Frequently asked questions

Your first therapy session may feel different from the appointments that follow because it gives you and your therapist a chance to get to know each other and discuss how you might work together. Your therapist will likely ask what brought you to therapy, what symptoms or concerns you are experiencing, and which parts of your life are not going as well as you would like. They may also ask about your childhood, education, relationships, living situation, and work history to better understand your background. Later sessions will usually focus more closely on the concerns, experiences, and goals identified during this first meeting. Therapy typically takes time, so the first session is less about finding an immediate solution and more about beginning to develop a relationship that can support lasting change.

We offer individual counseling for adults and adolescents ages 14 and older. For patients under 18, a direct referral from a current clinician and a consultation with the adolescent and their parents are required to discuss fit, expectations, and clinical boundaries. We do not currently offer couples therapy.

See Your First Visit for the getting-started process.

Confidentiality means that what you share with your therapist is generally kept private and cannot be disclosed without your permission. This privacy helps create a safe space where you can speak openly about your thoughts, feelings, and experiences. However, there are certain legal and safety-related exceptions, such as when someone is at serious risk of harm, when abuse or neglect must be reported, or when records are required by law. Your therapist may also discuss your care with other professionals if you give written consent. At the beginning of therapy, your therapist should explain their confidentiality policy and answer any questions you may have about how your information is protected.

No. The gaming and play-based track is built to work for complete beginners — no dice experience required. See Gaming & Play-Based Therapy for more.

The general answer is no, we do not offer telehealth.

The more nuanced answer is that telehealth is available for established patients who have been with the practice for at least a year. Certain exceptions apply—including inclement weather and personal or family sickness.

Request an appointment through our secure scheduling page.

Select a service and time on the secure scheduling page, then submit your request. Requests must be confirmed before they are placed on the schedule. Established patients can sign in to the Patient Portal.

Please cancel or reschedule at least 24 hours in advance. The late-cancellation fee is $125 when less than 24 hours’ notice is given. This fee cannot be paid by insurance or an HSA.