Frequently Asked Questions
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My primary method is virtual. On a case by case basis, in person services may be available.
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I’m an out-of-network provider and don’t bill insurance directly. For therapy sessions, I can provide a superbill you can submit to your insurance for possible reimbursement, depending on your plan. Coverage varies, and some plans don’t reimburse services from associate-level clinicians (LPC-As), so please check with your insurer before your first session. Coaching, sports mental performance, and workshops are not covered by insurance. If you have questions, feel free to ask.
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Often for therapy, usually not for coaching. HSA and FSA funds can generally pay for treatment of a mental health condition, so therapy sessions typically qualify. Coaching in areas like executive functioning, career, and performance is generally not a medical expense, so those fees usually do not qualify. Plans differ, and some ask for a letter of medical necessity or other documentation, so check with your plan administrator before you pay. I can provide a receipt or monthly superbill for reimbursement requests.
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Ages 10 and up
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Please give at least 24 hours’ notice to cancel or reschedule. Late cancellations and missed sessions are charged the full session fee.
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An LPC-A is a Licensed Professional Counselor Associate, the license South Carolina issues after a master’s degree in counseling and the national counselor exam. Associates practice under an approved clinical supervisor while completing the supervised experience required for full LPC licensure. My training includes a master’s in clinical mental health counseling, a 700-hour clinical internship, plus years of work in inpatient psychiatry, school-based mental health, and education. Supervision means a second licensed clinician reviews my work. When I finish the required supervised hours, I will apply for the full LPC.
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“Psychotherapist” is a general term for anyone licensed to provide talk therapy. Here’s how the main roles differ:
Licensed professional counselor (LPC, LPC-A): a master’s-level clinician trained to assess and treat mental health concerns through talk therapy. Counselors often focus on wellness, development and practical skills.
Clinical social worker (LISW-CP in South Carolina; LCSW in many states): a master’s-level clinician who provides therapy, often with added training in connecting people to community resources and support systems.
Marriage and family therapist (LMFT): a master’s-level clinician who specializes in relationships and family dynamics.
Psychologist (PhD or PsyD): a doctoral-level clinician who provides therapy and is specially trained in psychological testing and assessment, such as evaluations for ADHD or learning differences.
Psychiatrist (MD or DO): a medical doctor who diagnoses mental health conditions and prescribes and manages medication. Many focus mainly on medication rather than ongoing talk therapy. Psychiatric nurse practitioners (PMHNPs) can also prescribe.
Coach: coaching is forward-focused and goal-oriented: careers, performance, habits and follow-through. It isn’t a licensed profession and doesn’t treat mental health conditions.
Consultant: a professional who advises groups or organizations, such as schools, teams or businesses, on programs, training or strategy, rather than working with individual clients on personal concerns.
Many people work with more than one, such as a therapist for weekly sessions and a psychiatrist for medication. As a counselor who also offers coaching, I’ll help you figure out which kind of support fits what you’re looking for, and refer you elsewhere if someone else is a better fit.
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Coaching fits when you want help reaching a specific goal or building a skill: getting organized, following through, choosing a career direction, or performing better under pressure. Therapy fits when symptoms are interfering with daily life, such as persistent anxiety, low mood, panic, trauma reactions, or trouble coping, or when you want to work on patterns in your relationships and history. Some people use both at different points. Some people use therapy when they want to use their health insurance benefits, since most carriers don’t reimburse for coaching.
On the free 15-minute call and in the intake session, we talk through what is going on and settle on a starting point. If what you describe calls for therapy, I will say so directly and help you get connected to it.
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It depends on your goals, what you’re working through, and what fits your schedule and budget. We’ll decide together in our first sessions and adjust as things change.
Therapy: most clients start weekly. Meeting every week builds momentum, gives us time to understand what’s going on, and keeps new skills fresh. As things improve, many people move to every other week, then monthly check-ins before wrapping up. If you’re going through something especially hard, we may meet more often for a short stretch.
