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Therapy FAQ

I’ve compiled a list of the most frequent questions that I have received over my career. It’s normal and encouraged for clients to ask many questions when choosing to work with a licensed psychologist. Here are some answers to the questions I receive the most. If you can’t find what you are looking for, please get in touch.

Do you accept insurance?

I'm on several insurance panels and will bill insurance for you.  You'll want to confirm with your insurance company (1) your co-payment (cost share) amount and (2) your deductible.  Some insurance plans have very high deductibles, and we should chat about how to manage the cost.

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Some people prefer not to have their insurance know that they are seeing at psychologist and would rather pay out of pocket.  There are a number of reasons why people may not want their insurance company to pay for services.  I am happy to talk with you about why some people prefer that their insurance company not know.  Co-payment is due at the time of the appointment by check or credit card.

Do I have to use insurance?

Not at all!  Some people prefer not to have their insurance know that they are seeing a psychologist and would rather pay out of pocket.  There are a number of reasons why people may not want their insurance company to pay for services.  I am happy to talk with you about why some people prefer that their insurance company not know.  In our consultation, please let me know that you do not want to use insurance.

How long does each therapy session last?

Forty-five minutes is the typical length of the session. We will talk about how to distribute our time in each session.

What's your approach to therapy?

I use an approach called integrative.  I select the best tools, techniques, and skills from some of the most scientifically supported interventions in the field. I appreciate the psychodynamic perspective that examines at how childhood patterns impact us in adulthood.

Is this practice a good fit for me?

This is a telehealth-only practice designed for high-functioning, outpatient care. It is best suited for professionals, academics, and individuals seeking insight-oriented growth, behavioral strategy, and the resolution of long-standing patterns. Because I provide remote services, this model is not appropriate for individuals requiring crisis intervention, 24/7 emergency support, or intensive stabilization for acute psychiatric symptoms.

How do you approach Couples Therapy?

In high-stakes lives, your primary relationship is your most important infrastructure. I view the couple as a system; my goal is to identify the "bottlenecks" and communication patterns that stall connection. My approach is "no-blame" and focused on building a high-functioning baseline. Whether you are navigating a specific transition or seeking to deepen your partnership, we work toward strategic, lasting change.

Can I use my insurance for couples therapy?

The short answer is "probably not."  The longer answer is: insurance makes a distinction between paying for services that are medically necessary (e.g., therapy for depression) versus those services that enhance the quality of one's life (e.g., couples therapy or therapy for growth). I don't make the rules, I just have to follow them. So most insurance companies do not pay for this type of therapy. I'm glad to talk with you about how you can advocate with your insurance company and even provide you with an invoice showing how much you paid. However, most insurances will not allow me to bill for this service.

Notice Disclosure Form Regarding Patient Protections Against Surprise Billing

Tracy Cohn, PhD, LCP
Psychological Works LLC

Address

PO B0X 484

Blacksburg, VA 24063

Contact

(540) 230-5958

©2026 by Psychological Works LLC

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