Questions You Might Have
If you don't find what you're looking for here, you're welcome to reach out.
Getting Started
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Therapy may be worth considering if you're feeling stuck, overwhelmed, disconnected, or caught in patterns you understand but haven't been able to change on your own.
You don't need to know exactly what's wrong or have a clearly defined goal before starting. Part of our work can be figuring that out together.
Therapy isn't about me telling you how to live your life. It's about helping you understand what's happening, identify what you want to change, and develop ways of responding that feel more aligned with the life you want.
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People come to therapy for many different reasons, a crisis, a major life change, relationship difficulties, feeling stuck, or wanting space to reflect.
The early sessions are about getting to know each other. I'll want to understand what brought you in, what's happening in your life and relationships, what you're carrying, and what you're hoping will be different.
From there, we identify what you want to work on and start doing that work. We check in regularly about whether it's helping, and adjust when it isn't.
How often we meet depends on what you need and what's realistic for your schedule. Many people start weekly or every other week, and space sessions out over time as things settle.
Because no two people are the same, therapy looks different for everyone. My goal is to tailor the work to what you actually need from it.
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Before we begin, you'll complete an intake so I have a general sense of what's bringing you in and any important background. Sorry for all the paperwork.
The first session itself is mostly about getting to know you and understanding what's been happening in your life. We may explore questions like:
What brings you to therapy at this point in your life?
What's having the biggest impact on you right now?
If you were to summarize your life through a few significant moments, what would they be?
How would you like your life or relationships to feel different?
There's no right or wrong way to answer, and no expectation to share everything at once. You're always in control of the pace.
Not sure what you need or where to start? That's okay.
When we're struggling, it's often hard to name what we want or need. Things can feel cloudy, overwhelming, or exhausting, and motivation may be low. You don't need to have everything figured out before starting therapy. We'll work on envisioning wellness together.
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Most people don't, at least not at first.
You do not have to arrive with your story organized, your problem named, or an explanation for why you are the way you are. A lot of people start with some version of I don't really know where to begin—and that is a beginning.
I ask questions. If a question does not land, tell me and we can go a different direction. If you need some time to get comfortable before talking about something more difficult, that's okay too.
You are also allowed to be nervous, to cry, not to cry, to say something and immediately wish you hadn't, or to sit quietly for a minute. None of that is doing it wrong.
The first session is not a test of how well you can explain yourself. It is the first time we are in a room together.
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Some concerns can be addressed in a relatively brief period of time; others take longer. There's no set timeline or formula.
During the intake, we'll talk about what's bringing you in and whether your needs are a good fit for what I offer. From there, we check in regularly about your progress and adjust as needed.
If your needs would be better supported by a clinician with a different specialization or a higher level of care, I'll help you explore referrals.
Together, we'll keep evaluating your goals and decide when you've gained what you came for and are ready to pause or end services.
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Reach out through the contact form or book a free consultation directly.
The consultation is a short conversation about what's bringing you in, what you're hoping for, and whether we're a good fit. No cost, no obligation.
If I don't have availability that works for you, I'll say so directly and help you think through other options rather than leaving you waiting.
I'm currently accepting new adult clients for Thursday afternoons and Fridays.
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I'm in network with several commercial insurance plans. Current rates, accepted plans, payment methods, and my cancellation policy are all on the fees page.
If cost is a concern, it's worth raising during the consultation.
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Tell me.
I know that is easier to write than to do, particularly if you have had experiences where saying something was wrong made things worse. But this is part of the work, not a disruption of it.
You can tell me that a session did not help. That you did not feel heard. That something I said landed badly, or that I missed what you were actually saying. That the pace is too fast, or too slow. That you are not sure this is the right fit.
None of that is rude or ungrateful. Feedback is information I need in order to understand what is happening for you and respond appropriately.
Sometimes we adjust and things improve. Sometimes what is needed is a different approach, and we change what we are doing.
And sometimes the honest answer is that I am not the right therapist for you, in which case I would rather help you find someone who is than have you quietly stop showing up.
You are not stuck with me.
Telehealth & Where I Practice
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I see clients in person at my office in Eagan, Minnesota, and provide telehealth to clients located in Minnesota, Wisconsin, Washington, New Jersey, and North Dakota, when clinically appropriate and based on availability.
Services must be provided to clients physically located in a state where I am licensed at the time of the session.
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Virtual therapy can be a helpful and effective way to receive support — but it isn't the right fit for every person or every situation.
Telehealth may not be the best option if:
You don't have access to a reasonably private space where you can speak freely
You don't have a reliable internet connection
You need a higher level of care than outpatient therapy can provide
Staying safe during or between sessions would be difficult without more immediate support
Your circumstances call for in-person or more intensive care
If you're currently in crisis or at immediate risk of harm, please call 911, go to your nearest emergency department, or call or text 988. Once you're safe, a local in-person provider may be the better starting point.
If you're unsure whether telehealth fits your situation, we can talk it through and explore options or referrals together.
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A private space. Somewhere you can speak freely without being interrupted. A door that closes is ideal; headphones help.
Your technology. A computer, tablet, or phone with a working camera and microphone, and a stable internet connection. Closing other apps and browsers helps reduce lag.
Your session link. Sessions are held through Zoom for Healthcare, which uses secure, HIPAA-compliant technology. Click your secure link at your appointment time and the video will open automatically.
Whatever helps you settle. Water, tea, tissues, a journal, a blanket, a fidget. Wear something comfortable.
EMDR
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No. EMDR is one option, not a requirement. Therapy is collaborative, and we'll decide together what approaches feel most supportive for your needs, goals, and comfort level.
If you're curious about EMDR, what it is, what a session is like, whether it works over telehealth, and whether it might fit — I've written about it in detail.
Privacy & Practice Policies
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Friends and family matter. Being able to talk to people who love you is its own kind of support, and therapy doesn't replace that.
The difference is structural. Your friend has a relationship with you — history, needs, opinions, their own stake in how things turn out. My role is built entirely around you. I'm not managing my own feelings about your decisions, and I'm not navigating the same family, friendship, workplace, or community relationships that you are.
That structure also means the focus stays where it belongs, and that what you share is confidential rather than something you have to think about afterward.
It also means you're not asking someone who loves you to carry the emotional weight of your hardest experiences on top of their own.
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Life happens. If you need to cancel or reschedule, please give me as much notice as possible.
My current cancellation and no-show policy is on the fees page.
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If you need an accommodation to participate in therapy, you're welcome to tell me during the consultation or at any point in our work together. We can talk about what would be helpful and what's available.
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What you share in therapy is confidential. Information will not be shared without your written consent, except in the limited circumstances where disclosure is required by law.
Those circumstances include concerns about imminent risk of harm to yourself or others, and situations involving suspected abuse or neglect as defined by state law.
Where it's possible and appropriate to do so, I'll talk with you about a required disclosure so you understand what's being shared and why.
We'll go over this in more detail in your intake paperwork, and you're welcome to ask me questions about it at any point.
If You Need Support Right Now
Envisioning Wellness does not provide crisis or emergency services.
If you are in immediate danger, call 911 or go to your nearest emergency department.
For a mental health crisis, call or text 988 for the Suicide & Crisis Lifeline.
To reach a live crisis counselor by text, text HOME or HOLA to 741741. English or Spanish. Free, confidential, 24/7.
Still Have Questions?
You're welcome to reach out. I'd rather answer a question now than have you wonder about it.