Couples therapy: we start with a joint intake session. After that, we usually alternate weeks: one week each partner has an individual session, and the next week we meet together as a couple. The individual sessions give each person space to share their history and perspective, and the joint sessions are where we put it into practice together. Over time, most couples move mostly to joint sessions.
Coaching: sessions are often every two weeks, which leaves time to put a plan into action between meetings. Some clients prefer weekly sessions when starting a new goal or facing a deadline, or monthly sessions once they’re on track.
Single sessions: a one-time session can work well if you want help with a specific decision, a skill, or a fresh perspective, without an ongoing commitment.
Consistency usually matters more than frequency. Meeting regularly, even every other week, tends to help more than sporadic sessions spaced far apart. If cost or scheduling is a concern, let me know and we’ll find a rhythm that works for you.
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An extended first session (80 minutes) to understand your whole situation: what you want help with, what is working, what is getting in the way, and how your health, work, relationships, and daily routines fit together. We choose the services that fit your goals, set an initial schedule, and agree on first steps.
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My approach is integrative. I use cognitive behavioral therapy and solution-focused methods for practical change: identifying the thought and behavior patterns that keep you stuck, then building specific skills and next steps you can test between sessions. Existential therapy shapes the questions I ask about values, meaning, and direction. Attachment theory shapes how I understand your relationships, including the one we build in session. A biopsychosocial lens keeps the whole picture in view, including sleep, exercise, nutrition, medical factors, work, family, and environment. Mindfulness and nervous system regulation skills help you notice and shift your stress response as it happens.
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Some, mostly as options. I ask questions, tell you what I notice, and suggest ideas and exercises to try between sessions. In coaching I am more hands-on: I suggest specific systems, next steps, and deadlines, and I help you follow through on the ones you choose. In therapy, I do not tell you what to do about big life decisions, such as ending a relationship or changing careers. Those are yours to make, and my job is to help you see them clearly. If I think something is not working or looks risky, I will say so directly.
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We set a starting point and check against it. In the first sessions we define what you want to change and how we will tell whether it is changing. For coaching, that means specific, observable goals: tasks completed each week, applications sent, hours of focused work, or mental routines used in competition. For therapy, it can also include short questionnaires on anxiety and mood, repeated every few weeks, along with your own ratings of how you are functioning day to day. Every four to six sessions we look at the numbers and your experience together, then decide whether to continue, adjust the plan, or change direction. I cannot promise a specific result, but you will always know where you stand. If what we are doing is not helping, I will say so and help you find something that will.
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In therapy, yes, within legal limits. What you share is protected by HIPAA and South Carolina law, and I do not share it without your written permission. The exceptions are serious risk of harm to yourself or someone else, suspected abuse or neglect of a child, older adult, or vulnerable adult, a court order, and other situations the law requires. Because I am an associate, I also review my cases with my clinical supervisor, who follows the same confidentiality rules.
Coaching is not covered by HIPAA. I protect what you share with the same care, and the safety and abuse-reporting limits still apply to me as a licensed counselor.
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Counselors are licensed by each state, and the license only covers clients located in that state during sessions. That’s where you are physically at the time of the session, not where you live permanently. I’m licensed in South Carolina, so I can provide therapy to anyone in South Carolina. Coaching isn’t a licensed service, so I can offer it to clients anywhere.
States also use different names for the same kind of license. In South Carolina, as in many states, counselors follow three steps:
LPC-A (Licensed Professional Counselor Associate): a counselor who has completed a master’s degree and passed the national exam, and is now completing supervised clinical hours before full licensure.
LPC (Licensed Professional Counselor): a fully licensed counselor who can practice independently.
LPC-S (Licensed Professional Counselor Supervisor): an experienced LPC approved to supervise associates.
Other states use titles like LMHC (licensed mental health counselor), LPCC (licensed professional clinical counselor) or LCPC (licensed clinical professional counselor) for similar levels of training.
The Counseling Compact. South Carolina is one of many states that have joined the interstate Counseling Compact. Once fully running, it will let fully licensed counselors (LPCs) apply for the privilege to practice in other member states without a separate license in each. Associates (LPC-As) aren’t eligible. You can check the latest status at counselingcompact.gov.