Video Counseling Services

These days, people travel more than ever before. We are mobile. Our worlds move fast. We need creative solutions to carve out the space and time in our lives for self-reflection. Video Counseling (also known as Telehealth or Distance Counseling) is that solution. If you do not think you have the time for therapy or coaching, think again. 

Frequently Asked Questions

Is video counseling right for you?

  • 1.   Are you comfortable with and have access to electronics?
    2.   Do you reside in either Texas or North Carolina?
    (I am licensed in both of these states and am therefore able to provide therapy services to these residents only. Adoption coaching, however, can be provided to anyone within the US.)
    3.  Do you need flexible therapy? Do you travel frequently, live in a remote area of Texas or North Carolina, or perhaps have a chronic illness?
    4.  Is your privacy important to you?
  • If you answered yes to some or all of these questions, video counseling might be a good fit for you!

What does it cost?

Counseling is an investment in you that pays you back in happiness and life satisfaction. Still, while the return is priceless, I support every client in choosing a therapy option that they can actually afford.

My rate is $150/hour. A sliding scale is available upon request and individually determined. 

I am also a proud Open Path provider. I strongly believe that everyone should have access to quality mental health care. Open Path is a website linking under or uninsured clients with therapists willing to provide a very low fee. My rate for Open Path clients is $50/hour. In order to make a living, though, I do need to limit these slots. Open Path ensures that their clients meet certain needs-based criteria to qualify. 

Will insurance cover it?

Video counseling services are sometimes covered and sometimes not covered by insurance. It depends on your plan. However, I will be happy to help you sort this out prior to beginning services.

I am out-of-network for all insurances. You may have significant cost-sharing benefits through your out-of-network benefits. I am happy to help figure out your benefits. If you choose to access them, you will pay for my services upfront. Then, I will provide a superbill, which has all the info your insurance company will need for billing. All you need is the address of where to send it. Then, in just a few weeks, you should get a check in the mail according to your benefits. 

In case going out-of-network feels foreign, here are some benefits of self-pay you might want to consider: 

  • Confidentiality - With self-pay, no information about your diagnosis and/or treatment is released to your insurance company or employer for payment purposes unless you yourself choose to submit it. 
  • Flexibility - Treatment is based 100% on your goals, rather than only the goals an insurance company deems appropriate.
  • Location of Your Choice - Many insurance companies do not reimburse for distance counseling. However, if you travel for work or pleasure frequently or prefer distance counseling for whatever reason, we can continue to meet regularly with distance counseling.
  • Focus on Wellness - Many people seek therapy to improve their lives, rather than needing it to treat a diagnosed mental health illness. However, in order to bill insurance, you must qualify for a diagnosis. If you do not meet criteria for a diagnosis, insurance companies will not reimburse therapy.

Cash, check, HSA and credit/debit card payments are accepted both online and in-person.

Can video counseling services really be as good as in-person therapy?

Some studies find that video counseling is even more effective than in-person treatment. Of course, whether or not you like the format will be important. Below is a list of possible outcomes for you:

  • *Develop new skills for handling stress/anxiety

    *Improve relationships 

    *Improve ability to handle stress

    *Heal from a history of trauma, neglect, & disconnection

    *Change unhealthy behaviors and patterns 

    *Increase personal effectiveness

    *Attain insight into behavior patterns & impulses

    *Increase self-worth, peace, vitality, and competence 

    *Learn to manage anger, depression & mood swings 

    *Increase problem-solving 

    *Navigate life's challenges more effectively 

    *Improve listening and communication skills

    *Have someone there to listen and understand

    *Create a life worth living

flexible video counseling
  • As with in-person therapy, potential benefits are individual and based, in large part, on each person's circumstances, goals, and ability to follow through. The previous list is not comprehensive, nor is it predictive of individual results.

Are there any risks to video counseling?

  • Sometimes, the process of healing brings up uncomfortable or, at times, scary/painful feelings and/or memories before these are resolved.
  • Sometimes, your symptoms may worsen or new concerns or symptoms may arise before resolving.
  • Occasionally, important people in your life might not support your participation in treatment or with specific treatment goals.
  • While your record's confidentiality is protected under Federal HIPAA guidelines, there are exceptions that might result in your therapist needing to release information about your treatment history that can affect employment, insurance eligibility, and personal relationships. (See section below "Is Telehealth Confidential?" for more details.)
  • I use a variety of different treatment orientations including (but not limited to) Cognitive Behavioral Therapy, EMDR, Dialectical Behavioral Therapy, Behavior Modification, Motivational Interviewing and Supportive Therapy techniques.
  • All treatment decisions will be discussed and any specific risks will be identified prior to your participation.
  • Ultimately, you are in charge of your own treatment. You can (and should) opt out of anything recommended that you do not support.

