FAQ

Frequently Asked Questions

Getting Started

  • I work with individuals and couples who want to better understand themselves, strengthen their relationships, and make meaningful changes in their lives. Maybe you're tired of repeating the same patterns, struggling to communicate your needs, navigating a major life transition, or learning how to set boundaries without feeling guilty.

    Whether you're working through anxiety, self-doubt, relationship challenges, or simply wanting to grow, therapy is a space for us to explore what's happening, understand what's underneath it, and develop practical tools to help you move forward.

    You don't have to know exactly where to start. We'll figure that out together.

  • Gaines Wellness PLLC is a fully virtual practice. Sessions are provided through a secure HIPPA-compliant platform, allowing you to meet from a private and comfortable space that works for you.

  • Life happens, and I understand that plans can change! I ask that you provide at least 24 hours' notice if you need to cancel or reschedule your appointment. Cancellations made with less than 24 hours' notice are subject to a fee of 50% of the session cost.

    I'm big on communication, so if something comes up, just let me know! If we're able to reschedule your session within the same week, the cancellation fee will be waived. My goal is to be flexible and work with you when possible while also respecting the time we've set aside for your care.

Fees & Insurance

  • Yes. I accept insurance plans through Alma, as well as private-pay clients. Alma handles insurance elgibility abd benefit verification, allowing you to check your coverage and estimated cost before scheduling.

  • Yes! I believe finances shouldn't automatically be a barrier to receiving support. I reserve a limited number of sliding-scale spots for eligible private-pay clients who may need additional financial flexibility.

    Reduced rates are considered based on individual financial circumstances and availability. For clients using insurance, copays, deductibles, and other out-of-pocket costs are determined by your insurance benefits and applicable provider agreements.

    If cost is a concern, please don't hesitate to reach out. I'm big on communication, and I'm always happy to discuss available options and resources.

  • Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Before we begin working together, we will provide you with a clear, written estimate of our session fees so you never have to worry about hidden costs or surprise bills.

The Therapy Experience

  • Most clients begin with weekly sessions, though biweekly sessions may be appropriate depending on your needs and goals. As you make progress, we can decrease the frequency over time. Therapy doesn’t have to be forever-it’s a space to process, practice, apply what you’re learning, and return for support when needed.

  • There's no set timeline for therapy, and I don't believe it has to be a forever thing! Sometimes you need consistent support to work through deeper challenges, and other times, you may just need a check-in, a different perspective, or a few tools to help you move forward.

    My goal is for you to get what you need, feel confident applying what you've learned, and eventually say, "I think I've got this!"

    And here's the thing—therapy doesn't have to be goodbye forever. Life happens, things change, and new challenges come up. My door is always open if you need to reconnect, process something new, or simply check in.

  • That's perfectly fine! You don't have to come to every session with a problem to solve or something major to discuss. As a therapist, I have a toolbox of approaches, activities, and practical strategies that I tailor to your needs and goals.

    Sometimes I may notice patterns or connections you haven't recognized yet, and we can use that as a starting point. I also come prepared with ideas and tools to help us make the most of our time together.

    Therapy isn't always about working through something difficult. Sometimes it's about checking in, building on your progress, learning something new about yourself, or strengthening the skills you already have.