FAQS

I am currently accepting virtual appointments only, and we will meet through HIPAA-compliant video conferencing. In the future, I plan to open an office in the coastal North Carolina area and will be offering in-person sessions for local clients. Stay tuned for updates!

How does online therapy work?

Online therapy with me is designed to offer you the same level of connection, support, and transformation as an in-person session—just in a more flexible, accessible way. We’ll meet through a secure, HIPAA-compliant video platform, allowing you to engage in our work from the comfort and privacy of your own space.

Whether we're diving into cognitive tools, exploring somatic techniques, or integrating mind-body-spirit practices, the experience remains deeply personal and empowering. Before your first session, I’ll walk you through the simple steps to set up your device, ensuring everything runs smoothly and you feel fully at ease.

Online therapy is a powerful way to continue your healing journey—allowing us to work together with intention and depth, no matter where you are.

At this time, I am offering virtual sessions only, which provide the flexibility to connect from anywhere in a secure, confidential space. However, I do plan to open an office in the coastal North Carolina area in the future, where I will offer in-person sessions for local clients. I’ll keep you updated on this as it develops!

What are your fees?

My fee is $175 for a 50-minute session. While I don’t accept insurance directly, I offer a self-pay model that allows for greater flexibility and focus on your unique healing journey. If you have out-of-network benefits, I’m happy to provide a superbill that you can submit to your insurance for potential reimbursement. Feel free to reach out if you have questions about this process—I'm here to make it as smooth as possible for you.

Your first session is all about creating a safe, welcoming space where you can feel heard, seen, and understood. We’ll begin by exploring your unique journey—your challenges, goals, and what has led you to seek support.

Before your first session, you’ll receive some paperwork via the client portal, which you’ll complete beforehand. This will give us the opportunity to hit the ground running, so we can focus our time on meaningful conversation and creating a plan that works for you.

This first appointment is about laying the groundwork for our work together—finding your voice, gaining clarity, and setting a meaningful direction for your healing path.

By the end of our time together, you’ll feel more empowered, grounded, and confident about the transformative journey ahead. This is just the beginning of stepping into a life that feels more aligned with who you truly are.

How long do I need to be in therapy?

The length of therapy varies depending on your unique goals, challenges, and the approach we take. Some clients find relief and resolution in just a few months, while others may choose to work together for a longer period to dive deeper into personal growth and healing.

We’ll regularly assess your progress and adjust our work as needed, ensuring that therapy remains aligned with your needs. The ultimate goal is to empower you to create lasting change, and we'll move at a pace that feels right for you. You’ll have the space to choose when you feel you've achieved the growth and transformation you're looking for.

What is a Good Faith Estimate?

A Good Faith Estimate (GFE) is a document that provides an estimate of the expected costs for therapy services based on your needs. It’s part of the intake paperwork and will be sent to you for review and acknowledgment before services begin. This ensures you have a clear understanding of the anticipated costs. Don’t worry—my fee structure is very straightforward at $175 per 50-minute individual session, so you can feel confident in knowing what to expect. If you have any questions about the estimate or need further clarification, I’m happy to discuss it with you.

ItHow do I schedule an appointment?

Scheduling an appointment is easy! Simply reach out via the contact form on my website, or you can email me directly at karen@carolinastherapist.com. After we connect, I’ll provide you with a link to my client portal, where you can select a time that works best for you. If you prefer, we can also schedule your appointment over the phone. I look forward to helping you take the next step in your healing journey!

What is your cancellation policy?

I understand that life can get busy, and sometimes things come up. To ensure fairness to all clients, I ask for a 24-hour notice if you need to cancel or reschedule your appointment. If this notice is not provided, you will be charged the full session fee. This policy helps me keep my schedule running smoothly and ensures that time is reserved for those who need it. If you have any questions or need assistance with rescheduling, please don’t hesitate to reach out. Thank you for your understanding!

Is therapy confidential?

Absolutely. Your privacy is a top priority for me, and everything shared during our sessions is kept confidential. I create a space where you can feel safe to express yourself openly. There are a few rare exceptions to confidentiality—such as if there’s a risk of harm to yourself or others, or as required by law—but I’ll always explain these with you upfront and ensure you feel comfortable and informed. If you ever have any questions about confidentiality or how your information is handled, feel free to ask. I'm committed to creating a trusting and transparent therapeutic relationship.

How do I know if therapy is right for me?

If you’re feeling stuck, overwhelmed, or disconnected from your true self, therapy can offer the clarity and healing you need. Whether you're struggling with anxiety, burnout, relationship challenges, or seeking to integrate mind-body-spirit healing, therapy can provide the tools and support to help you create lasting change. Therapy can also be proactive and preventative—helping you build resilience, enhance self-awareness, and manage stress before it becomes overwhelming. In our work together, I blend both evidence-based and holistic approaches to address the root causes of your struggles while empowering you to step into your full potential. During our first session, we’ll explore your unique journey and goals, and I’ll guide you in determining if my approach aligns with what you’re looking for. Your healing is a process, and I’m here to help you navigate it with care and intention.

While I am committed to providing you with the support you need during our sessions, I do not offer immediate emergency services. If you are experiencing a crisis or need urgent support between sessions, I recommend contacting a local crisis hotline, visiting your nearest emergency room, or calling 911 for a dire situation. That said, I’m always here to support you in your ongoing healing process. If you need guidance or have concerns between sessions, feel free to reach out, and we can discuss the best next steps for your well-being.