Frequently Asked Questions
Beginning therapy often comes with practical questions about fit, scheduling, privacy, fees, and what to expect. Courage to Blossom Counseling provides secure telehealth therapy for adults and relationships in Nevada and Virginia. The information below explains how services work across both states.
Do you provide therapy in both Nevada and Virginia?
Yes. I am licensed to provide psychotherapy to clients located in Nevada and Virginia.
Because therapy is regulated by the state where the client is physically located, you must be in Nevada or Virginia at the time of each appointment. You will be asked to confirm your physical location at the beginning of every telehealth session.
Visit the Nevada Therapy or Virginia Therapy page for state-specific services, fees, insurance information, and appointment options.
What is a Licensed Marriage and Family Therapist?
A Licensed Marriage and Family Therapist, or LMFT, is a mental health professional trained to assess and treat emotional, behavioral, and relational concerns.
LMFTs may work with individuals, couples, and other relationship systems. Treatment considers both your individual experience and the relationships, environments, and patterns that may be affecting your well-being.
What services do you provide?
Courage to Blossom Counseling provides telehealth therapy for adults and relationships. Areas of focus include:
- Relationship concerns and recurring conflict
- Infidelity and trust repair
- Life transitions and identity development
- Anxiety, stress, and emotional overwhelm
- Consensual non-monogamy, polyamory, and alternative relationship structures
- LGBTQIA+, kink-aware, and culturally responsive care
Available services and appointment types may differ by state. Review the appropriate state page before scheduling.
Are all sessions virtual?
Yes. All therapy appointments are provided through a secure telehealth platform. In-person services are not currently available.
For telehealth sessions, you will need:
- A private location
- A reliable internet connection
- A device with a camera and microphone
- Your current physical address and an emergency contact on file
Will my sessions be confidential?
Your privacy is protected by professional ethics and applicable federal and state laws. Information discussed in therapy is not released without your written authorization unless disclosure is legally required.
Exceptions may include concerns involving imminent danger, suspected abuse or neglect, certain legal proceedings, or other circumstances described in the Informed Consent and Practice Policies.
Because electronic communication carries some privacy risk, confidential or urgent clinical information should be communicated through the secure client portal rather than by email or text message.
What should I expect during my first session?
Before your first appointment, you will complete your intake documents through the secure client portal. These forms provide information about your concerns, history, goals, current supports, and relevant policies.
During the first session, we will discuss:
- What brought you to therapy
- What you would like to change
- Relevant personal and relationship history
- Your current strengths and supports
- Whether my services are an appropriate fit
- Recommended treatment goals and frequency
The first session is an assessment and planning appointment. It does not obligate either of us to continue treatment. When another provider or level of care would better meet your needs, I will discuss appropriate referrals with you.
How often will we meet?
Most clients begin with weekly appointments. Consistent attendance generally supports stronger continuity and progress.
Session frequency may later change based on your goals, clinical needs, availability, and progress. Relationship therapy may occasionally include individual meetings with each partner as part of the overall relational treatment plan.
How long are appointments?
Appointment length depends on the service selected and the state in which you are receiving care. Available options may include standard individual or relationship sessions and extended relationship sessions.
The exact length and fee will be displayed before you book.
Do you offer free consultation calls?
No. Courage to Blossom Counseling does not offer free consultation calls.
The Nevada and Virginia service pages provide information about specialties, fees, insurance, policies, and appointment options so that you can make an informed decision before scheduling. Your first appointment includes a more complete assessment of fit and treatment needs.
How do I schedule an appointment?
All appointments are scheduled online through the secure client portal.
Choose the appointment type associated with the state where you will be physically located during the session. After booking, you will receive instructions for completing your intake documents.
Your appointment is not fully confirmed until all required intake forms have been completed.
How do I cancel or reschedule?
You may cancel or reschedule through the secure client portal. Changes must be made within the notice period described in your informed consent and financial agreement.
Late cancellations and missed appointments may be charged a fee. Insurance generally does not reimburse for missed appointments or late-cancellation fees.
Email and text messages are not guaranteed to be reviewed immediately and should not be relied upon to cancel an appointment.
Do you offer evening or weekend appointments?
A limited number of evening and Saturday appointments may be available. Availability varies by state, service type, and current caseload.
The client portal displays the most current appointment openings. Appointments that do not appear online are not currently available.
The practice may close or operate on a reduced schedule during major holidays, professional travel, or planned time away. Clients will receive advance notice whenever possible.
Do you accept insurance?
Insurance participation differs between Nevada and Virginia and may also vary by plan, employer, and network.
Visit the appropriate Fees and Insurance page for the current list of accepted plans. Coverage is not guaranteed until eligibility and benefits have been verified. You remain responsible for understanding your deductible, copayment, coinsurance, authorization requirements, and any services your plan excludes.
Private-pay services are available in both states.
Do you offer reduced-fee therapy?
A limited number of reduced-fee opportunities may be available through designated programs. Some programs may include specific participation requirements, such as consistent weekly attendance, a defined treatment period, or written consent for clinical observation or recording.
Reduced-fee availability is not guaranteed and is separate from standard private-pay or insurance-based services.
What happens if I travel outside Nevada or Virginia?
You must tell me before attending a session from another state or country.
I may only provide psychotherapy where I am legally authorized to practice. A session may need to be rescheduled if you are physically located outside Nevada or Virginia, even when your permanent residence remains in one of those states.
What if I am experiencing an emergency?
Courage to Blossom Counseling is not an emergency or crisis-response service. The client portal, email, and voicemail are not monitored continuously.
For an immediate or life-threatening emergency:
- Call 911
- Go to the nearest emergency department
- Call or text 988 to reach the Suicide & Crisis Lifeline
Additional state and community crisis resources are included in your intake materials.
Do you provide clinical supervision?
Yes. Clinical supervision is offered separately from psychotherapy for eligible MFT and professional counseling supervisees or residents.
Supervision services, cohort structures, eligibility requirements, schedules, and fees are described on the Clinical Supervision pages. A therapy appointment should not be used to request or obtain professional supervision.
Still have questions?
Review the Nevada Therapy, Virginia Therapy, Fees and Insurance, and Practice Policies pages for additional information.
For administrative questions that are not answered on the website, contact Courage to Blossom Counseling through the secure contact form or client portal. Do not use standard email for urgent or highly sensitive clinical information.
Courage to Blossom Counseling 