FAQ — Stickney Counseling

Question 1

How do I know if therapy is right for me?

Accepted Answer

If you're feeling stuck, overwhelmed, or like something just isn't working — therapy can help. You don't need to be in crisis to benefit. Many people come to therapy simply wanting to understand themselves better or navigate a difficult season of life.

Question 2

What happens in the first session?

Accepted Answer

The first session is really about getting to know each other. I'll ask about what's bringing you in, your background, and what you're hoping to get out of therapy. There's no pressure to share everything at once — we move at your pace.

Question 3

Do you offer a free consultation?

Accepted Answer

Yes. I offer a free 15-minute phone or video consultation so we can talk briefly about what's going on and whether we might be a good fit. There's no commitment required.

Question 4

How do I schedule an appointment?

Accepted Answer

You can request an appointment directly through my SimplePractice portal. I'll follow up within one business day to confirm a time that works for you.

Question 5

How long are sessions?

Accepted Answer

Individual therapy sessions are 50 minutes. The free initial consultation is 15 minutes.

Question 6

How often will we meet?

Accepted Answer

Most clients start with weekly sessions, which helps build momentum and trust. As you make progress, we may shift to every other week. The frequency is always something we decide together based on your needs and goals.

Question 7

Do you offer telehealth?

Accepted Answer

Yes — I offer secure, HIPAA-compliant video sessions for clients who prefer to meet remotely or who live outside the local area. Many clients find telehealth just as effective as in-person therapy.

Question 8

What if I need to cancel or reschedule?

Accepted Answer

I ask for at least 24 hours' notice for cancellations or rescheduling. Late cancellations or no-shows may be subject to a fee. Life happens — just reach out as soon as you know.

Question 9

Do you accept insurance?

Accepted Answer

I am currently an out-of-network provider. I can provide a monthly superbill (an itemized receipt) that you can submit to your insurance company for potential reimbursement. Many clients with PPO plans receive partial reimbursement — I recommend calling your insurance to ask about your out-of-network mental health benefits.

Question 10

What are your fees?

Accepted Answer

Please reach out directly for current fee information. I'm happy to discuss this during our free consultation.

Question 11

Do you offer a sliding scale?

Accepted Answer

I have a limited number of reduced-fee spots available for clients experiencing financial hardship. Please mention this when you reach out and we can discuss what's possible.

Question 12

How long will I be in therapy?

Accepted Answer

There's no one-size-fits-all answer. Some clients reach their goals in a few months; others find ongoing therapy valuable for years. We'll regularly check in on your progress and adjust the plan together.

Question 13

What therapeutic approaches do you use?

Accepted Answer

My approach is integrative — I draw from evidence-based modalities including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based practices. I tailor the approach to what works best for you.

Question 14

Is everything I share confidential?

Accepted Answer

Yes. What you share in therapy is strictly confidential. There are a few legal exceptions — such as if there is imminent risk of harm to yourself or others — which I'll explain fully in our first session. Outside of those rare situations, your privacy is protected.

Question 15

What if therapy isn't working for me?

Accepted Answer

Your feedback matters. If something isn't feeling helpful, I want to know. We can adjust our approach, try something different, or — if needed — I can help connect you with another therapist who may be a better fit. Your wellbeing always comes first.

Question 16

Do I need a therapist to get an ESA letter?

Accepted Answer

Yes — a legitimate ESA letter must be written by a licensed mental health professional who has evaluated you clinically. I conduct a thorough assessment to determine whether an emotional support animal is appropriate for your mental health treatment plan before issuing any documentation.

Question 17

How long does it take to get an ESA letter in Florida?

Accepted Answer

After a clinical evaluation, documentation is typically provided within a few business days when clinically supported. Because I practice in both Florida and North Carolina via telehealth, I can complete the assessment remotely — no in-person visit required.

Question 18

What is an ESA letter used for?

Accepted Answer

An ESA letter documents that your emotional support animal is part of your mental health treatment. It can be used to request reasonable housing accommodations under the Fair Housing Act (FHA) — for example, in no-pet buildings or to waive pet fees. Note: ESA letters no longer grant airline cabin access under current DOT rules.

Questions worth asking.

Getting started

Sessions & format

Insurance & fees

The therapy process

ESA letters & assessments

Still have questions?