Fractal
Counseling
Frequently Asked Questions
Find answers to common questions about therapy and our practice logistics
Therapy Questions
Do I need to have a formal diagnosis?
No, you do not need a diagnosis to receive therapy from Fractal Counseling. Therapy is offered according to your needs regardless of diagnostic status.
How long is each session?
Sessions are 45–53 minutes long, depending on intensity.
Do you offer telehealth (online therapy)?
Telehealth is not optimal for individuals receiving services for trauma, ADHD, or autism spectrum disorder. Telehealth will generally be used if either the client or therapist may be contagious, traveling, or based overseas and unable to meet in the office.
What ages can work with Fractal Counseling?
Kids 6 and up, preteens, teens, and adults. I work with individuals, couples, and families.
Logistics & Billing
Do you accept insurance?
Fractal Counseling does not accept insurance. However, you may be able to use out-of-network benefits or submit receipts to your insurance provider for possible reimbursement. A superbill can take up to 2 weeks to process and must be requested.
What is the advantage of working with an out-of-network therapist?
As an out-of-network provider, Fractal Counseling delivers bespoke clinical support prioritizing client wellness over the rigid limitations of insurance companies.
What forms of payment do you accept?
For your convenience, we accept all major credit cards, as well as Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. Payment is collected automatically through our secure client portal at the time of your session.
What happens if I need to cancel or reschedule an appointment?
We require a minimum of 24 hours notice for any appointment changes or cancellations. Appointments cancelled with less than 24 hours notice will be subject to the full session fee, as that time was exclusively reserved for you.
Are evening or weekend appointments available?
Morning and evening appointment slots are available to accommodate professional work and school schedules. However, these slots are limited and available on a first come, first serve basis.
What is the Right to Receive a Good Faith Estimate?
Under the No Surprises Act, you have the right to receive a 'Good Faith Estimate' explaining how much your therapy may cost. This helps ensure transparency in healthcare pricing for self-pay clients.