FAQ

Schedule a free 20-minute initial video consultation by booking online here. Or contact me with questions by email at counseling@apathwaytoyou.com or calling 352-234-3150 (leave a voicemail if I miss you). Let’s talk about what’s going on for you, and what you are looking for, to make sure we’re a good fit together.

Individual therapy sessions are 50 minutes, with a $165 fee per session.

If you want to use insurance, please see the FAQ about that, below.

I offer limited fee reductions, which are negotiated individually based on circumstances and availability. Those joining my wait-list can indicate interest in this option, with the understanding that the wait time will most likely be longer.

Alternatively, you can find providers with current availability for long-term low-fee spots ($40-70) at OpenPathCollective.org.

Open Path is a nonprofit that serves clients who cannot afford market rates for therapy, lack adequate mental health insurance coverage, and have an annual household income below $100,000.

Join Open Path Collective at https://openpathcollective.org/client/registration/

I ask for 24-hours’ notice by portal/email/phone/text to cancel or schedule a session.

I allow one late-cancellation or no-show without fee, and after that (with exception for extreme circumstances) there is an $80 fee. This fee can be applied towards a rescheduled session if that session falls within the typical frequency (e.g., weekly or every-other-week).

These are the ways you might pay for counseling:

1) You may self-pay for therapy to avoid several pitfalls of using insurance that I’ll note below.

The rest of the options all involve insurance:

2) If your insurance will cover out-of-network (OON) telehealth therapy (check first & check often), I can provide you with a receipt called a “superbill” to submit claims for reimbursement of a percentage of what you pay. Please note, this method requires a diagnosis to be assigned.

The way to check your out-of-network benefits is to call the support number on your card and ask if you have coverage for behavioral health via telehealth by a Licensed Mental Health Counselor for CPT codes 90834 and 90837.
You may also want to ask about your deductible, coinsurance, number of visits allowed per year, whether pre-authorization is needed, and how to submit your claim and superbills. You can reach out to me for support in this process.

To learn how my clients can submit superbills easily and quickly online through Mentaya, click here for a demo. Or, my clients can arrange with me to use ThrizerPay to only pay their final responsibility up-front, reducing out-of-pocket costs.

3) Pay with your HSA/FSA card, or submit for reimbursement from those accounts according to their policies.

4) In-network: I am not in-network for insurance. You can find providers who are in-network for you through your insurer or at Headway.co.

Notes about using insurance (any means of covering sessions other than full self-pay without reimbursement):

Insurance companies can require me to submit thorough information to them about your concerns, session content, treatment, and more, when you use your benefits, even if they are out-of-network. This can introduce privacy and confidentiality limitations that are beyond my control. You would have consented to this to use your benefits.

Insurance will only pay if you receive a diagnosis that they agree indicates treatment is necessary, and they may also require further documentation so they can decide if they agree with the treatment itself. You will be responsible for any costs not covered by insurance. The insurer’s records of diagnosis and treatment can affect some things like job and insurance opportunities. (With self-pay, your records stay with me except at your request or if there’s a court order.)

Using insurance limits the flexibility of treatment. Insurers can dictate treatment type, frequency, session limits, and end coverage at any time with little or no notice.

I offer online counseling, so you can meet me from wherever you are, anywhere in my licensed states (FL, NY, IN), as long as you have the necessary privacy, technology, and internet connection. We’ll use a HIPAA-secure and compliant video call platform. I can help you think of an appropriate place to be during video sessions, and can offer strategies for enhancing privacy on your end.

I do not do in-person sessions.

You will need a device with a reliable internet connection that allows you to send and receive video and audio (camera and mic). This may be a desktop, laptop, tablet, or smartphone. For privacy, you may want to also use headphones. I highly encourage having your charger available during sessions.

Our meeting platform is a confidential version of Google Meet. Some devices may need to download the app in advance (Android Play Store, Apple Store, web app).

I protect your privacy as required by law, and according to multiple professional codes of ethics that can sometimes be even stricter than the law.

Confidentiality: If you are 18 years or older, your health information, including your status as a counseling client, belongs to you. This means that your family and other people (except for specific situations defined by the law) cannot receive information about your counseling, unless you give specific permission in writing and request the disclosure.

Technology: My telehealth platform (and backup platforms) and client management systems are HIPAA-compliant and used in HIPAA-secure ways. I also encourage you to use the secure messaging in the client portal, rather than email or text.

For full information on privacy related to this website, my HIPAA Notice of Privacy Practices for clients, and additional information on the security of technologies I use in my practice, please visit this page: Privacy, Terms, Etc.

Sessions with me unfold organically, following your lead. I will support you in raising your awareness of your experiences, life patterns, and needs. I’ll help you discover connections between various aspects of your experience, with reference to the goals you have identified.

Sessions with me feel like an accepting, warm conversation. When it seems right, I’ll invite you to opportunities for you to try therapeutic techniques in sessions, like creative arts, mind-body, or mindfulness techniques—you can always opt out of anything like this. If you want, I can also help you plan “homework” for between sessions. I may also offer validation through sharing information about mental health topics.

