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Frequently Asked Therapy Questions

Starting therapy can feel a little like stepping into the unknown - a mix of curiosity, nervousness, hesitation, and quiet hope that something could feel different. All of that belongs here.

This page answers common questions, reduces guesswork, and offers a behind-the-scenes look at what therapy with me feels like.

If your question isn’t answered here, feel free to reach out through the contact form.

Jump ahead to:

Therapy in Tennessee

Sessions are available in-person in Nashville, TN and virtually for clients anywhere across the state of Tennessee.

Rates, Insurance, & the Practical Stuff

What are your therapy session fees & how do I pay?

The fee for a 50-minute individual therapy session is $175.

Payment is simple and handled through a secure client portal where you’ll add a card on file before your first session. The system accepts most credit and debit cards, including HSA and FSA cards, and session fees are charged the evening of each appointment.

If questions about fees or payment ever come up, you’re always welcome to bring them into conversation - therapy already asks a lot, finances don’t have to be a silent stressor too.

Do you accept insurance or provide Out-of-Network benefits as a therapist?

I don’t accept insurance and am considered an out-of-network provider, though I’m happy to provide a Superbill if you’d like to explore possible reimbursement through your plan.

If you choose to submit a Superbill, insurance companies typically require a mental health diagnosis and may request clinical details related to your care. For some clients this feels perfectly comfortable, while others prefer the added privacy of keeping therapy outside the insurance system - both choices are valid.

  • Yes. If you’re paying for therapy directly rather than using insurance, you have the right to request a Good Faith Estimate outlining the expected cost of services under the No Surprises Act.

    This estimate provides a general idea of what therapy may cost over time based on the current session fee and the frequency of sessions we anticipate together. 

    You’re welcome to request a Good Faith Estimate at any time before beginning therapy or during the course of our work together - just let me know and I’m happy to provide one.

    One goal is simply beginning to build trust and making sure the space feels comfortable and like a good fit for you. There’s no pressure to share more than feels comfortable and questions are always welcome. While we may start touching on hopes for therapy, deeper goal-setting usually unfolds more naturally over the next few sessions.

  • Yes! Therapy should feel possible, not out of reach - which is why I offer a limited number of reduced-fee spots.

    If you’re interested, please feel free to reach out about current availability. These spots can shift over time, and while availability isn’t guaranteed, new openings may arise. If reduced-fee spots aren’t available, I’m always happy to share referrals of trusted providers with greater sliding-scale flexibility.

  • Choosing private pay allows therapy to remain more flexible and guided by your needs rather than insurance requirements. Insurance companies often require a mental health diagnosis, may limit session frequency, or influence the direction and documentation of care. 

    Private pay offers greater privacy and allows therapy to unfold with more depth and flexibility. The result is work guided by your goals and pace - with less navigating insurance requirements and more space to focus on your healing.

Red Fern Therapy | Nashville, Tennessee

Getting Started with Therapy & What to Expect

What if I’m nervous to start therapy or don’t know what to talk about?

Feeling nervous to start therapy is incredibly common. You don’t need a clear story, perfectly organized thoughts, or the “right” place to begin - messy starting points are honestly the norm here (truly, nobody shows up with a perfectly organized life story).

Early sessions are simply a space to get to know each other. We may jump around a bit as we explore what feels most pressing, tangled, or hard to name - or the experience of having no clue where to begin. I’m along for the ride and part of my role is helping gently guide the conversation when words feel hard to find (I always have questions or topics in my back pocket).

Are therapy sessions offered online or in-person in Nashville, Tennessee?

Sessions are available in-person in Nashville, TN and virtually for clients anywhere across the state of Tennessee. Virtual sessions are held through a secure, HIPAA-compliant platform and can feel just as personal and effective as meeting in the office (and save you a Nashville commute).

You’re welcome to choose the format that feels most supportive and some clients opt for a hybrid approach - alternating between in-person and virtual sessions as their needs or schedules shift.

What is your general availability for therapy sessions?

Appointments are typically offered Monday through Thursday, with morning virtual sessions and afternoon/evening options available in-person or online. Fridays are reserved for admin time.

If schedules don’t align perfectly, feel free to reach out - we can explore what might work or other referrals if needed.

More Questions:

  • The first session is mostly about getting to know each other and beginning to learn your story. We’ll talk a little bit about everything - what’s bringing you in, your background, and any questions you have about therapy, paperwork, or the process. It’s common for this session to feel a bit scattered (think conversation, not interrogation).

    One goal is simply beginning to build trust and making sure the space feels comfortable and like a good fit for you. There’s no pressure to share more than feels comfortable and questions are always welcome. While we may start touching on hopes for therapy, deeper goal-setting usually unfolds more naturally over the next few sessions.

  • Sessions with me are conversational, collaborative, and flexible based on what feels most pressing or needed in the moment. Some days we’re processing something from your week while other times we’re noticing patterns or emotions that are harder to slow down and explore outside the therapy space. Sometimes therapy continues between sessions through optional “homework” or reflections - think invitations for exploration, not assignments.

    You won’t be left guessing what I’m thinking - I’m actively engaged with reflection, curiosity, and gentle challenge, with room for humor and very human moments along the way. We can go deep while still leaving room to breathe - therapy has range. 

    Some sessions feel grounding, others bring insight or emotion, and sometimes things may feel heavier before they feel lighter. There isn’t a rigid script or “right way” to do therapy here - we allow the process to unfold in a way that feels supportive and real.

  • Many clients begin with weekly sessions as this can help build momentum and consistency early on, though it isn’t a requirement. Biweekly sessions can also be appropriate depending on what feels realistic and supportive financially, logistically, and emotionally. We’ll decide together what best fits your goals, availability, and current capacity.

