Policies and Fees – My Richmond,Virginia Counseling Practice

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What’s A Session Like?

In our 45-minute weekly sessions, we will:

1)Identify your strengths, stressors, and resources

2) Use a deep relaxation script created during Hypnotherapy to reinforce said resources

3) See how your past is seeping into your present

  • Relationship patterns (family or origin, relationship with self & others)
  • Major life events and traumas

4) Use Brainspotting to work through unprocessed reactions

5) Take everything we’ve learned to then build a plan for you to meet your future self. In other words,  find ways to get your needs/wants met on a consistent basis.

Therapy for How Long?

In order to make the most of the momentum we build up front, I only meet with clients on a regular weekly basis at least for the first 4 months. The average number of sessions for clients who get what they came for is 30-40 sessions. Please note this number is an estimate and everyone is different. 

This number also depends on the work you do (as homework) in between sessions. Therapy does not only happen in the office but also in the real world. And change occurs when you practice what we talk about outside of your therapy sessions. 

Research has shown the meeting less frequently is generally not as effective and is in fact more costly in terms of overall time, energy, and money. 

When sessions are spread out, each subsequent session becomes more of a summary of what’s happened, rather than working on the core issues that often contribute to those experiences.

Imagine having to build momentum repeatedly for each session!  Exhausting. 

I want to help you reach your goals as quickly and efficiently as possible.

Let’s direct your precious resources where they’re needed so that you can start to feel better sooner!


My fee is $190 for a 45-minute session. Payments are made at the time of each therapy session.

On average, clients who are a great fit take 30-40 weekly sessions before they switch to maintenance phase (every other week, 1x/month, or 1x/quarter) or termination (graduate from therapy).

Prior to starting therapy, I will talk to you about typical rates charged during therapy- this is done at the time of scheduling. You are provided with a “Good Faith Estimate” that will include the rates for various services offered at my practice in Richmond, VA. 

Cancellations must be made at least 48 hours in advance to avoid being charged for the full session.

**Please note, at the time of your intake call, you will be asked to place a credit card on file. If you decide to no show/late cancel for your initial consultation (and any session thereafter), you will be charged.

One Eyed Brainspotting Therapy
Adina wearing her Brainspotting Therapy glasses at her counseling office in Richmond, VA


I am out-of-network and do NOT bill insurance.

However, I can provide you a superbill, an invoice summary of sessions that you may submit to your insurance company for potential reimbursement. Note that superbills often require a mental health diagnosis.

Contact your insurance provider directly for more information.

Using Insurance for Therapy?

Three Options for Paying for Therapy

Option 1: Do you have an HMO or PPO plan?


only in-network therapists


  • Payment is less expensive.
  • Process is straightforward: Contact your insurance company, find out which therapist is in-network, contact and schedule with them, then you’re good to go! 


  • Limited options of paneled therapists, often who also have a long waitlist.
  • Your insurance company has a great say as to which therapists, which issues, and which approaches it will and won’t cover. 


can use out-of-network (OON) therapists


  • You have many more options in the therapists you can work with in terms of fit, personality, personal fit, and scheduling.
  • After you pay for sessions out of pocket, you submit a superbill to your insurance company to give you partial reimbursement for the sessions.


  • You NEED to have a mental health diagnosis that goes into the superbill.
  • You need to initially pay for sessions out of pocket, and it may take a while for your insurance company to reimburse you IF they reimburse you.
  • Your insurance company may choose to delay or reject your request for reimbursement.

Option 2: Do you have an FSA/HSA card?

Both FSA/HSA cards work like debit cards, but only for qualified medical expenses. Some find therapy as an eligible expense. Both FSA/HSA accounts are pre-tax, thereby helping people save money.

FSA (Flexible Spending Account):

“Use it or lose it” system that’s bound to your place of employment but easier to apply for it. 

HSA (Health Savings Account):

It’s more difficult to apply for it (e.g., you need to have a high deductible health plan (HDHP), but it’s not tied to your place of employment and you can take it wherever you go.

Check with your FSA/HSA account to see whether therapy is covered. 

Option 3: Paying out of pocket (Private pay)


  • It’s usually more expensive per session.


  • You can work with any therapist of your choice, especially those who (like myself) have very specific niches or use less common approaches (such as Brainspotting or Hypnotherapy) that generally may NOT be covered by insurance.
  • You don’t have a third-party payer (i.e., your insurance) who could influence your treatment.
  • You’re in charge.

Are you ready?