faqs

Questions About Starting Therapy

It’s normal to have questions before starting therapy. Whether you’re feeling uncertain, curious, or just want to understand how the process works, the answers below address some of the most common questions we hear from new clients.

Getting Started
01
How do I get started with therapy?

The easiest way to begin is by scheduling a free consultation. This brief conversation allows you to share what you’re looking for, ask questions, and determine whether therapy feels like a good fit.

02
What happens during the free consultation?

During the consultation, we’ll talk about what’s bringing you to therapy, what you’re hoping to work on, and answer any questions you may have. It’s a low-pressure conversation designed to help you decide whether you’d like to move forward.

03
How do I know if therapy is right for me?

Therapy can be helpful if you’re feeling overwhelmed, stuck, stressed, or simply looking for greater clarity and direction. You don’t need to be in crisis — many clients come to therapy for support, growth, and better ways of managing everyday challenges.

04
How do I choose the right therapist?

Finding the right fit is important. During the consultation, we can help match you with a clinician whose approach and style align with your needs. If at any point something doesn’t feel like the right fit, we can help you explore other options.

The Therapy Process
01
What can I expect in my first session?

The first session focuses on understanding your background, current concerns, and goals. Your therapist will ask questions to get a clearer picture of what you’re experiencing and begin to outline a path forward.

02
How often will we meet?

Most clients start with weekly sessions, as this provides consistency and momentum. Over time, frequency can be adjusted based on your needs, goals, and progress.

03
How long does therapy usually last?

The length of therapy varies. Some clients benefit from short-term, goal-focused work, while others prefer ongoing support for deeper exploration and growth. We’ll work collaboratively to determine what feels right for you.

04
What if I don’t know what to talk about?

That’s completely okay. Your therapist will help guide the conversation and create structure when needed. You don’t need to have everything figured out before starting.

Logistics & Scheduling
01
Do you offer virtual sessions?

Yes. We offer secure virtual (telehealth) sessions, allowing you the flexibility to join session from where you are comfortable.

02
How do I schedule an appointment?

Appointments can be scheduled through our online system or by contacting our office. After your consultation, we’ll help you find a time that fits your availability.

03
What if I need to cancel or reschedule?

We understand that schedules change. We ask that you provide advance notice (24 hours) if you need to cancel or reschedule. Specific details about our cancellation policy will be shared during onboarding.

04
How quickly can I get an appointment?

Availability varies, but we aim to connect new clients with a therapist as soon as possible, often within a few days to a week.

Insurance & Payment
01
Do you accept insurance?

Yes, we accept several insurance plans, including Aetna, Florida Blue, United Healthcare, Optum-based plans, and Cigna.

02
What is the cost of a session?

For self-pay clients, sessions are $225 for a 50-minute session. If you are using insurance, your cost will depend on your specific plan and benefits.

03
What forms of payment do you accept?

We accept major credit and debit cards. Payment details will be reviewed during the intake process.

04
Can I use out-of-network benefits?

Yes. If we are out-of-network with your plan, we can provide a superbill that you may submit to your insurance for possible reimbursement.

05
What forms of payment do you accept?

We accept major credit and debit cards. Payment details will be reviewed during the intake process.

Virtual Therapy (Telehealth)
01
How does virtual therapy work?

Virtual sessions are conducted through a secure, HIPAA-compliant video platform. You’ll receive a private link before your session to join from your computer or mobile device.

02
Is virtual therapy as effective as in-person therapy?

Yes. Research shows that telehealth therapy is just as effective as in-person therapy for many concerns, including anxiety, depression, and stress.

02
What forms of payment do you accept?

We accept major credit and debit cards. Payment details will be reviewed during the intake process.

03
Is virtual therapy confidential?

Yes. We use secure, encrypted platforms that meet HIPAA standards to protect your privacy and confidentiality.

04
What do I need for a virtual session?

You’ll need a private space, a reliable internet connection, and a device with a camera and microphone.

Fit & Common Concerns
01
What if I feel nervous about starting therapy?

That’s completely normal. Many people feel unsure at first. The consultation and early sessions are designed to help you feel comfortable and ease into the process.

02
What if I’ve tried therapy before and it didn’t help?

Not all therapy experiences are the same. A different therapist or approach can make a significant difference. We focus on practical, collaborative work that is tailored to your needs.

03
What if I don’t feel a connection with my therapist?

The therapeutic relationship is important. If something doesn’t feel like the right fit, we encourage open communication and can help connect you with another clinician if needed.

04
Do I need to be in crisis to start therapy?

No. Many clients begin therapy when they feel stuck, overwhelmed, or ready for growth, not just during times of crisis.

05
Can therapy help if I’m “functioning but struggling”?

Absolutely. Many people who seek therapy are managing responsibilities well externally but feel stressed, burned out, or disconnected internally. Therapy can help you address those underlying challenges.

Horizon West Counseling

Where insight meets practical support.