Questions about therapy, relationship counseling, BLOSSOM™ Clinical Supervision, and AAMFT/ACS Supervision Mentorship with Courage to Blossom.
Therapy
Where do you provide therapy?
I provide telehealth therapy to clients who are physically located in states where I am licensed to practice, including Nevada and Virginia. You must be located in an eligible state at the time of your appointment.
Do you offer in-person therapy?
No. Courage to Blossom Counseling is a telehealth practice. Sessions are provided via secure video so you can attend from a private location that works for you.
Who do you work with?
I work with adults 21+ and relationships across a wide range of identities, experiences, cultures, and relationship structures.
My practice is affirming of LGBTQIA+ clients, BIPOC clients, consensually non-monogamous and polyamorous relationships, kink communities, sex workers, entertainers, professionals, athletes, creatives and people whose identities or relationships may not fit traditional expectations.
Do you provide individual therapy and relationship therapy?
Yes. I provide both Individual and Relationship therapy. Relationship therapy may include work with couples and other relationship configurations and can address communication, conflict, intimacy, trust, infidelity, changing agreements, disconnection, major transitions, and decisions about the future of a relationship.
Do you work with infidelity and relationship betrayal?
Yes. Infidelity and relationship betrayal are significant areas of my clinical work.
Therapy may include understanding what happened, addressing the impact of discovery or disclosure, rebuilding emotional safety, identifying relationship patterns, creating clearer agreements, processing grief and anger, and deciding what each person wants moving forward.
Reconciliation is not an assumed outcome. Therapy can also support people who are deciding whether to remain in a relationship or who are navigating separation after betrayal.
Do you work with polyamorous, non-monogamous, or open relationships?
Yes. I work with consensually non-monogamous relationships, polyamorous relationships, open marriages, and other relationship structures.
The relationship structure itself is not treated as the problem. Therapy focuses on the concerns bringing you to treatment, including communication, agreements, jealousy, trust, boundaries, intimacy, conflict, relationship transitions, and relational functioning.
Do you work with LGBTQIA+ clients?
Yes. Courage to Blossom Counseling is LGBTQIA+ affirming.
Therapy is available for individuals and relationships, including clients exploring identity, sexuality, gender, relationships, family dynamics, life transitions, intimacy, and other concerns.
How long are therapy sessions?
Session length depends on the service you schedule. Standard individual and relationship sessions are available, and extended relationship sessions may be offered when additional time is appropriate.
Do you accept insurance?
Insurance availability depends on your state, insurance plan, and the type of service you are receiving.
Insurance billing for therapy services is be provided through a third-party billing platform. Private-pay options are also available.
Can I use out-of-network benefits?
Private-pay clients may be able to receive a superbill to submit to their insurance company for possible out-of-network reimbursement.
Your insurance company determines eligibility, reimbursement rates, deductibles, and documentation requirements. Reimbursement cannot be guaranteed.
How do I schedule therapy?
New clients can begin by selecting the state where they will be receiving therapy and reviewing the pricing and service options available there.
From the appropriate state pricing page, you can select the therapy service that fits your needs and follow the instructions to request or schedule an appointment.
What technology do you use for telehealth?
Courage to Blossom Counseling uses secure systems for telehealth, scheduling, forms, billing, communication, and clinical documentation.
Clients receive access to a secure portal for required documents, practice information, appointments, and billing.
What happens if I need to cancel an appointment?
Appointments are reserved specifically for you. Please provide at least 24 hours’ notice if you need to cancel or reschedule.
Late cancellations and missed appointments may be subject to a fee in accordance with the cancellation policy provided during intake.
Is telehealth appropriate during an emergency?
Courage to Blossom Counseling is not an emergency or crisis service.
If you are experiencing an immediate emergency or believe that you or another person may be in imminent danger, contact 911, 988, or the appropriate emergency service in your location.
BLOSSOM™ Clinical Supervision
What is BLOSSOM™ Clinical Supervision?
BLOSSOM™ Clinical Supervision is my structured approach to clinical supervision and professional development.
BLOSSOM™ stands for:
Baseline • Learning Plan • Observation • Scaffolding • Skill Development • Ongoing Evaluation • Mastery
The model combines individual attention, collaborative supervision, direct observation, clinical skill development, self-of-the-therapist work, case consultation, evaluation, and professional development.
