Frequently asked questions.

Are sessions online or in person? Primarily online, through a secure, HIPAA-compliant video platform, for anyone located in Virginia. In-person sessions are available by arrangement with some clinicians.

Does telehealth actually work for therapy? For most concerns, yes, and the research backs it. EMDR, DBT, CBT, play-based work with kids, and family sessions all translate well to video. Our clinicians have done this work on screen for years and bring the same skill to it.

How long is a session, and how often do we meet? Standard sessions are 50 to 55 minutes, usually weekly to start. Some approaches (DBT, RO-DBT) include a weekly skills group alongside individual sessions. We'll set the rhythm together and adjust as you go.

What do I need for a video session? A phone, tablet, or computer with a camera, a decent connection, and a private space where you can talk freely. We send a link before each session; there's nothing to install.

What is your cancellation policy? Please give 24 hours' notice. Late cancellations and no-shows are charged a fee, which we'll explain in your intake paperwork. (Insert your actual fee.)

Description text goes hereDo you take insurance? Yes. We are in-network with Anthem Blue Cross Blue Shield, Aetna, Optum / UnitedHealthcare, Sentara Health Plans, and Medicare, and we're adding plans as credentialing completes. (Confirm against the tracker before publishing.) Coverage varies by plan and by clinician, so we verify your benefits before your first session.

What if you're not in-network with my plan? We'll tell you before you book. You can pay privately and we'll provide a superbill you can submit to your plan for out-of-network reimbursement.

What does a session cost without insurance? Contact us for current rates. We'll give you a clear number before your first session, never after.

Is ADHD coaching covered by insurance? No. Coaching is a non-clinical, private-pay service. Reach out for service costs.

Do I get a Good Faith Estimate? Yes. If you're paying privately, federal law entitles you to a written estimate of expected costs before you begin, and we provide one.

Are sessions online or in person? Primarily online, through a secure, HIPAA-compliant video platform, for anyone located in Virginia. In-person sessions are available by arrangement with some clinicians.

Does telehealth actually work for therapy? For most concerns, yes, and the research backs it. EMDR, DBT, CBT, play-based work with kids, and family sessions all translate well to video. Our clinicians have done this work on screen for years and bring the same skill to it.

How long is a session, and how often do we meet? Standard sessions are 50 to 55 minutes, usually weekly to start. Some approaches (DBT, RO-DBT) include a weekly skills group alongside individual sessions. We'll set the rhythm together and adjust as you go.

What do I need for a video session? A phone, tablet, or computer with a camera, a decent connection, and a private space where you can talk freely. We send a link before each session; there's nothing to install.

What is your cancellation policy? Please give 24 hours' notice. Late cancellations and no-shows are charged a fee, which we'll explain in your intake paperwork.

Do you see children and teens? Yes. Several clinicians work with children (7 and up) and adolescents, and we involve parents and caregivers as appropriate. See our Children, Teens & Family page.

Do you see couples? Yes. Several clinicians offer couples work, including faith-integrated couples counseling (SYMBIS) and Gottman-informed approaches.

What is EMDR, and is it right for me? EMDR is a structured therapy for memories and experiences that still feel present, whether or not you'd call them trauma. It doesn't require retelling the story in detail. We have EMDRIA-certified therapists on the team and will talk it through with you in the consultation.

What's the difference between DBT and RO-DBT? DBT helps when emotions run hot and fast and lead to choices you regret. RO-DBT helps when you hold everything in, keep it all together, and feel lonely or rigid inside it. Both are skills-based, and we'll help you tell which fits.

Do you offer substance use treatment? Yes. Our clinicians hold substance use credentials (LSATP, CAADC) and treat substance use alongside the anxiety, trauma, or depression that often sits underneath it.

Do you provide court-ordered evaluations or treatment? Yes. Psychosexual evaluations and treatment are provided by a Certified Sex Offender Treatment Provider (CSOTP), primarily by telehealth. Contact us directly to discuss.

I'm a therapist. Do you offer supervision or consultation? Yes: clinical supervision toward licensure, EMDR consultation toward certification, and CSOTP consultation. Email us to set up a conversation.

Is what I share confidential? Yes, with the standard legal exceptions: risk of serious harm to yourself or others, suspected abuse of a child or vulnerable adult, or a court order. We review these with you at your first session.

Is the video platform secure? Yes. We use a HIPAA-compliant platform with encrypted video and a signed Business Associate Agreement with the vendor.