Frequently Asked Questions

Your first session is a space to slow down and be heard. We focus on understanding what brings you in, what you are hoping for, and what has or has not been helpful in the past. You do not need to prepare anything in advance. There is no pressure to share everything at once. You are welcome to ask questions and take your time.

Many people start therapy feeling unsure. You do not need to be in crisis or have everything figured out to begin. If something feels heavy, confusing, or stuck, therapy can be a place to explore that at your own pace.

Feeling safe, respected, and understood is an important part of therapy. It is okay to notice how you feel during sessions and to share questions, concerns, or feedback with your therapist.

A good fit often includes feeling listened to, supported, and able to be honest at your own pace. For some clients, working with a therapist who shares or understands their language and cultural background can also be an important part of feeling comfortable and understood.

If something does not feel like the right fit, we can talk through options and next steps together. Finding the right match matters, and adjustments can be part of the process.

You can view our therapist profiles, including languages offered, here.

After you submit the appointment request form, our team reviews your preferences, concerns, and availability. We do our best to match you with a therapist whose experience and approach align with your needs. 

Yes. You may refer someone else once you have their consent to share their information. We will still connect directly with the individual to confirm interest and next steps.

No. All services are provided via secure telehealth.

Individual therapy is available to clients who are physically located in Massachusetts at the time of sessions, due to licensure requirements.

Support groups are open to participants nationwide, unless otherwise specified in the group description.

Support groups are clinician-facilitated and structured to support safety, reflection, and shared understanding. Groups focus on connection and learning rather than advice-giving. Group details, including focus and eligibility, are listed on each group page.

Learn more

No. You do not need prior therapy experience to join a support group. Many participants are new to therapy or exploring support for the first time.

Support groups are not a replacement for individual therapy. They are designed to complement personal work by offering connection, shared understanding, and guided reflection in a group setting. Some participants choose to attend groups alongside individual therapy, while others use groups as an additional layer of support.

Yes. We accept several in-network insurance plans, including:

• Blue Cross Blue Shield of Massachusetts

• Harvard Pilgrim

• Lyra Health

• Mass General Brigham Health Plan

• Oxford

• Tufts Health Plan

• UnitedHealthcare

When you submit an appointment request, we ask that you upload a copy of your insurance card. This allows our team to verify your coverage, including copays and deductibles, before your first session.

Insurance benefits vary by plan, and verification helps avoid unexpected costs.

For out-of-network care, we partner with Mentaya to help clients check benefits and submit claims. This may allow for partial reimbursement depending on your plan. If you have questions about coverage, we can help you understand your options before getting started. You can check your out

Sliding scale options may be available on a limited basis. Availability varies and can be discussed during the initial process. Please send an email to our team for more information.

At this time, we do not have a waitlist. Availability may change, but we aim to respond within one to two business days.

Yes. Therapy is confidential, with limits defined by law. Your therapist will review confidentiality and its limits during your first session.

A crisis refers to a situation in which there is immediate risk of harm to yourself or others, or when urgent mental health support is needed beyond outpatient therapy. Examples include active thoughts of self-harm or suicide, intent to harm others, inability to maintain personal safety, or experiencing a mental health emergency that requires immediate attention. If you are unsure whether you are in crisis, calling 988 is a safe first step.

If you are in crisis, call 911 or go to the nearest emergency room. You may also contact the Suicide and Crisis Lifeline by calling or texting 988, which is available 24 hours a day. Elephant Room Counseling provides outpatient services and is not able to offer emergency or crisis care.