Anybody could benefit from a little therapy! But you might be more ready or more in need than some. If friends or family have told you they’re worried about you, or that you don’t seem like yourself, or if you’re ready to try living life a little differently, do some deeper work, and live your truth courageously, or just need some help with problem solving…let’s talk about how we might be able to work together.

It’s more than listening, but everyone’s experience is different. We are there to listen, yes, but also to provide feedback, and a perspective you might or might not have considered. Therapy involves two-way communication. We can help you examine your options, consider new strategies for how you approach life, figure out why you have been making certain choices, find the best in yourself, understand how your past is affecting your present, learn to think differently, and tune in to what’s going on in your body (learning to hear what it’s trying to tell you). “Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible—no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more” (goodtherapy.org).

We accept insurance in TX (Cigna only), and NC/VA (Aetna, All Savers, AvMed, EAPCigna, EAPEvernorth, EAPUnitedHealthcare/Optum, Evernorth, Golden Rule, Humana, Humana Medicare, Humana Dual Complete, Kaiser Permanente, Kaiser Permanente Medicare/Medicaid, Optum, Oscar, Oxford, UMR, United Healthcare- Life Insurance, United Healthcare-Shared Services, United Healthcare-StudentResources, United Healthcare-Optum, United Healthcare-Medicaid, United Healthcare-Medicare) at this time. Sliding scale rates are available. Please contact us for more information.

All of our clinicians are licensed to practice in Texas. The director, Katy Perkins Coveney, is also licensed to work with clients who reside in Colorado, Florida, North Carolina, and Virginia.

Most of our clients are people who have experienced some or all of the following: sexual violence, domestic violence, childhood trauma, oppression or discrimination, identity distress, or have been affected by adoption or DNA discoveries. Regardless of family structure, gender identity, sexual orientation, religion, race, or other minority status, you are welcome.

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Currently, we do not see youth, but we do see couples on a case-by-case basis. In the state of Texas, young adults (age 17+) can consent to their own therapy services. If someone else will be paying for your services, we can set up your file so it doesn't compromise your confidentiality - parents or other family members are seen as third party payors, to cover the cost of services.

If someone else would like to cover the cost of your sessions (your family, friends, or someone else) they are welcome to do so. The Payor will complete a form that gives us permission to charge them and also acknowledges that paying for sessions doesn't give them access to your confidential information. Please contact us for additional details.

This varies from person to person. We will work together to determine how often your appointments should be. It’s fairly common to meet more frequently in the beginning and then decrease how often we meet.

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Some people need therapy for a long time, and other just a short amount of time. We will discuss regularly if therapy is still needed or necessary. You might even decide you want to take a break, and come back when something comes up again in the future. Every person is different.

In your first session we will talk about the limitations of confidentiality and also the office and financial policies. You will have a chance to ask questions (if you have them) about our experience, work history, and philosophies. We will talk about what has brought you to therapy and clarify your goals.

It is true that it will take time to build trust in a therapeutic relationship. We will do everything we can

to be worthy of your trust and create a safe setting where you can feel comfortable being open.

It will ultimately be up to you to determine whether you believe us to be worthy of the descriptor

“Ally”, but we commit to doing our best to be allies to folks from many kinds of marginalized groups,

including but not limited to:

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• Lesbian, gay, bisexual, and queer

• Transgender, intersex, and non-binary

• Bodies of all shapes and sizes

• Non-monogamous and open relationships

• Biracial, Indigenous, and People of Color

• Sex-positive, kink allied

• Disabled / Differently abled

• Humanist, atheists, and nature-based faith philosophies

• All religions (this practice is secular)

• And others

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We are aware that it is not your responsibility to educate us about certain life experiences and/or identities,

and we am committed to actively doing our part to address how power and differences in identities in the

therapy room can affect our relationship. Shared lived experience isn’t always required for us to

‘connect’ and work together, but some people find it to be more helpful for them. If we feel that it

would be better for you clinically to work with someone with a shared lived experience, we will do

our best to help you find referrals.

EMDR stands for Eye Movement Desensitization and Reprocessing Therapy. It is a visualization exercise using bilateral stimulation (moving your eyes back and forth, using both sides of your brain) that helps to reduce how strongly you react to traumatic memories. It sounds a bit like hypnosis, but it’s not hypnosis. One of the best places to learn about EMDR is to look at www.emdria.org. Please contact us for more information.

Due to liability and ethical concerns, we do not provide these letters. However, if you are interested in obtaining an ESA letter, you might consider this resource: ESA Doggy

YASSS! We are animal lovers and generally speaking will welcome them gladly at our Fayetteville office. PLEASE make sure you discuss this with us in advance, however, so we can make sure our own therapy pet isn't in the office for your appointment.

We offer "hybrid" services, which means some sessions take place in the office and some take place online using a HIPAA-compliant app, similar to zoom, depending on where you live and your clinical needs. We do not generally do sessions over the phone, although from time to time we might offer an emergency check in by phone.

Everything we talk about is completely confidential, with several potential exceptions:

1. We believe you are a true and realistic threat to yourself or someone else. We say ‘true and realistic’ because many people have thoughts of self harm occasionally, but have no plans to follow through on these thoughts. It’s ok to think and talk about it, but if we feel like you have a lethal plan that you are most likely to complete then we will need to take steps to keep you safe.

2. We have a reasonable suspicion that a child, elderly person, or disabled person is being abused or neglected.

3. We receive a court order (such as in a criminal case, or a contested child custody case) requesting client records.

4. Your insurance company requests records in the case of an audit. Though our policy is not to disclose records, we do provide a general summary of your progress (no quotations included). If your insurance company refused to accept the summary, they could insist we provide case notes, in which case we would have to do so.

Our response to the examples above is dictated by our professional Code of Ethics and also applicable laws in states where we are licensed.