Frequently asked
questions

It's a 15-minute phone call, not video. You tell us what's going on and what you want help with. We match you with the right therapist, check your insurance, and tell you what you'll pay before you commit. If we're not the right fit, we'll point you to someone who is.

We match you based on what you share on your call. Kayla focuses on perinatal mental health, burnout, anxiety, and OCD. Kara focuses on couples, relationships, trauma, and codependency. If the fit isn't right after a few sessions, tell us and we'll switch you.

Someone will contact you within 24 business hours. Depending on availability, you could start the same week or wait until next month. Kara currently has limited openings.

Yes. Kayla is registered to provide telehealth to Florida residents. Kara sees clients in New York.

Overfunctioning is a pattern where you take on more than your share, emotionally, practically, and relationally, often at the expense of yourself. It can look like always being the responsible one, struggling to say no, feeling like everything falls apart if you don't manage it, or tying your worth to how much you do. If reading that feels familiar, we should talk.

Yes. Kayla is trained in Exposure and Response Prevention (ERP), one of the most evidence-based treatments for OCD and anxiety. ERP helps you gradually face the thoughts and situations that trigger anxiety, without relying on compulsions or avoidance. It's hard work, and it works.

Yes. It's Kayla's core specialty. As a Certified Perinatal Mental Health Specialist (PMH-C), she supports clients through fertility struggles, pregnancy, postpartum anxiety and depression, and the transition into parenthood.

Yes. Which plans depend on your therapist.

Kayla: Aetna, Anthem, Carelon, CDPHP, Cigna, Excellus BCBS, Fidelis, MVP, NYSHIP, Optum, Oscar, Oxford, UHC, UMR.

Kara: Aetna now. Excellus BCBS, MVP, and Fidelis are coming soon. Once Excellus is active, that covers Highmark and any BCBS plan whose card says "submit to your local plan."

We check your benefits before your first session, so you'll know your copay or deductible up front.

Without insurance, a 50-minute session is $200 with Kayla or $150 with Kara. For plans we don't take, we provide superbills you can submit for out-of-network reimbursement. Cost a concern? Ask about our sliding-scale spots.

Reach out anyway. We keep a few sliding-scale spots open because money shouldn't be the reason you don't get therapy. Ask about them on your consult call.

If you're paying without insurance, you're entitled to a written estimate of your costs before you start. We'll send you one when you schedule.

Cancel or reschedule at least 24 hours before your session. Late cancellations and missed sessions are charged $100.

Yes, Kara works with couples. Sessions are self-pay at $175.

Insurance only pays to treat a diagnosed mental health condition. A relationship can't be diagnosed.

Some practices bill couples sessions to insurance as family therapy. To do that, one partner becomes the "identified patient." That partner needs a mental health diagnosis, such as depression or anxiety, and every session has to focus on treating it. That's a legitimate service, but it isn't couples counseling.

In couples counseling the relationship is the client. You work as a team on your patterns, communication, and how you treat each other. No one is the patient, and no one needs a diagnosis. It also means neither of you ends up with a diagnosis in your insurance record just to get relationship help.

Only if you want it. Kara offers Christian counseling. Kayla works with clients of any faith: she'll learn what you believe and build it into your treatment. Or leave religion out completely. You'll tell us your preference during intake, and your therapist will follow it.

Yes. Partners go through the perinatal period too. See how we work with dads and partners.

Yes. It's easier if they aren't a big distraction, but Kayla has done sessions with a cranky baby and with a toddler trying to steal the phone. Seeing how you and your child interact is useful to her, especially with a newborn.

Consults are by phone. Sessions are by secure, HIPAA-compliant video, from wherever you're comfortable. Research shows telehealth works as well as in-person therapy for anxiety, depression, burnout, and more, without the commute.

It depends on your goals. Some clients come for 8–12 sessions around one specific issue. Others keep going longer, every week or every other week. We check in regularly and adjust.

No. If medication might help, we'll refer you to a prescriber and, with your permission, coordinate with them.

We aren't a crisis service. Call or text 988, call 911, or go to your nearest emergency room.