Frequently Asked Questions

The easiest first step is requesting a free 15-minute consultation. You can do that through the booking link on this site. I'll send you a short intake form beforehand so we're not starting from scratch. The consultation is a low-pressure way to ask questions and get a feel for the work before committing to anything.

The first session is a conversation — not a clinical checklist. We'll talk about what brought you in, what you're hoping to get out of therapy, and what your life looks like right now. I'll answer any questions you have about how I work. By the end, we'll both have a clearer sense of whether working together makes sense.

You don't need to prepare a speech or know exactly what your "problem" is. Most people don't. We'll figure it out together.

There's no honest universal answer to this question, which is one reason I won't pretend there is. It depends on what you're working on, how long it's been part of your life, and what kind of change you're looking for.

Some people come for a focused stretch of work — 12–20 sessions around a specific issue or transition. Others are in it for longer, doing the kind of deeper relational and identity work that takes time. We'll check in periodically and adjust based on how things are going.

No. Many clients come in without a diagnosis and leave without one. Diagnosis can be useful — it can unlock insurance benefits, guide treatment, and help people understand their experience. But it's a tool, not a requirement. You don't need a label to have a legitimate reason to be in therapy.

Most clients start weekly, which creates enough momentum to actually build on between sessions. Biweekly works for some people, especially later in therapy or during lower-intensity periods. We'll figure out the right cadence based on what you're working on and what's realistic in your life.

Yes. Telehealth is available across Ohio and in over 40 other states. Sessions are conducted via a secure, HIPAA-compliant video platform. You'll need a private space and a reliable internet connection — the rest is the same as in-person.

In-person sessions are available at my office in Mt. Adams for clients in the Cincinnati area.

Monday–Friday, 9 AM – 6 PM and by appointment.

No. Groundwork specializes in individual therapy for adults (18+). I don't offer couples therapy, family therapy, or therapy for children or adolescents. If you're looking for those services, I'm happy to point you toward colleagues who do excellent work in those areas.

$200 per 45–50 minute session; $250 for the initial 60-minute intake. The 15-minute consultation is always free. See the Fees & Rates page for the full breakdown.

Groundwork is in-network with Aetna and United Healthcare. For all other plans, I'm out-of-network — you pay at the time of service and I provide a monthly superbill for you to submit to your insurer for reimbursement.

Many PPO plans reimburse a significant portion of out-of-network therapy costs. The best way to know your benefits is to call the member services number on the back of your card and ask about out-of-network mental health coverage.

A superbill is an itemized receipt with the diagnostic and procedure codes your insurance company needs to process an out-of-network reimbursement claim. I provide one monthly. You submit it to your insurer and they reimburse you directly based on your out-of-network benefits.

A small number of reduced-fee slots are available. If cost is a real barrier, mention it when you reach out. I'll let you know whether a sliding-scale spot is currently open.

Yes, with a few legally required exceptions: I'm required to break confidentiality if I have reason to believe you're in imminent danger of harming yourself or someone else, if there's evidence of child or elder abuse, or if compelled by a court order. Outside of those situations, what you share stays between us. I'll explain all of this in detail before our first session.

If you're in a mental health crisis or having thoughts of suicide or self-harm, please contact the 988 Suicide and Crisis Lifeline by calling or texting 988. You can also call 911 or go to your nearest emergency room.

Groundwork is an outpatient practice and is not set up to provide crisis intervention. If you're an existing client in distress, please use your crisis safety plan or contact 988 rather than waiting for your next scheduled session.