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 hope will change. I’ll guide the conversation with thoughtful questions and help you begin making sense of what feels overwhelming. Many clients leave feeling understood and clearer about 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 from the privacy of your own space while maintaining the same standards of care and confidentiality as in-person therapy.
- How long is an appointment?
Each 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 through the Client Portal.
Payment & Insurance
- How do I pay for my session?
A credit card is securely stored in the client portal. Cards are charged the morning of your session for the private-pay fee or the portion required by your insurance plan. You are responsible for any balance not covered by insurance.
- Can I use a FSA/HSA card?
HSA/FSA cards may be used for eligible healthcare services. Relationship-focused counseling that does not qualify as medical care may not be eligible.
- Why choose private pay?
Private pay allows therapy to remain confidential without involving insurance companies. It also offers greater flexibility in session frequency and length of care, without requirements for diagnoses or treatment limitations.
-What types of counseling are generally not considered medically necessary?
Insurance typically covers counseling that is medically necessary to treat a diagnosed mental health condition. Services focused primarily on personal or relationship growth may not qualify.
Examples include:
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Improving communication or emotional connection in relationships
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Marriage enrichment and relationship-building
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Personal growth and self-improvement
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Exploring relationship decisions, such as whether to stay married or separate
When these services are not covered by insurance, they are offered on a private-pay basis.
- What is a Superbill?
A Superbill is a detailed receipt you can submit to your insurance company for possible reimbursement of out-of-network services. Payment is made directly to the therapist.
Policies
- Do you charge late-cancellation and no-show fees?
Your appointment time is reserved for you. Sessions cancelled with less than 24 hours’ notice, or missed without notice, are charged the full session fee. This helps keep appointments available for other clients.
Privacy & Confidentiality
- Is Confidentiality Guaranteed?
Your privacy is a priority. Information shared in therapy is kept confidential in accordance with professional ethics and HIPAA regulations, with a few legal exceptions.
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 expected costs before beginning therapy.
- 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.