Frequently Asked Questions About Therapy

Starting therapy can come with a lot of questions, especially if you've never been before or aren't quite sure what you're looking for yet.

Below you'll find answers to some common questions about therapy at One Percent Counseling, including what to expect, services, fees, ADHD-related support, and getting started.

Don't see your question? You're welcome to reach out or bring it to a free 15-minute consultation.

1. What is therapy like?

Therapy is a space to slow things down, get curious about what's happening, and receive support without judgment.

Sessions with me are collaborative. We may explore your thoughts, emotions, relationships, needs, values, experiences, or patterns—and, when useful, practice realistic ways of responding differently outside of therapy.

Some sessions may feel more reflective. Others may be more practical. Most include a little of both.

You don't need to come to therapy knowing exactly what to say or what you need. We can start there together.

2. How do I know if therapy is right for me?

You don't need to be in crisis or even know exactly what's wrong to benefit from therapy.

You might consider therapy if you're experiencing anxiety or overwhelm, feeling stuck or disconnected, navigating relationship challenges, questioning your needs or identity, struggling with self-trust, experiencing ADHD-related concerns, or moving through a significant life transition.

Therapy can also be useful when things are generally okay but you want greater self-understanding, support, or intentional growth.

3. What concerns do you help with?

I primarily work with adults and couples navigating:

Anxiety + emotional overwhelm
Relationships + communication
Self-worth + self-trust
People-pleasing + boundaries
Women's ADHD + ADHD-related concerns
Life transitions + identity

These experiences often overlap, and you don't need to fit neatly into one category.

4. Do you support ADHD-related concerns?

Yes. I offer women-centered and individualized support for adults exploring ADHD-related concerns, including executive functioning challenges, emotional overwhelm, self-doubt, masking, people-pleasing, difficulty identifying needs, and feeling chronically behind.

My approach emphasizes greater self-understanding, compassion over shame, realistic skill-building, and creating supportive systems that fit your actual life.

Therapy with me is not a substitute for formal ADHD assessment or medication evaluation. When additional assessment or medical care would be helpful, I may encourage collaboration with an appropriate provider.

5. Do I need an ADHD diagnosis?

No. You don't need a formal ADHD diagnosis to explore ADHD-related experiences in therapy.

We can make space for your questions, experiences, emotional impact, and supportive strategies whether you've received a diagnosis, are considering assessment, or are simply beginning to wonder whether ADHD may be relevant to your experience.

6. Do you offer individual, couples, and premarital therapy?

Yes. I offer individual therapy, couples therapy, and premarital therapy.

Individual therapy focuses on your personal experiences, emotional health, relationships, and goals.

Couples therapy can help partners understand recurring patterns, improve communication, navigate conflict, and strengthen connection.

Premarital therapy provides space for couples preparing for marriage to explore communication, expectations, values, finances, family boundaries, intimacy, future planning, and the relationship they're intentionally building together.

7. Will you take sides in couples therapy?

Couples therapy isn't about deciding which partner is right or wrong. My role is to help us understand what's happening between you, make room for each person's experience, and support healthier ways of communicating, connecting, and repairing.

I also maintain a No Secrets Policy when working with couples. This means that information shared individually that is relevant to the relationship or our work together may need to be brought into the couples therapy process. I will work collaboratively with you around how that information is addressed rather than holding significant secrets between partners.

This policy helps support transparency, trust, and the integrity of the couples therapy process.

8. Do you offer in-person and online therapy?

Yes. I offer in-person therapy from my Henderson, Nevada office and virtual therapy throughout Nevada.

You can choose the format that works best for your needs, privacy, location, and schedule.

9. Do you accept insurance?

One Percent Counseling is a private-pay practice and does not bill insurance directly.

Payment is due at the time of service. If you have out-of-network benefits, you may wish to contact your insurance provider to ask whether they offer reimbursement for services provided by an out-of-network clinician and what documentation they require.

Sliding-scale availability may be offered depending on current openings. Please feel free to ask during your consultation.

10. How much does therapy cost?

Current session fees are listed on my website.

Because One Percent Counseling is private pay, you'll know the session fee before beginning services. If cost is a concern, you're welcome to ask about current sliding-scale availability during your consultation.

11. What happens during the free 15-minute consultation?

The free 15-minute consultation is a brief conversation where you can share a little about what brings you to therapy, what you're hoping for, and any questions you have about working together.

I'll also tell you a little about my approach and services so we can get a sense of whether I may be a good fit for what you're looking for.

You don't need to prepare anything or know exactly what to say.

12. What happens during the first therapy session?

The first session gives us more time to understand what brings you to therapy, what you've been experiencing, relevant history, current supports, and what you hope might be different.

You don't need to tell your entire life story in one session. We'll move at a pace that allows us to begin understanding what's important while building a collaborative direction for our work together.

13. What is your cancellation policy?

Appointments are reserved specifically for you. Cancellations or rescheduling requests require at least 24 hours' notice.

Sessions missed or cancelled with less than 24 hours' notice are subject to the full scheduled session fee according to the practice policy.

14. How do I get started?

Start with a free 15-minute consultation.

We'll briefly discuss what you're looking for, answer questions, and determine whether scheduling an initial session feels like the right next step.

You don't need everything figured out before reaching out.

Sometimes getting started is the first one percent step.