Is Telehealth Confidential?

I use an encrypted, HIPAA-compliant web portal called Doxy.me for telehealth services. You can find out more about it by visiting their website. https://doxy.me

  • All notes, records and discussions related to therapy are confidential, as protected by law. Information is not disclosed without written permission. However, there are some exceptions to this rule.
  • Exceptions include:
    • There is suspected child abuse or dependent adult or elder abuse.
      • Therapists are required by law to report this to the appropriate authorities.
    • You are threatening serious bodily harm to another person(s).
      • Therapists must notify police and inform the intended victim(s).
    • You intend potentially deadly harm to yourself.
      • I will make every effort to enlist cooperation in ensuring your safety. If you do not/cannot cooperate, further measures may be taken without your permission to ensure your safety.
    • A court orders surrender of notes.
      • I will notify you if a court order is issued and will do everything within my power to protect the confidentiality of records.
  • I strive to keep all records confidential. To this end, all records are kept under two locks and/or via government-standard encryption. Therefore, emails, texts, and all electronic forms of communication (including video-conferencing) are handled through HIPAA-compliant vendors.
  • Although nothing is 100% guaranteed, I do everything within my power to protect your confidentiality. I am more than happy to discuss any concerns you might have about this matter.
  • While coaching is a developing industry and not yet regulated by HIPAA, I maintain all the same HIPAA-compliant privacy practices with my coaching clients as I do with my therapy clients.

Are there some issues not appropriate for video counseling?

Yes. More intense symptoms such as severe suicidal ideation, self-harm, and substance abuse may be better treated with in-person counseling. Additionally, there are some treatment modalities such as Eye Movement Desensitization and Reprocessing (EMDR) that might not be easily provided via telehealth services. 

secure video counseling

What technology is needed for video counseling to work?

A computer, laptop, tablet, or even smartphone can be used.

Your internet bandwidth must be above the minimum requirements of 3mbps Upload and 3mbps Download.

What can you expect from a session?

  • Each session is tailored to the needs of each client.
  • The initial session usually lasts 80-90 minutes.
    • It includes a thorough history, mental health assessment, and discussion of your goals, as well as treatment options.
    • It is a good time to ask questions. We will be getting to know one another. Good therapy = a good personality match with the therapist.
    • Brief intake paperwork might be completed.
  • Typical follow-up sessions usually last 50-60 minutes.
    • Some are client-led (meaning you bring in an agenda to discuss).
    • Some are therapist-led (meaning the therapist is guiding you through a more structured treatment model).
    • Longer sessions are available, if needed.
  • Sessions might occur weekly, bi-monthly, or monthly depending on your needs.
  • Additionally, the frequency of sessions will likely change over time as your treatment needs change.

How do you schedule an appointment or ask more questions?

  • I offer convenient before work/school and lunchtime slots. Additionally, you can always skip the commute altogether and opt for distance counseling.
    • Mondays-Fridays 8:30am - 2pm CST
  • I typically respond within 24 hours to all phone calls and emails.
  • Visit my Contact Traci form for all ways to contact me.

If you are dissatisfied with services, who can you go to for help?

  • I strive to ensure that all of my clients feel heard, respected, and satisfied with their services. So, if there is a problem, I would love a chance to resolve it directly. Please call or email and I will respond within 24 hours or the next working day.
  • Additionally, clients can provide feedback via survey through the following link:
    • http://www.surveymethods.com/EndUser.aspx?B094F8E1B3F6E4EBB1
  • However, if you have been unable to resolve the issue directly, you can contact the following consumer resources:

Advocacy & Customer Service Section

Division of MH/DD/SAS

3009 Mail Service Center

Raleigh, NC 27699-3009

919-715-3197 or 800-662-3009

www.dhhs.gov/mhddsas

Disability Rights North Carolina

2626 Glenwood Avenue, Ste. 550

Raleigh, NC 27608

877-235-4210 or 919-856-2195

www.disabilityrightsnc.org

Disability Rights Texas

2222 W. Braker Lane

Austin, TX 78758

512-454-4816

www.disabilityrightstx.org

If you want to give me feedback, where can you turn?

I love your feedback! You can always call or email directly. But if you'd like something a little more discreet, here is a place you can do this:

           3. Survey link

  • http://www.surveymethods.com/EndUser.aspx?B094F8E1B3F6E4EBB1

Are you ready to get started?

Schedule a FREE 15-minute telephone consultation