FAQS

We’ll meet through a secure, HIPAA-compliant video platform, similar to Zoom, at a scheduled time. Sessions are 50 minutes and take place in a private, confidential setting—just as they would in person.

Many people find that meeting from their own space actually makes it easier to settle in and be present. The work itself remains the same—we’re still engaging in a thoughtful, focused process that supports insight, emotional awareness, and meaningful change.

Before your first session, I’ll make sure you have everything you need to log in easily, so the experience feels smooth and comfortable from the start.

Your first session is a chance for us to get to know each other and begin to understand what’s bringing you in. We’ll talk through what you’ve been experiencing, what feels most important to you, and what you’re hoping to get out of therapy.

Before we meet, you’ll complete some initial paperwork through the client portal. This helps us use our time together more intentionally, so we can focus on your concerns rather than logistics.

There’s no pressure to have everything figured out or to share more than you’re comfortable with. We’ll move at a pace that feels manageable, and begin to get a sense of what direction the work might take.

By the end of the session, most people have a clearer sense of what’s going on for them and whether this feels like a good fit moving forward.

The length of therapy varies depending on what you’re working through and what you’re hoping to change. Some people begin to notice meaningful shifts within the first few months, while others choose to continue longer to work more deeply with long-standing patterns.

We’ll check in regularly about how things are feeling and whether the work is meeting your needs, adjusting as we go.

There’s no set timeline—you’re not locked into anything. The goal is steady, meaningful progress at a pace that feels right for you.

If you’re feeling stuck, overwhelmed, or noticing patterns that aren’t changing on their own, therapy can be a helpful place to start. You don’t need to have everything figured out—just a sense that something isn’t quite working.

Therapy can be supportive whether you’re navigating something specific, like anxiety or relationship stress, or simply wanting to understand yourself more clearly and feel more steady day to day.

The best way to know if it’s a good fit is to try a first session. We’ll talk through what’s bringing you in and what you’re hoping for, and you can get a sense of whether this feels like the right space and approach for you.

You’re not alone in that. Many people come to therapy after trying it before and feeling like it didn’t quite reach what they were hoping for.

Not all therapy is the same. Sometimes it can stay more focused on talking things through or building insight, while deeper patterns—especially those connected to emotion, the body, or long-standing relational dynamics—remain unchanged.

My approach is a bit different. We still make space to understand your experience, but we also work more directly with the patterns underneath it—so change isn’t just something you think about, but something you begin to feel and experience.

We’ll also pay attention to what is and isn’t feeling helpful as we go, so the work can stay aligned with what you actually need.

I offer virtual therapy for adults in North Carolina, South Carolina, and Georgia. Sessions are conducted through a secure, HIPAA-compliant video platform.

At this time, I do not offer in-person sessions.

At this time, I do not offer in-person sessions. Meeting online allows you to engage in therapy from a private, comfortable space while maintaining the same level of depth, focus, and confidentiality as in-person work.

I offer virtual therapy for adults in North Carolina, South Carolina, and Georgia. Sessions take place through a secure, HIPAA-compliant video platform.

My fee is $175 for a 50-minute individual session.

I also offer couples sessions on a limited basis. Couples sessions are $250 for 60-minutes or $375 for 90 minutes.

I do not accept insurance directly, but I can provide a superbill that you may submit to your insurance for possible out-of-network reimbursement.

If you have questions about payment or reimbursement, I’m happy to walk you through it.

A Good Faith Estimate (GFE) is a document that outlines the expected cost of your therapy services. It’s part of the intake process and will be provided to you before we begin, so you have a clear understanding of fees.

My fee structure is straightforward—$175 for a 50-minute individual session—so the estimate is typically consistent with that rate.

If you have any questions about the estimate or how it applies to your care, I’m happy to review it with you.

You can reach out through the contact form on my website or email me directly at karen@carolinastherapist.com. You can also call the practice at (910) 212-6785.

After we connect, I’ll send you a link to my client portal where you can view availability and schedule a time that works for you.

At least 24 hours’ notice is required to cancel or reschedule an appointment.

Appointments canceled or rescheduled with less than 24 hours’ notice will be charged the full session fee.

You can make changes through the client portal or reach out to me directly, and I’ll help you find another time.

Yes. What you share in therapy is confidential and protected by law.

There are a few exceptions to confidentiality, such as if there is a risk of harm to yourself or others, or if disclosure is required by law. We’ll review these limits together at the start of our work so you know what to expect.

These details are also outlined in your intake paperwork, which you’ll have access to through the client portal.

If you have any questions about confidentiality or how your information is handled, I’m always happy to discuss them.

I do not provide emergency or crisis services. If you are in immediate danger or need urgent support, please call 911, go to your nearest emergency room, or contact a local crisis hotline.

For non-urgent concerns between sessions, you’re welcome to reach out by text, call, or email. I typically respond within 24 hours.