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How does online therapy work?

As a virtual practice, we provide secure online therapy for individual adults, couples, and adult families who are residents of TEXAS or FLORIDA (only Adrienne Clements is licensed in both states). Skype and other online video conferencing software cannot guarantee privacy. Therefore, our online therapy services occur via a HIPAA-compliant web portal. It requires our clients to go to a secure website in order to participate in therapy, and then works just like any other video-conferencing application. Clients must be physically located in the state of residence (TX or FL) during service per licensing regulations.

Do you provide in-person therapy?

We do not provide in-person therapy. As a virtual practice, we ONLY provide secure online therapy for individual adults, couples, and families who are residents of TEXAS or FLORIDA (Only Adrienne Clements works with Florida clients).

What age groups do you work with?

We provide secure online therapy for individual adults, couples, and adult families aged 21 and older. We do not work with children or teens, even in family therapy.

Do you take insurance?

Currently, we do not. In order to use insurance, it requires we give our clients a mental health diagnosis. Insurance can then dictate what kind of treatment you can receive. We strive to take a non-pathological approach to psychotherapy, and we choose to let what is best for our clients to dictate treatment – not what insurance will pay for. We also prefer to empower our clients to decide if they want a mental health diagnosis on their record or not, for client privacy is a top priority for our practice.

While we do not currently accept insurance, we can provide superbills for you to file for reimbursement if you have out-of-network coverage.  Please check with your insurance to see if you have out-of-network mental/behavioral health coverage. If you choose to file for out-of-network benefits it will require us to give a diagnosis code on your superbill. Also please note – Couples and Family Therapy is not always covered by insurance, so please check with your insurance provider.   

How much does therapy cost?

We believe that therapy is an investment in yourself and your relationships and one that will repay you over and over. We value your time, our time, and the services we have to offer, and charge in accordance with that. The rate for sessions is different based on the clinician’s license and experience and ranges from $145 – $175 per 50-minute session, please visit our fee page here to see each clinician’s specific fees. 

We do not accept insurance, but we will provide superbills if you have out-of-network mental health coverage. You pay the full fee in session, and then will be responsible for filing for reimbursement with your insurance company. Please note – couples therapy is not usually covered by insurance.

How often should I/we come for sessions?

We recommend that clients begin therapy weekly, as this will allow us to form a solid therapeutic relationship and create momentum toward their goals. We are open to shifting to bi-monthly sessions as we continue to explore progress and goals. Please know that you will experience more noticeable change when you engage in regular sessions and commit to also doing the work outside of sessions. 

You will typically know when you have reached a point where you feel you no longer need to come. We will be discussing your progress and how therapy is going regularly and openly and will communicate about what termination looks like together. 

How long are the sessions?

Sessions with couples and individuals typically last 50 min. or 75 mins. We are respectful of our client’s time by reserving a regular time slot for them, so we ask my clients to please arrive at their appointments on time. These reserved time slots are “rented” and not “owned”. After 3 weeks of non-attendance, reserved time slots may be offered to other clients.  

Please understand that cancellations within 24 hours of scheduled appointments or no-shows will result in payment of the entire session fee.

Do you provide letters for Emotional Support Animals (ESA letters)?

No, we do not offer this type of documentation for clients at our practice. We encourage clients to seek these letters from their primary care physician or psychiatrist.

What does it mean to be a “neurodiversity-affirming” practice?

It means we uphold the neurodiversity paradigm and movement, and that we see all brains as unique and valuable just as they are. Neurodivergence is not a problem to be solved, it is a reality to be embraced. As neurodivergent clinicians ourselves, we recognize each human has a unique ‘operating system’ and we value the lived experience of our clients and how they navigate the world. Therefore, we adapt our therapeutic approach to meet each individual’s, couple’s, and family’s needs so they can thrive in the unique way that works for them.

What is the Gottman Method for Couples Counseling?                                                                                   
The Gottman Method was created by Dr. John and Dr. Julie Gottman and has become one of the “gold standards” in marital and relational therapy. It has been researched for decades with thousands of couples and is very effective. This approach addresses conflict management, communication, empathy, trust, commitment, and intimacy, as well as other relationship topics. It is a well-rounded and active approach rooted in solid relationship science. Adrienne Clements, LMFT is trained in levels 1 and 2 of Gottman Method Couples Counseling, and this approach is instrumental in her work with couples.