Frequently Asked Questions:
Getting Started
- What can I expect in my first session?
In your first session, we’ll talk about what’s bringing you to therapy, what feels challenging right now, and what you’re hoping might change. I’ll guide the conversation with thoughtful questions and help you begin untangling what feels overwhelming. Many clients leave the first session feeling understood, supported, and clearer about their next steps.
- Do you offer in-person or video sessions?
All sessions are conducted through secure, HIPAA-compliant video appointments. Telehealth allows you to attend therapy from the comfort and privacy of your own space while maintaining the same professional standards and confidentiality as in-person therapy.
- How long is an appointment?
Each therapy session lasts one clinical hour (53 minutes).
- How do I schedule an appointment?
New clients can schedule by visiting the Schedule a Session page and completing the request form. Existing clients can schedule directly through the Client Portal.
Payment & Insurance
- How do I pay for my session?
All clients securely store a credit card in the client portal. Cards are charged the morning of your session for the private-pay fee or the copay/deductible required by your insurance plan. Clients are responsible for any fees not covered by insurance.
- Can I use a FSA/HSA card?
Yes - HSA and FSA cards can be used for session fees. A regular credit card is also required on file to cover late-cancellation or no-show fees if they occur.
- Why choose private pay?
Some clients prefer private pay because it allows therapy to remain completely confidential without involving insurance companies. Private pay also allows greater flexibility in treatment, including session frequency and length of care, without insurance requirements for diagnoses or treatment limitations.
- What is a Superbill?
A Superbill is a detailed receipt that allows you to request reimbursement from your insurance provider for out-of-network therapy services. Payment is made directly to the therapist, and you can then submit the Superbill to your insurance company to request possible reimbursement.
Policies
- Do you charge late-cancellation and no-show fees?
Your appointment time is reserved specifically for you. Appointments cancelled with less than 24 hours notice, or missed sessions without notice, are charged the full session fee. This policy allows appointment times to remain available for other clients in need.
Privacy & Confidentiality
- Is Confidentiality Guaranteed?
Your privacy is a top priority. Information shared in therapy is kept confidential in accordance with professional ethics and HIPAA regulations. However, there are a few legal exceptions where confidentiality must be broken.
Exceptions to Confidentiality
Confidentiality may be broken if:
• There is intent to harm yourself or someone else
• There is suspected abuse or neglect of a child, elder, or vulnerable adult
• Records are ordered by a court of law
These exceptions exist to protect safety while maintaining confidentiality in all other situations.
Additional Information
- What is the No Surprises Act?
The No Surprises Act is a federal law that protects clients from unexpected medical bills. If you are uninsured or not using insurance, you have the right to receive a Good Faith Estimate outlining the expected cost of therapy services before beginning treatment.
- Can I follow you on social media?
You can follow Graceful Changes Psychotherapy here:
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- What if I have more questions?
If you have additional questions, feel free to reach out. I’m happy to help clarify anything before you schedule.