Frequently asked questions

The things people ask us most.

Before starting therapy, most people have the same handful of questions. Here's an honest walkthrough — how it works, what it costs, and what to expect.

01

During therapy

How do I build trust with my therapist?

Trust develops over time through small experiences — feeling listened to, having your questions taken seriously, and being able to set boundaries. It’s normal for therapy to feel awkward at first, and you can always tell your therapist when you feel nervous or not ready to discuss something.

Do you offer in-person and virtual sessions?

Yes. We offer in-person appointments in Fairfax and secure teletherapy for clients throughout Virginia, so you can choose whichever setting works best for you.

How long does therapy take?

It varies from person to person. Some people come with a focused concern and attend for a relatively short period; others work on several concerns over a longer time. Early on, you and your therapist will discuss your goals, how often to meet, and how you’ll evaluate progress.

What do we talk about in therapy?

There’s no required script. Some sessions focus on something recent; others explore longer-standing emotions, relationships, beliefs, or experiences. It’s completely fine to begin by saying “I’m not sure what to talk about today” — your therapist can help you find a place to start.

02

Getting Started

Do I need to be in crisis to start therapy?

Not at all. You don’t need a diagnosis, a crisis, or a clear goal to begin. Many people start because something feels difficult, unresolved, or harder to manage alone — and others simply want to understand themselves better or make a meaningful change.

How do I choose the right therapist?

Education and expertise matter, but so does how you feel talking with someone. Consider whether they work with your concerns and offer the type of appointment you prefer, then look for someone you believe you can speak honestly with. It may take more than one session to know whether the fit feels right.

What happens in the first session?

The first appointment is a chance for you and your therapist to get to know one another. They’ll ask what brought you in, what’s been happening recently, and what you hope might improve, and review confidentiality and its limits. It’s the beginning of a conversation, not a test.

How do I get started?

Reach out through our consultation form or give the office a call. We’ll ask a little about what you’re looking for, answer your questions, and match you with a clinician who fits your needs. Most people hear back within one to two business days.

03

Fees & insurance

Can I use my HSA or FSA?

Yes. We accept Health Savings Account and Flexible Spending Account payments, along with Visa, Mastercard, Discover, and American Express.

How do I estimate what therapy will cost?

Call the Member Services number on the back of your insurance card and ask about your outpatient mental or behavioral health benefits — your copay, coinsurance, deductible, and whether telehealth is covered. You can provide our group NPI, 1306523634, along with your clinician’s individual NPI.

What if you’re not in-network with my plan?

You may be able to receive partial reimbursement through your out-of-network benefits. We provide a detailed superbill with everything your insurer needs so you can submit for reimbursement directly.

Which insurance plans do you accept?

We’re in-network with Blue Cross / Blue Shield, Anthem, Carefirst, and Federal Employee Plans (FEP), subject to plan-specific conditions. We do not accept Medicaid or Medicare. If your plan isn’t listed, you may still qualify for out-of-network reimbursement.

Why might I choose to self-pay?

Self-pay keeps information about your diagnosis and treatment private, since nothing is shared with an insurer. It also avoids the coverage limits insurers can place on the type and quantity of treatment.

04

Privacy & support

Do you work with adults, couples, and groups?

Yes. We offer individual therapy, couples counseling, and group therapy. When you reach out, let us know what you’re looking for and we’ll match you with a clinician whose focus fits.

Is what I share confidential?

Yes. What you discuss in therapy is confidential, with limited legal exceptions your therapist will review with you in the first session — such as risk of serious harm to yourself or others. Our consultation form is secure and encrypted.

What should I do in a mental health emergency?

If you or someone else is in immediate danger, call 911. For urgent support you can call or text 988 to reach the Suicide & Crisis Lifeline, available 24/7. Our office is not a crisis service and cannot provide emergency care.

We're here to help

Didn't find your answer?

Send us a note with your question and we'll get back to you — usually within one to two business days.

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