Frequently Asked Questions

Q: What is the first session like?

A:  One large component to therapy is making sure the counselor and client are a good “fit.” It is important that we are comfortable with each other. So – the first session is all about us getting to know each other and building trust. My hope is that we are able to form a trusting, comforting relationship. We will discuss the reason that brought you into therapy, and we will set goals for the changes you would like to see.

Q: How long are sessions?

A: Individuals can choose either 50-minute or 80-minute sessions (50-minutes being the “norm”). Couples are encouraged to choose 80-minute sessions.  Shorter or longer session lengths can be discussed if desired.

Q: How often will we meet?

A:  This depends on the person! Some come weekly, while some check in once a month. Many people start out coming weekly, and make adjustments as their needs change. If you are unsure how often you should come in, we can discuss this together and find a frequency that makes the most sense for you.

Q: What is your fee?

A: My typical fee is $75 per 50-minute session or $90 per 80-minute session, but I do offer a sliding fee scale. This means that I am usually able to offer a lower, more manageable price if the $75 fee is not comfortable for you. Let me know if you are interested in discussing a sliding fee scale rate.

Q: Do you accept insurance?

A: I do not accept insurance at this time. Though insurance can be convenient, there are also many benefits to using private pay for mental health counseling. Some of these benefits are as follows:

  • You are able to find the therapist best for you, rather than your insurance determining this choice
  • More flexibility to choose the length of services, length of sessions, content of your sessions, and frequency of sessions
  • You will be ensured confidentiality. Your records will not be shared without your permission. Insurance companies sometimes require private information to be shared with them in order to cover the services provided.
  • Insurance companies require a mental health diagnosis be given for them to cover services.
  • No need to worry that your health records may create problems for you or your family in the future (ex: increased life and health insurance premiums)
  • You will be able to stay with your therapist even if your insurance plan coverage changes
  • Insurance typically does not cover couples counseling services

Q: What if I work full time?

A: My availability is spread out over weekdays, weeknights, and weekends. We will find a meeting time that fits in with your work and family life.

Q: How can I book an appointment?

A: To book an appointment, you can click here to book online, or you can email me at mjohnson@cccastl.com

Under the Supervision of Nancy Golden, LPC MO001889

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