    Therapy doesn’t follow a fixed timeline. Some clients engage in shorter-term work around a specific focus while others choose longer-term support for deeper exploration. Therapy doesn’t have to be forever, and it doesn’t have to be rushed either. Over time, session frequency may shift, with some clients moving to biweekly or occasional check-ins as therapy begins showing up more naturally in daily life

  • Absolutely not! There is never pressure to talk about trauma or begin any specific modality before you feel ready. Early work often focuses on building safety, understanding what’s bringing you in, and getting a feel for what feels most supportive as we begin working together. 

    Over time, therapy naturally creates space for deeper or more vulnerable experiences to be explored in ways that feel safe, manageable, and supported. Brainspotting, EMDR, and other approaches are modalities I value and may offer as options, but they are never forced or pushed. You always have choice in how we move forward and these tools are introduced collaboratively if and when they feel supportive. Curiosity over pressure is kind of our thing. 

  • Because session time is reserved just for you, I ask for at least 48 hours notice if you need to cancel or reschedule. Sessions cancelled with less than 48 hours notice, missed appointments, or arrivals more than 15 minutes late without prior communication are subject to the full session fee.

    I understand that real life doesn’t always respect calendars and will do my best to offer flexibility when possible, such as rescheduling within the week or switching to a virtual session, though availability can’t always be guaranteed.

  • Yes! Confidentiality is one of the most important parts of the therapeutic relationship. What you share with me is held with care and is not shared with others without your written permission. You’ll also receive intake paperwork that clearly explains how your privacy is protected and what to expect.

    There are a few legal and ethical situations where confidentiality may need to be broken in order to support safety, such as concerns about abuse or neglect of a child, elder, or vulnerable adult, or serious risk of harm to yourself or someone else. If situations like this ever arise, we would talk through them together so you’re informed and supported rather than surprised.

Red Fern Therapy | Nashville, Tennessee

Other Therapy Information + “What-Ifs” Scenarios

Who do you work with (and not work with) in therapy?

I offer individual therapy for older teens and adults seeking more than surface-level coping — people looking to understand themselves, their relationships, and the patterns that feel hard to shift alone.

At this time, I don’t provide couples therapy or therapy for younger children. My work is primarily with individuals ages 16+ (with occasional flexibility depending on the situation).

If your needs fall outside my scope, that doesn’t mean support isn’t available - only that you deserve care that truly fits. I’m always happy to share referrals that might be better aligned.

What does a holistic or whole-person approach to therapy mean?

A holistic, whole-person approach means we look beyond symptoms and make space for the many layers shaping your experience - relationships, identity, culture, spirituality, physical health, substance use, and the environments you move through daily.

Sometimes these areas come up naturally in conversation, while other times I may gently bring attention to them through reflection or psychoeducation - especially when they appear connected to emotional patterns or therapeutic progress.

This doesn’t mean we focus on everything at once. It simply honors that healing rarely happens in isolation and allows room for the parts of your life that quietly influence how you feel, relate, and move through the world. 

I’m feeling good about starting therapy! What’s next?

The next step is reaching out through the contact form to schedule a 15-min consultation call. This gives us space to connect briefly, answer questions, and get a sense of alignment before moving forward.

If it feels like a good initial fit for both of us, we’ll schedule your first therapy session and I’ll send intake paperwork to complete ahead of time so you feel prepared walking in. For in-person sessions, you’ll receive directions to the office a few days prior via email, and for virtual sessions, you’ll get a secure video link through a HIPAA-compliant platform designed for therapy.

You don’t have to be fully ready - just open to beginning the conversation.

  • That’s completely okay - and honestly, part of the process.

    Therapy is relational, and feeling safe enough to be yourself matters. You’re allowed to notice what feels comfortable, what doesn’t, and when you’re wanting something different. Early sessions often include getting a feel for that together.

    You might also hear the phrase “good fit” in therapy spaces. For many people, that simply means feeling safe enough to be honest, understood without over-explaining, and able to show up without performing or filtering every thought. A good fit doesn’t mean therapy always feels easy - it means the relationship feels grounded, supportive, and real enough to explore hard things together. Good therapy shouldn’t feel like forcing a vibe and you shouldn’t have to convince yourself to stay somewhere your gut keeps questioning.

    If something feels off or you need more of something, you’re always welcome to bring it into the room. Those conversations aren’t awkward here - they’re often clarifying and supportive. And if we decide another therapist might be a better match, I’ll help you explore options that feel aligned.

  • I don’t prescribe medication or offer formal psychological testing. If those services would be helpful, I’m happy to provide referrals and coordinate with outside providers when needed.

    When it comes to diagnosis, I don’t lead with labels unless they serve a meaningful purpose in our work together. My approach focuses on understanding your lived experience and the patterns or stressors showing up in your life rather than defining you by a label.

    That said, diagnostic language can sometimes be useful for validation, insight, referrals, or coordinating care. If we ever explore diagnosis, it would be done thoughtfully and transparently.

Red Fern Therapy | Nashville, Tennessee

IN A CRISIS OR EMERGENCY?

If you are experiencing a life-threatening emergency or are in immediate danger, please call 911 or go to your nearest emergency room.

Because I am not available 24/7 and do not provide emergency services, it’s important to reach out to crisis resources if you need immediate support.

If you’d like help identifying local crisis resources in Tennessee, feel free to reach out and I’m happy to assist.

You can contact:

• Suicide & Crisis Lifeline: 988 (call or text)
• National Domestic Violence Hotline: 1-800-799-SAFE
• National Sexual Assault Hotline (RAINN): 1-800-656-HOPE
• Trans Lifeline: 877-565-8860
• The Trevor Project (LGBTQ+ Youth): 866-488-7386