Where do you provide clinical supervision?
I provide clinical supervision in Nevada and Virginia.
Who do you supervise?
Supervision is available for eligible clinicians pursuing licensure in Marriage and Family Therapy (MFT), Licensed Professional Counseling (LPC), and Clinical Professional Counseling (CPC), depending on state requirements and my approved scope of supervision. I do not offer graduate practicum placement.
What is Primary Supervision?
Primary supervision is the formal, board-recognized supervision relationship that allows an eligible pre-licensed clinician to practice legally under my supervision and accrue approved clinical hours toward independent licensure, in accordance with state licensing requirements.
As your Primary Supervisor, I am responsible for overseeing your clinical work, monitoring your development, reviewing documentation and cases, completing required evaluations and board paperwork, and helping ensure that your supervision meets applicable licensure requirements.
Primary supervision typically includes individual, dyadic, and group supervision, direct observation, case review, documentation review, professional development, and ongoing evaluation.
What is Secondary/Supplemental Supervision?
Secondary or supplemental supervision is an additional layer of clinical support for clinicians who already have a Primary Supervisor.
Secondary supervision provides another perspective, additional consultation, skill development, direct observation, professional development, and access to group supervision and BLOSSOM™ resources.
Secondary or supplemental supervision can be useful when you want more clinical feedback, broader perspectives, additional support with complex cases, or a more structured developmental experience alongside your required primary supervision.
Is case presentation/staffing a part of BLOSSOM™ clinical supervision?
Yes.
Clinical cases and therapeutic process are integrated throughout supervision.
Supervision may include clinical decision-making, systemic formulation, ethics, risk, cultural context, self-of-the-therapist issues, interventions, documentation, therapeutic process, and professional development.
Do you directly observe clinical work?
Yes.
Direct observation is an important part of BLOSSOM™ Clinical Supervision.
Self-report gives us valuable information about how you experienced a session, what you noticed, what you were considering clinically, and where you felt confident or uncertain.
Direct observation expands that perspective. It allows us to identify strengths, patterns, skills, and opportunities for development that may be difficult to recognize while you are actively conducting therapy.
Will I have to record sessions?
Direct observation may include recorded sessions or other approved methods of reviewing clinical work.
Any observation process must comply with applicable law, licensing requirements, organizational policies, client consent requirements, confidentiality standards, and appropriate information-security practices.
What is the BLOSSOM™ Learning Plan?
The Learning Plan identifies your current strengths, areas for development, clinical goals, professional goals, and competencies that need additional attention.
It provides structure for supervision while allowing the plan to evolve as your skills, caseload, responsibilities, and professional identity develop.
How is my progress evaluated?
Evaluation is ongoing throughout the supervision relationship.
Depending on your state and supervision arrangement, evaluation may include clinical competencies, direct observation, documentation, supervision participation, professional behavior, ethical practice, progress toward identified goals, and board-required evaluations.
The purpose is to make expectations visible and provide meaningful feedback throughout your development.
Is supervision only about discussing cases?
No.
Clinical cases are important, but developing into an independent clinician involves more than reviewing what happened during sessions.
Supervision may also address clinical reasoning, professional identity, ethics, documentation, boundaries, risk management, cultural responsiveness, use of self, career development, therapeutic relationships, consultation, systems of care, and the transition from trainee to independent professional.
Do you offer drop-in supervision?
Limited drop-in group and individual supervision options may be available for clinicians who do not need an ongoing primary or secondary supervision relationship.
Eligibility depends on the type of consultation requested, your professional status, and the requirements of your licensing jurisdiction.
Does joining supervision guarantee that my hours will be accepted by my licensing board?
No supervisor can guarantee how a licensing board will ultimately evaluate an applicant’s hours.
Before supervision begins, we review the applicable requirements and establish the supervision relationship accordingly. Supervisees are also responsible for understanding and complying with the requirements of their licensing board.
How do I apply for BLOSSOM™ Clinical Supervision?
Complete the clinical supervision application on the supervision section of this website.
The application helps determine your state, license track, current training status, employment situation, supervision needs, and whether the program is an appropriate fit.
