Services

There are so many wonderful choices out there, right?! Please read more about each of us HERE to get to know us a bit and to make sure our specialties align with your presenting concerns. You’ll also want to get a good feel for our personalities and styles since a good fit is a must, so feel free to contact us and we can do a free meet-and-greet. We don’t take it personally if it’s not the right match, so please be honest and we’ll help you find the right fit!

It can definitely feel intimidating to meet with a total stranger and let them in on your life story. It is our job to make you feel as comfortable as possible and keep confidentiality. You’re the expert in your life and we are there as the mental health experts to help facilitate growth and change. It is not just a job to us. We truly feel honored to walk alongside you in this journey and we wouldn’t do this work if we didn’t care deeply. We just ask that you commit to our work together, remain open and honest, and trust the process. This means that even though every session may not have an Oprah “aha!” moment, this work of processing, learning, and self discovery is all building towards something awesome! 

That’s hard to say without knowing your story and meeting with you. We typically say when someone is motivated, let’s jump on that and meet weekly to gain traction. Our goal is to work ourselves out of a job! You will feel equipped to move to less frequently along the way and you and your therapist will continually assess this progress.

We therapists have very thoughtfully and intentionally chosen to be out of network with insurance companies. This allows us to avoid your insurance company’s involvement in your treatment (i.e. mandating a maximum amount of sessions, requiring we continually show them your treatment plan, rejecting certain treatment or diagnoses, etc.). We want to provide 100% confidential treatment with competitive pricing options. We want you to feel empowered to choose your provider, treatment length and approach, and not have insurance companies interfere with your unique goals and needs. And we want to be able to get creative with your treatment with evidence-based support that is sometimes not covered by insurance. Lastly, we prioritize spending our time beyond the 50 min session – between your sessions- conceptualizing your case, researching, and collaborating with other providers involved in your care.

Being out-of-network means that you self pay upfront at the time of service and then you can submit for reimbursement. Call your insurance company to determine if they have out-of-network benefits. We suggest you ask for your “outpatient office-visit mental health benefits.” If they do have out-of-network benefits, we can provide a Super Bill for you to submit (please note that this requires a diagnosis code.) We will also provide you a good faith estimate, and include in our informed consents, with all of our costs laid out so there are no surprises.

Lindsey, our dietitian, IS in-network with BCBS only and is otherwise self-pay. It is up to the client to determine benefits and coverage.

See our fees on our policies page.

We see clients across the lifespan, kids as young as 2 (through play therapy) all the way through adults. Different clinicians specialize in different age groups, so when you reach out we’ll help match you with someone who’s a good fit.

We can see you in person if you’re in the Charlotte, NC area, and via telehealth (with certain clinicians) in SC, TX, TN, VA, LA, and NY. Not sure if your state is covered? Just ask.

The million dollar question!

See our current rates on the policies page.

You may also discuss a reduced fee with your individual provider. Please let us know if finances are a barrier, as we can recommend several resources to assist with accessibility.

Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider for a Good Faith Estimate before you schedule an item or service. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Values:

Authenticity

Creativity

Compassion

Education

Service

Showing up

This spells ACCESS and who doesn’t love a good acronym?! By definition, access is “a means of approaching or entering a place and the ability, right, or permission to approach, enter, speak with, or use.” Our hope is for every person to find permission to tend to their wellness and  to have the opportunity to do so.

This is how all of us therapists start! A LCMHCA is provisionally licensed clinical mental health counselor associate who has completed a master’s level counseling program, passed necessary national examinations, and is currently working toward full licensure by completing a minimum of 3,000 supervised clinical counseling hours.

Our interns are in their graduate program and earning hours, all under the supervision of a graduate professor, as well as Juliet.

Our provisionally licensed therapists and interns all have the “it” factor you can’t teach therapists, on top of their training and full commitment to this work. 

Yes! Dr. Megan Arends offers psychological and neuropsychological evaluations for children and teens (ages 3-17). Testing helps us understand how a child thinks, learns, and processes the world, not just hand you a label.

An intensive is a condensed, deep-dive version of therapy: instead of weekly 50-minute sessions, you dedicate 1 to 3 days to focused, trauma-informed work. Each one includes a pre-intensive session, a personalized treatment plan, and a post-intensive session to help you integrate what came up. It’s a great option if you want real progress faster, or if a weekly schedule isn’t realistic right now.

