FAQ — Sally Smith, LPC

Question 1

What happens in the first session?

Accepted Answer

The first session is primarily a conversation. I'll ask about what's brought you in, your history, and what you're hoping to get out of this work. You don't need to have it all figured out — most people don't. By the end, we'll have a clearer sense of whether working together makes sense and what that might look like.

Question 2

How do I know if therapy is right for me?

Accepted Answer

If something is affecting your quality of life, your relationships, or your ability to function the way you want to — that's enough. You don't need to be in crisis to benefit from therapy. Many of the people I work with are high-functioning by every external measure and still carrying something that's worth addressing.

Question 3

What's the free consultation for?

Accepted Answer

It's a 20-minute call to talk through what's going on and see whether we're a good fit. There's no pressure and no obligation. I'd rather you find the right therapist than commit to someone who isn't the right match.

Question 4

How long does therapy take?

Accepted Answer

It depends on what you're working on. Some people find significant relief in 8–12 sessions. Others work with me for a year or more, particularly when trauma or deeply ingrained patterns are involved. I don't believe in keeping clients longer than is useful — we'll track progress and adjust as we go.

Question 5

What does a typical session look like?

Accepted Answer

There's no single template. Some sessions are structured around a specific technique or exercise. Others are more conversational. What stays consistent is that we're working toward something — not just talking for the sake of talking.

Question 6

What is EMDR and how does it work?

Accepted Answer

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy for trauma. It uses bilateral stimulation — typically eye movements or tapping — to help the brain process distressing memories that have become stuck. It's not hypnosis, and you remain fully in control throughout. Research consistently shows it to be one of the most effective treatments for PTSD and trauma-related symptoms.

Question 7

Do you accept insurance?

Accepted Answer

Yes — I accept most major insurance plans. Coverage and copays vary by plan, so I recommend calling the member services number on your insurance card to confirm your mental health benefits before we begin. I'm happy to help clarify what information to ask for.

Question 8

What are your fees?

Accepted Answer

Session fees are discussed during the initial consultation. A limited number of sliding scale spots are available for clients who need them. I'm transparent about fees from the start — there are no surprises.

Question 9

Are sessions in person or online?

Accepted Answer

All sessions are currently conducted via secure telehealth. This allows me to work with clients across the state and makes scheduling significantly more flexible, particularly for busy professionals.

Question 10

What platform do you use for telehealth?

Accepted Answer

I use a HIPAA-compliant video platform. You'll receive a secure link before each session. No app download is required — it works in any modern browser.

Question 11

Is what I share truly confidential?

Accepted Answer

Yes. Everything discussed in therapy is protected by law and by professional ethics. There are narrow, legally mandated exceptions — imminent risk of harm to yourself or others, and certain situations involving child abuse — but these are rare and I'll always discuss them with you directly if they arise.

Question 12

I'm in a public-facing role. Can I trust that this stays private?

Accepted Answer

Absolutely. Confidentiality is not optional in my practice — it's foundational. I do not share client information with employers, licensing boards, or anyone else without your explicit written consent. Many of my clients are in high-visibility roles, and their privacy is something I take seriously.

Questions worth asking

Getting Started

The Process

Logistics

Confidentiality & Privacy

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