask specifically about rates for Licensed Clinical Social Workers (LCSWs) or Licensed Professional Counselors (LPCs).

3. Do I have an annual deductible?

   • If yes, how much is it, and how much of it have I met this year?

Do we have to live in the same state for virtual sessions?

Yes. For therapy, you must be physically located in a state where your therapist is licensed.

• Casey: Licensed in Texas, Nebraska, Colorado and Florida

• Kristi: Licensed in Texas and Massachusetts

What kind of internet do I need for virtual sessions?

If you can stream video, you can likely do teletherapy. Avoid public Wi-Fi for privacy, and use a computer if possible (tablet or phone also works).

What if I need to reschedule or cancel?

We require 24 hours’ notice for cancellations or reschedules. Missed or late-canceled sessions will be charged at the full rate. Emergencies will be reviewed on a case-by-case basis.

Do you write ESA letters or handle short-term disability/FMLA paperwork?

No. We do not provide ESA letters or complete short-term disability/FMLA paperwork.