EMDR uses eye movements to help your brain reprocess memories that got stuck. Juliet calls it a system update for your brain. It doesn’t erase the memory, it takes the sting out of it and swaps the negative belief attached to it for a more accurate one. Backed by research for PTSD, trauma, grief, phobias, and more. Usually unfolds over several sessions (or as an intensive if you want to move faster). More info here.

ART also uses eye movements, but it’s built for speed, often just 1 to 5 sessions. The key difference: you actively swap the disturbing image for a better one in real time, rather than working through the distress more gradually. Also research backed, for PTSD, anxiety, depression, and grief.

More info here.

Bottom line: both help your brain unstick from what’s stuck. Juliet is trained in both and can help you figure out which fits.

A premium, limited-availability service for clients who want more privacy, flexibility, or after-hours access, including sessions at your home, office, or another location of your choice. Not every clinician offers it, so reach out and we’ll let you know who currently does. 

Play therapy is a modality of child therapy specifically created for children ages 2-10 years old. The Association for Play Therapy defines play therapy as the natural medium in which children learn to cope with their emotions. In play therapy, specific toys are used to assist children in expressing themselves and processing their world in a developmentally-sensitive way. Child-centered play therapy, an evidenced based treatment, is a powerful tool to address cognitive, behavioral, and emotional challenges. Your play therapist will support your child through a warm, caring, and safe environment to increase self esteem, emotional intelligence, and have a better concept of self to communicate needs and manage their world.

Your play therapist will meet you and your child in the waiting area before heading back to the playroom. The playroom is full of specifically curated toys including, action figures, dolls, cars, animal figures, duplos, doctor kits, craft supplies, and a play kitchen to list a few! In child-centered play therapy, the session is non-directive, meaning that as long as the play is safe, the child leads and the therapist follows. The therapist will track the child’s play as well as reflect feelings and enlarge the meaning of the play. These methods help grow specific skills like frustration tolerance, emotional intelligence, and self concept. At the end of the session, the therapist walks the child back to meet you without having the child clean up. This is a rule that is only for the playroom and your therapist will specifically address this with your child. The act of cleaning up their play would be equivalent to having an adult “eat their words” back after their therapy session. It is recommended for caregivers to ask the child, “what was your favorite toy you played with” rather than “did you have fun” because while the child is playing, that does not always mean that it is fun. Your child may choose to share about their session or choose to keep it to themselves, both of these reactions are ok! 

A Therapy Intensive is an accelerated form of therapy designed to help clients go deeper and get results faster.  It’s a cutting-edge approach to help people feel better faster. If you have a specific topic, trauma, or stressor that you want support with – this can be the focus of your Therapy Intensive. The dedicated time will be customized specifically to you and your goals. Therapy Intensives work very well as an adjunct therapy alongside your continued work with your current therapist.  Intensives can be done in person at our office in Charlotte, NC or online throughout North Carolina, South Carolina, and New York.

Same-day sessions are single, stand-alone sessions for when life throws something at you right now, a hard conversation, a wave of anxiety, a decision you’re stuck on. They’re not a replacement for ongoing therapy and they’re not a crisis service (if you’re in crisis, call 988 or go to your nearest ER). Ongoing therapy is where we build a relationship over time and work toward bigger, longer-term goals. Plenty of people use both.

Not exactly. It’s hands-on coaching for skills like planning, organization, focus, and follow-through, led by our BCBA. It works well on its own or alongside therapy, depending on what you need. Content

(Adapted from Shrink Chicks!)

1. Am I truly depleted and too busy today or am I avoid talking about something hard?
2. What would make today’s session worth it, if I left with just one takeaway?
3. Could I benefit from even just a shorter lesson or switching to telehealth rather than totally cancelling? 
4. If I skip this session, will I lose momentum and will it be harder to return?
5. What topic am I most avoidant of talking about and what’s one sentence I could start with?
6. If not therapy today, what’s my plan for support (journaling, practicing skills I’ve learned, calling a friend, etc.) and is that enough?

We get it, life happens. Our full cancellation and no-show policy differs by clinicians, but most require a 24 hour or 48 hour notice to not incur a fee. This can bring up a lot of emotions (for both the client and the clinician!) but we hold this to honor our time and model those boundaries.