While I’ll be bringing my clinical skills, I believe you are the expert on you and are the one who will be doing the really important work. Like any goals, meeting your therapy goals will involve your effort over time. It is my role to help you approach your goals and therapeutic work in ways that support meaningful progress.

Sometimes therapy does put you in touch with difficult feelings, and healing and growth aren’t linear. I aim to help you engage with your concerns in a productive way and to provide support to help you gently but steadily move through the challenges towards your hopes.

This depends on a lot of factors, so I can’t make any promises. I can say that, in my experience, many people experience initial relief in a few sessions. For situations involving more complex trauma histories or ongoing stressors, progress might feel slower, with more ups and downs. However, I have worked with people who have made satisfying progress with cases like this in a matter of a few months. Deciding when you’re done is always up to you.

Many therapists agree it takes 2-4 sessions with a new counselor to know if you’re a good fit. This is a big investment, so I encourage you to set up a free consultation call before booking, to help you feel more comfortable with scheduling those initial appointments.

More than anything else, I encourage you to notice if you feel safe and accepted when interacting with a therapist. The therapeutic relationship is known to be the most important healing element in therapy—more than any specific approaches or techniques.

I offer therapy on a synchronous online platform that includes video, optional auto-captions, and a chat box. You’re welcome to communicate in your preferred way, including AAC (unfortunately, though, I don’t know sign language). I try to adjust my communication to each person based on their feedback. I offer clear sound through a good quality microphone and quiet environment, and a clear image through good lighting and camera in an uncluttered environment on my end. It is possible for you to connect via phone audio, if this helps. I understand sometimes you may want to be off-camera, or moving around during session, and encourage you to use any other self-accommodations that are helpful. I am open to a support person joining you for some of our interactions, once we are able to confirm your informed consent.

Please let me know of any other ways I can make therapy more accessible to you!

The PhD, along with my MAE and EdS degrees, show that after completing undergrad I attended 7 additional years of graduate school to become a strong clinician and to understand research and theory in my field.

LMHC is a license issued by individual states to show I am legally qualified to work as a mental health counselor with the people of those states. This involves completing a clinical master’s degree or higher, and 2+ years of post-degree supervised practice, plus passing the National Clinical Mental Health Counseling Exam and regularly upkeeping professional continuing education on clinical, legal, and ethical topics. While my professional identity is different than a psychologist or clinical social worker, we often do very similar kinds of work in therapy.

NCC means that I take extra steps to demonstrate and maintain my clinical skills to be certified by the National Board of Certified Counselors. That includes continuing education standards that exceed what is required for licensure renewal.

No, I am not a prescribing provider.

A general provider (MD) or psychiatrist are typically types of providers who can prescribe medications that may support your mental health. Other professions may also be able to prescribe, varying by state.

Yes. I’d love to help you explore your identity and life experiences to see if they fit within Autistic and/or ADHD experiences. For additional fees, I can provide letters and reports confirming your diagnosis to support self-affirmation and accommodations.

I use assessments that account for masking/camouflaging/compensation, which are often part of late-identified neurodivergent experiences. I look for presentations that are not always recognized by outdated understandings (e.g. the myth “if you’re Autistic you can’t make eye contact” which has caused many missed/mis-diagnoses). My approach will meet standards for diagnosis, also accounting for other identifying features of these neurotypes.

Assessment can take place in stand-alone sessions scheduled for that sole purpose, or can be woven into your therapy process. I am trained to offer the MIGDAS-2, which is considered an affirming option suitable for adults and those who mask (rather than the ADOS that many experiences as infantilizing, and may miss high-maskers). I do not require collateral input from others, but am open to receiving it. I can support you in understanding the questions on self-assessments, which can often be confusing, particularly to Autistic people.

As a late-identified AuDHDer myself, I’ll prioritize your own experiences of a lifetime of being in your brain and body. I can help you consider how an affirming understanding of the traits of Autism/ADHD may clarify your experiences and needs.

For clients who have attended a sufficient number of sessions to support understanding your concerns, I can provide letters of support for your work or school for needs such as accommodations or time off.

The fee for a typical short letter is $35, and additional fees apply depending on the complexity and length of what is needed.

I am not able to provide letters for Emotional Support Animals (ESAs).

You can call me at 352-234-3150 and may leave a voicemail securely. Or, securely message me as a registered client in my client portal. I have a contact form, here, that explains some privacy considerations for before you email me. My email is counseling@apathwaytoyou.com. Look for my response within 1-2 business days (M-Th 9-3). I look forward to hearing from you!

This portal allows clients to message with me securely, manage appointments, complete paperwork, and manage billing. It is at apathwaytoyou.clientsecure.me.

This is a step-by-step guide for how to use the client portal (online version).

The client portal app is available for Apple and Android. More information on the app is available here.