Starting therapy comes with a lot of questions - and that's completely normal. Here are the ones I hear most often.

About Starting Therapy

I've never been to therapy before. What should I expect?

The first session is mostly about getting to know each other. I'll ask you some questions about what's going on, what brought you in, and what you're hoping to get out of therapy. You don't need to have a crisis or a clear answer to those questions - we figure it out together. Most people leave the first session feeling a mix of relieved and a little raw. That's normal.

How do I know if I need therapy?

If you've been thinking about it, that's usually a pretty good sign. You don't need to be in crisis to benefit from therapy. A lot of my clients come in feeling 'fine' by most people's standards - but they know something is off, or they're carrying something they can't quite put down. Therapy is useful any time you want more support, more clarity, or more room to just be honest.

What if I start and it doesn't feel like a good fit?

That's an important conversation to have, and I take it seriously. The relationship between a therapist and client matters more than almost anything else. If after a few sessions it doesn't feel right, I'd rather you tell me - and I'll do my best to help connect you with someone who might be a better fit.

How long will I need to be in therapy?

That depends on what you're working on and what your goals are. Some people come in for a specific issue and feel like they've gotten what they needed in 8–12 sessions. Others work with me for longer as things shift and evolve. We'll check in regularly about how things are going and whether the pace and direction still make sense.

About Sessions

How long are sessions?

Individual and couples sessions are 50 minutes. We typically meet weekly, especially at the beginning, to build a good foundation. As things progress, we may shift to every other week.

Do you offer telehealth?

Yes - telehealth is my primary format and is available to anyone in South Carolina. Sessions take place through a secure, HIPAA-compliant video platform. All you need is a private space and a decent internet connection. Many of my clients prefer telehealth for the flexibility and the ability to log on from wherever they are.

Do you offer in-person sessions?

Yes. In-person sessions are available at my office in Charleston, SC. If you prefer to be in the same room, I'd love to meet you there.

What if I need to cancel or reschedule?

Life happens - I just ask for 24 hours' notice when possible. Late cancellations or no-shows may be subject to a fee because that time was held for you and can't be offered to someone else. If something unexpected comes up, just reach out as soon as you can.

About Insurance & Payment

Do you accept insurance?

Yes. I am in-network with BlueCross BlueShield of South Carolina (BCBS), Cigna, and Aetna through Headway. I also work with several EAP programs including Spring Health and Our Ritual. See the Insurance & Fees page for full details.

How does using insurance for therapy work?

Once you've met your deductible, you typically pay a copay or coinsurance for each session - just like you would for any other medical appointment. The exact amount depends on your specific plan. I'd recommend calling the member services number on your insurance card and asking about your outpatient mental health benefits before your first session.

What is an EAP and how do I know if I have one?

An Employee Assistance Program (EAP) is a benefit offered through many employers that provides a certain number of free therapy sessions. If you're employed, check with your HR department or employee benefits portal. You may have sessions available that you've never used. I currently work with Spring Health and Our Ritual.

Do you offer a sliding scale?

I offer a limited number of reduced-fee sessions. If cost is a barrier, please mention it when you reach out - I'd rather find a way to work something out than have you leave without support.

About Couples Therapy

Do both partners have to want to come to couples therapy?

Ideally, yes - couples therapy works best when both people are willing to participate. That said, one person being more reluctant than the other is very common. If your partner is hesitant, reaching out for a consultation is still a good first step. Sometimes one conversation is enough to shift things.

Will you take sides in couples therapy?

No. My job is not to decide who is right - it's to help both of you feel heard and to understand what's actually getting in the way. I'll be honest with both of you when I think something important needs to be named, but I don't have a side.

Can couples therapy help if we're thinking about separating?

Yes - couples therapy can be useful even when separation is on the table. Sometimes the process clarifies that you want to stay and work things out. Sometimes it helps you navigate ending the relationship with more clarity and less damage. Either outcome is valid, and I can support both.