Frequently Asked Questions · Fort Worth, TX
Your questions, answered.
Everything you want to know before reaching out: sessions, fees, insurance, and what it's actually like to work together.
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Getting started
How do I know if I'm ready for therapy?
You're likely ready if you're done managing symptoms and want to understand what's driving them. Many of my clients are high-functioning professionals who look fine on the outside but feel stuck internally: overthinking, people-pleasing, or repeating patterns that no longer serve them. They come in ready to do the work and bring it into their everyday lives, because they want real change, not just a little relief.
Who is the best fit for working with you?
I work best with high-functioning professionals and parents who are done managing symptoms and ready to address what's underneath: anxiety, overthinking, people-pleasing, ADHD, and the family patterns that shaped them. If you're looking for occasional check-ins or general support, a different fit may serve you better, and I'm happy to help you find it.
How do I get started?
The first step is a free 15-minute connection call. You can book directly online or reach out by email or phone if you have questions first.
What happens on the free connection call?
You'll share a bit about what's bringing you in, I'll share how I work, and we'll both decide whether it feels like a good fit. There's no pressure and no commitment. If it feels right, we'll schedule your intake session.
What can I expect during my first session?
Your first session is about understanding where you are and where you want to go. We'll talk about what's bringing you to therapy, patterns you've noticed, and what you're hoping will feel different. You'll also get a sense of how I work: collaborative, practical, and focused on meaningful, lasting change. It's not as scary as it sounds.
What if we're not a good fit?
It's completely okay to say so. The therapeutic relationship matters, and if at any point you feel we're not the right fit, I'll help you find a therapist or resource that better matches your needs.
Do you see couples, families, or teens?
I work with individual adults. I don't offer couples, family, or child and teen therapy, but I'm happy to point you toward someone who does.
The sessions
How often will we meet?
Sessions are 50 minutes, with 90-minute extended sessions available. Ideally, we meet weekly in the beginning to build momentum and get to root causes. I understand everyone's circumstances are different, so every-other-week sessions can be arranged. We can talk through what works for you on your connection call.
Will there be homework between sessions?
It depends on what works for you. Some clients like specific things to practice between sessions, and others prefer to simply notice and reflect. Either way, much of the change happens outside of session, in the moments where old patterns show up. I love when clients bring what we work on into their day-to-day lives, because that's where it starts to stick.
Do you focus on deeper change or just coping skills?
Root causes. Many of my clients have already tried coping skills and understand their patterns, but still feel stuck. We use tools where they help, but the real work is understanding the why behind your patterns and changing them at the source, not just managing them better.
What therapy approaches do you use?
I use CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavior Therapy), and ACT (Acceptance and Commitment Therapy), evidence-based frameworks tailored to you rather than a one-size-fits-all protocol. I'm also trained in EMDR, which I use to help process the experiences that keep old patterns stuck.
How long will I be in therapy?
It depends on your goals. Some clients focus on one specific pattern for a shorter stretch. Others stay longer to work through deeper patterns. We'll check in on progress regularly and decide together when you're ready to space sessions out or wrap up.
Do you prescribe medication?
No. As a Licensed Clinical Social Worker, I don't prescribe medication. If you're interested in medication, I recommend talking with your primary care doctor or a psychiatrist, and I'm happy to coordinate care with your permission.
What if I'm in crisis?
I'm not a crisis service, and I don't provide 24/7 support. If you're in immediate danger, call 911 or go to the nearest emergency room. You can also call or text 988, the Suicide & Crisis Lifeline, any time of day.
Is therapy confidential?
Yes. What you share stays between us, except in cases where there is a risk of harm to yourself or others, or where disclosure is required by law. I will always discuss these limits with you before they apply.
What is your cancellation policy?
Please give at least 24 hours of notice if you need to cancel or reschedule. Cancellations with less than 24 hours of notice are charged a $100 fee. Life happens, and I'm always happy to work with you when something comes up.
Who I work with
Do you work with high achievers and people-pleasers?
