Frequently Asked Questions

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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)

  • 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.

  • 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?

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

    • Casey: Licensed in Texas, Nebraska, Colorado and Florida—California coming early January 2026

    • Dame: Licensed Professional Counselor Associate-Texas

  • 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).

  • 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.

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