Below are answers to the most commonly asked questions by our visitors considering therapy. 

Do you accept my insurance?

Fletcher Therapy is not affiliated with any insurance carriers, and we do not bill your insurance. If your insurance company offers “Out of Network” mental health coverage, I will be happy to provide you with a superbill to submit for possible reimbursement.  Give your insurance carrier a call and ask about their Out of Network coverage for mental health services. 

The reasons I am not currently “in-network” with insurance companies are related to your quality of care and confidentiality as a patient. In order for insurance to cover your visits, a therapist must diagnose you with a mental health disorder, which becomes a part of your medical record. The insurance provider then can access your records, and may determine how many sessions you may receive – even how many minutes long the sessions can be.  These processes take away your control over your own healthcare, and can result in treatment delays and gaps. This prevents me from having the freedom to create what I feel is an appropriate treatment plan for each individual client. 

What are your rates?

Therapy is an investment in your mental health and emotional wellbeing. Rates reflect a therapist’s years of experience and education.

Individuals – 50-minute session: $185.00
Couples/Families – 50-minute session: $225.00

Payment options: All major credit cards are accepted. I also accept HSA (Health Savings Account) cards and FSA (Flexible Spending Account) cards.

My practice offers 4 sliding scale spots. At this time, these are full, but I do maintain a waiting list for current patients who would like to be considered for a sliding scale spot.  Sliding scale eligibility is based on income.

How many visits, and how often?

I collaborate with you on a treatment plan that works for your goals and budget. In cases of crisis or acute issues, clients may come in more often until things stabilize. Other clients may make an appointment less frequently. A lot depends on your individual situation, schedule, and budget.

Is what we discuss in therapy confidential?

With few exceptions, including talk of harming yourself or others, what we talk about in therapy is kept strictly confidential. 

Regarding privacy in teletherapy, I use a secure, HIPAA compliant video platform to protect your privacy.  My online scheduling system includes a secure messaging function for your use, as well.

Can I speak with you before making an appointment?

Yes. Choosing the right therapist is a big decision, and the fit between therapist and client is a key factor in a successful outcome in therapy. I offer free 20-minute telephone or video consultations to answer your questions and help you decide whether or not you would like to make an appointment. If you would rather contact me by email, that is fine, too. 

Are you currently accepting new patients?

Currently, priority for new openings is given to people dealing with Body-Focused Repetitive Behaviors, vicarious trauma, and issues related to the HSP trait. You are always welcome to check with me. I maintain a waiting list and accept new patients when space allows.

Can you help me find resources on BFRBs / HSPs / etc?

There are some excellent resources available if you are looking for information on BFRBs or HSP issues. 

BFRBs: is the very best place to start.  Tons of information and a directory of therapists, coaches, and support groups.

HSPs: is Dr. Elaine Aron’s site – resources and the HSP test can be found here, as well as a directory of HSP-aware therapists. also has an extensive directory of mental health professionals, with information about their practices in their listings. 

Google is also helpful in your search for information.