Yes. Many of my clients are high-functioning adults who became the responsible one early and are tired of carrying everything alone. Learn more on my Therapy for High Achievers page.
Do you work with parents?
Yes. I work with expecting parents and parents of kids at any age who want to break old family patterns without losing themselves in the process. Learn more on my Therapy for Parents page.
Do you specialize in ADHD therapy for adults?
Yes. I specialize in working with adults with ADHD, including emotional regulation, focus, organization, self-worth, and relationship patterns. I understand how ADHD actually shows up in adult life, not just in textbook descriptions, and I know it from the inside too. I treat ADHD but don't diagnose it. Learn more about ADHD therapy for adults.
Do you work with anxiety and overthinking?
Yes, this is one of my primary specialties. I work with adults who are exhausted by their own minds: constant overthinking, second-guessing, worst-case scenario thinking, and anxiety that never fully quiets, including high-functioning anxiety. We work to understand the roots of it, not just manage the symptoms.
Do you help with boundary struggles and people-pleasing?
Yes. Boundary work is central to what I do. This isn't just about learning to say no. It's about understanding the patterns underneath the people-pleasing, the guilt that follows, and the relationships that make it complicated. Real boundary work goes deeper than a script.
Do you help with family of origin patterns?
Yes. Many of the patterns my clients want to change, like people-pleasing, perfectionism, and anxiety, started in the family they grew up in. We look at the roles, beliefs, and experiences you absorbed growing up, without blaming anyone, so you can keep what serves you and change what does not. Learn more about family of origin therapy.
Location and logistics
Do you offer in-person and online therapy?
Do you offer evening or weekend appointments?
Not at this time. Appointments are available Tuesday through Friday, 9 a.m. to 5 p.m. Central (10 a.m. to 6 p.m. Eastern for Florida clients), with the last session of the day starting at 4 p.m. Central.
Do you offer online therapy in Florida?
Yes. I am registered with the Florida Department of Health as an out-of-state telehealth provider, so I can see adults located in Florida through a HIPAA-secure platform. My Florida telehealth registration number is TPSW6032. Learn more about online therapy in Florida.
Is telehealth therapy as effective as in-person?
For many people, yes. Research has found that telehealth therapy can work as well as in-person sessions for concerns like anxiety. Many clients find it easier to open up from a comfortable, familiar space. The most important factor is the therapeutic relationship, and that translates online.
Fees and insurance
How much does therapy cost?
Intake appointments are $160, individual sessions are $150, and 90-minute extended sessions are $270. Payment is due at the time of service. Accepted payment methods include credit and debit cards, Zelle, and FSA/HSA cards. See fees and insurance for details.
Do you offer reduced fees?
I keep a limited number of reduced-fee spots. If cost is a barrier, ask about availability on your connection call. I also offer a 10% discount on private pay sessions for active duty service members and veterans. Clients receiving the military discount are not eligible for a superbill for insurance reimbursement.
Do you accept insurance?
Cowtown Therapy Center is a private-pay practice and does not bill insurance directly. If your plan includes out-of-network benefits, I provide superbills at my full rate and can submit claims on your behalf through Mentaya. Reimbursement depends on your plan. Check your benefits here.
Why do many clients choose private-pay therapy?
Private pay gives you full sessions, full flexibility, and a plan built around you rather than around what an insurance company will approve. There are no session limits and no insurance company directing your care. A diagnosis is only needed if you choose to submit for out-of-network reimbursement.
What is a Good Faith Estimate?
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected costs before beginning services if you are uninsured or not using insurance. I provide this in writing before our first appointment. If you receive a bill $400 or more above your estimate, you have the right to dispute it. For more information, visit cms.gov/nosurprises.
Let's talk it through on a free call.
The connection call is 15 minutes, with no pressure and no commitment. It's just a conversation, and the best way to know if this feels right.
Book a Free Connection CallIn-person at 901 W Rosedale Street, Ste 250, Fort Worth, TX 76104, and telehealth across Texas and Florida.