Practical information
Fees and frequently asked questions
Straightforward answers about cost, insurance, and what beginning therapy involves. Anything not answered here is worth asking directly.
Fees
Session fees
Individual session
$150
Couples session
$150
Sliding scale
May be available
A limited sliding scale may be available depending on circumstances and current availability. You are welcome to ask during an initial conversation.
Fees are subject to change. Please confirm current rates and payment options with the practice.
Insurance
Insurance and payment
Insurance participation and payment options may change. Please contact the practice to confirm current coverage and payment information.
If the practice is out of network with your plan, ask about documentation you may be able to submit to your insurer for possible out-of-network reimbursement. Reimbursement is determined by your insurer, not by the practice.
Coverage, deductibles, and out-of-network benefits are determined by your insurer. No representation is made here that any particular service will be covered or reimbursed.
Questions
Frequently asked questions
- What is psychodynamic therapy?
- A form of talk therapy that examines how earlier experience, emotional conflict, and relationship patterns shape present feelings and behavior, working to make longstanding patterns understandable rather than only managing symptoms.
- What is integrative psychotherapy?
- Therapy that draws on more than one framework, selected according to a person's needs and clinical presentation. At this practice the integration is anchored in a psychodynamic understanding of the person.
- How long does psychotherapy take?
- Depth-oriented work generally involves regular sessions over a sustained period, since the patterns being examined developed over years. Duration is discussed collaboratively and revisited as the work proceeds rather than fixed at the outset.
- How often do clients attend?
- Weekly sessions are common in depth-oriented work, and some treatments call for a different frequency. What is appropriate is discussed during initial planning.
- What happens during the first appointment?
- A conversation about what brings you to therapy now, relevant history, what you have already tried, and what you hope to understand — along with practical matters such as scheduling, fees, and confidentiality.
- Do I need a diagnosis to begin?
- No. Many people begin because a pattern is causing difficulty rather than because they arrive with a diagnosis.
- Do you work with personality disorders?
- Yes. Personality-related difficulties are a primary area of focus, including borderline and narcissistic personality patterns.
- What is therapy for BPD like?
- It generally involves consistent longer-term work with a clear frame, focused on emotional regulation, impulsivity, identity, and relationships, drawing on MBT, TFP, and DBT concepts as clinically appropriate.
- Do you work with narcissistic personality difficulties?
- Yes, primarily with people seeking to understand their own patterns of self-esteem regulation, shame, and interpersonal strain. No clinician can diagnose a person who has not been evaluated.
- What is mentalization-based therapy?
- A psychodynamically informed treatment focused on the capacity to understand behavior in terms of underlying thoughts and feelings, particularly when that capacity breaks down under emotional pressure.
- What is transference-focused psychotherapy?
- A structured psychodynamic treatment for severe personality difficulties that works within an explicit treatment contract and gives central attention to patterns enacted in the therapy relationship.
- Do you work with addiction?
- Yes, including alcohol and substance use and compulsive behaviors. Some situations also require medical evaluation or a higher level of care, which is considered during assessment.
- Do you provide couples therapy?
- Yes. Couples work focuses on the recurring pattern between two people rather than on determining who is at fault.
- Do you provide family therapy?
- Yes. Family sessions consider difficulties in the context of the relationships surrounding them.
Location and availability
Where is the office, and do you offer telehealth?
The office is at 503 Old Plantation Drive, Lynchburg, VA 24502. Sessions are currently offered in person in Lynchburg, Virginia.
Current availability, appointment times, and service formats change. Please contact the practice or call (434) 425-8933 to confirm.
Next step
A conversation is a reasonable place to start.
An initial consultation is a chance to describe what brings you to therapy and to consider together whether this practice may be an appropriate fit.