Getting Started 

Thank you for your interest. Making the decision to pursue counseling or therapy takes courage and commitment. It can also be the best decision of your life. Below are frequently asked questions. You are welcome to email us if you have other questions!

**Clinician(s) Accepting New Clients:

Heather Harrington, LCSW-A

Q. How do I schedule an appointment?

You can email the admin@ or reach out directly to clinicians. Many of our clinicians  are booked out by 4-6 weeks but if you have a clinician in mind, just reach out and ask to be put on their waitlist. If you aren't sure who you would like to schedule with, it’s okay to send general questions about availability  to: admin@bullcitycounseling.com.  Our administrative director will email you back within 1 business day.

Q. Do you offer evening and/or weekend appointments?

No, our latest appointment is scheduled at 5:15p (Monday-Thursday). Our offices are closed on Saturday/Sunday.

Q: How much do you charge?
A: Our fully licensed clinicians charge $140 per session. We have a limited number of sliding scale appointments (daytime hours only) for our provisionally licensed providers. Payment will be collected at the time of service.

 

Q: Do you accept insurance?
A: Yes, we have in-network clinicians for BCBS-NC (with the exception of Blue Value and Blue Local plans), Cigna, United, Aetna, Ambetter, and are continuing to seek more contracts. However, not all clinicians are in-network with all companies. 

Q: What happens during the first session?
A: The initial session is the time for you to start to share your story, talk about your goals and what you would like to change. Your clinician will review your current symptoms and past symptoms/treatments. We will discuss your diagnosis and treatment plan for individual clients that are using insurance benefits.

Q: Do you offer free face-to-face consultations?

No. Our clinicians will gladly arrange a 15-min telephone consultation if you have questions that are not answered through the website or email exchanges. Please note that clinicians are not able to give any treatment advise or diagnostic opinions during these phone calls. 

 

Q: How long do appointments last?
A: Appointments are 45-55 minutes. This is the standard length of a counseling session. 

 

Q: How often will we meet?
A:  To get the most out of counseling, it is  recommended that clients meet weekly for the first 4  sessions, if possible. This allows the clinician the opportunity to get to know you and begin treatment quickly. Its okay if you can't come weekly, just try to make room in your schedule every 10-14 days maximum before you schedule your 1st appointment.

 

Q: Can we meet virtually? Do you provide online counseling?
A: Our therapists believe that best therapy happens with face-to-face sessions. Established clients, who usually meet with me in the office, can occasionally conduct sessions by telephone or secure video platform to help meet your needs when traveling out of town, inclement weather, home with a sick child, etc.Online 
counseling cannot be done outside of NC due to licensure laws.

 

Q: Do you offer family therapy?
A: No, we do not have licensed family therapists at our practice and therefore do not offer family therapy.

Q: Do you file out-of-network claims?

For all out-of-network clients, we will collect payment in full from you at the time of service. We will gladly file your claims electronically on your behalf!

Q: Do you bill insurance for couples work?

We cannot bill insurance for pre-marital counseling or marital enrichment sessions. In some cases, insurance will reimburse for family therapy if the policyholder meets diagnostic criteria for a DSM disorder and the condition is having an impact on the relationship. However, most relationship work that we see is not billable but rather for marital enrichment where we focus on issues such as communication, conflict resolution, parenting, intimacy, and financial goals.

Q: What is your cancellation policy?
A: We require 24 hours notice of cancellation or you will need to pay the missed appointment fee of $50.  An occasional exception may be made in the case of an emergency. It’s important that we meet consistently in order to make progress but we also know that things come up-just let us know.

Q: What theoretical approaches do you use?
A: Our therapists are trained in a variety of approaches and you can see more about them via their biography page. We all pull from a variety of theories and techniques and find value in learning with each other about techniques.  Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Narrative Therapy, Solution Focused Therapy, Positive Psychology, Motivational Interviewing, Client-Centered Therapy, and Mindfulness techniques are often helpful for our clients.

Q: Do you prescribe medication?
A: No, we are not  medical doctors and therefore, cannot prescribe medication. Many of my patients find medication is helpful, but many of them also progress well in therapy without medication. If you want to be evaluated for psychiatric medication, either contact your primary care physician or a psychiatrist. If you are already taking medication, we can coordinate care with your doctor.

Q: Are there any issues or types of clients that you DON’T work with?
A: We do not conduct child custody evaluations nor do we provide custody recommendations. We also don’t provide treatment for substance use disorders, psychotic disorders (schizophrenia, schizoaffective disorder, etc), or personality disorders. Due to state licensing laws, we can only provide therapy and counseling to individuals residing in North Carolina. 

Q: Can I bring my emotion support animal to the appointment?

No, we are not able to allow clients to bring their animals with them to appointments due to liability insurance restrictions. We also do not offer emotion support letters for clients. We do have a therapy dog that works at the Lyckan location with Stephanie. Please feel free to say hello if you see them in the waiting areas!

 

 

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