The things people want to know before they call.
Some of these come up on nearly every consultation. If yours isn’t here, send it over and we’ll answer it properly.
Starting
I have never done therapy before. What actually happens?
We start with about fifteen minutes on the phone, free, so you can hear how we work and we can hear what’s going on. If it feels like a fit, we book a first session.
That first session is mostly us asking questions and you saying as much or as little as you want. There’s no script you’re meant to follow and nothing you’re supposed to have worked out in advance.
I don’t really know how to explain what’s wrong.
That’s how most people arrive, and it isn’t a problem to solve before you get here. Some version of “something is off and I can’t name it” is a completely workable starting point. Naming it is part of the work, not a prerequisite for it.
How soon could I start?
This practice keeps deliberate room in the week rather than filling every hour, so there’s usually something reasonably soon. Reach out and we’ll tell you what’s actually open rather than putting you on a list.
What if it turns out you’re not the right therapist for me?
Then we’ll say so and help you find someone better suited. Fit matters more in this work than almost anything else, and a consultation that ends with a good referral is a consultation that did its job.
How the work goes
What is your approach?
Emotions and behaviors make sense once we understand what they’re trying to accomplish. So rather than trying to delete a feeling, we work out what it’s doing for you and what else could do that job at a lower cost.
In practice that draws on IFS, alongside ACT and CBT for the thinking and the avoiding, DBT skills for the moments your body reaches before your thinking does, and motivational interviewing when part of you wants the change and part of you isn’t sure.
How often would we meet, and for how long?
Most people start weekly, and sessions run 50 to 53 minutes. We adjust the frequency once we can see what the work needs.
How long the whole thing takes depends on what you bring. We’re not going to quote a number of sessions we can’t stand behind, but we’ll talk openly about whether it’s working.
Do you give homework?
Sometimes, when there’s something worth practicing between sessions. It’ll be something we decided on together and that makes sense to you, not a worksheet handed over at the end of the hour.
Is what I say confidential?
Yes, with the legal exceptions every therapist in the country has: a serious risk of harm to you or someone else, suspected abuse of a child or vulnerable adult, or a court order. We’ll walk through all of it with you at the start, and you can ask about any of it at any point.
Online sessions
Does online therapy work as well as being in a room?
In our experience it works well, and a couple of things about it genuinely help. You’re usually in the place where most of this happens, rather than reconstructing it in an office two days later. And a session that costs you no travel is a session that actually happens on a bad week.
Where do I have to be?
Physically inside North Carolina, Idaho, Utah, Colorado, or Florida at the time of the session. That’s a licensing rule rather than a preference, and it applies wherever you normally live.
Beyond that, anywhere you can speak freely. Plenty of people do this from a parked car, and that counts.
What do I need to make it work?
A private spot, a device with a camera, and a connection that mostly holds up. If the video drops we finish on the phone. It’s not a wasted hour.
Couples
My partner isn’t sure about therapy. Can I start on my own?
Yes, and it’s a more common way to begin than people expect. Plenty of partners aren’t against therapy so much as unconvinced it will be fair to them, which is a reasonable thing to be cautious about.
We can start with you, and if your partner wants to hear how it works before deciding, they’re welcome to join a consultation and ask directly.
Are you going to take sides?
No. Your therapist isn’t the referee, and deciding which of you is right wouldn’t help you even if it were done accurately.
That said, we’re not going to sit there silently either. If one of you seems to be missing something, you’ll hear it, and either of you might.
Do we have to be in the same room?
No. Some couples sit together, some join from two different places. Both are fine, and for two people with two different schedules the second option is often the only reason it happens at all.
Do we have to be married?
No. Dating, living together, engaged, married, together twenty years, somewhere in between and figuring it out. Any two people trying to work out how to be with each other.
Cost and insurance
What does a session cost?
$150 per session, for individuals and for couples. For individual therapy we’re in network with most major plans, in which case you’re usually looking at a copay instead. The pricing page has the full list and the details.
Is couples therapy covered by insurance?
Couples sessions are private pay, $150 per session. Insurance plans handle couples work very differently from individual therapy, and many don’t cover it at all, so we keep it simple: one rate, and no surprise bill later.
If it’s urgent
What if I need help right now?
This practice is not a crisis service and is not available between sessions for emergencies. If you’re in immediate danger, or you’re thinking about harming yourself, call or text 988 for the Suicide and Crisis Lifeline, or call 911.
That isn’t handing you off. It’s that the right kind of help in that moment is help that answers straight away, at any hour.
Still have a question?
Ask it directly. Fifteen minutes on the phone, free, no paperwork, and no expectation that you book anything afterwards.
My Home Counseling · Telehealth across North Carolina, Idaho, Utah, Colorado, and Florida