Frequently Asked Questions

We’re a firm believer of therapy is for all people. You don’t need to be in crisis or for a trauma to have taken place to benefit from therapy. If you're feeling stuck, overwhelmed, anxious, sad, struggling with your relationships, or simply curious about personal growth, therapy can be a supportive space to explore those feelings. Many people seek therapy for help navigating life transitions, relationship issues, past trauma, to build coping skills, better their self-esteem, or reach their life goals.

The first full session, also called the intake session, is a chance for us to get to know each other. We’ll talk about what brings you to therapy, go over your history, and discuss your goals. You’re welcome to ask any questions, and we’ll work together to create a plan that fits your needs and comfort level.

All following appointments will be working through your goals and intentions that brought you to therapy in addition to dealing with what life throws your way in the process.

Sessions are typically around 53 minutes long.

Most clients start with weekly sessions to build momentum and consistency. As your needs evolve, we can adjust the frequency- some people move to biweekly or monthly sessions over time. We'll collaborate on what feels supportive and sustainable for you.

That depends on your goals and preferences. Some people come for a few months to work through a specific issue, while others engage in longer-term therapy for ongoing support and deeper self-understanding. There's no right or wrong timeline! We'll regularly check in to make sure therapy is meeting your needs.

Talking to a friend can be comforting and supportive, and friends listen because they care about you. Therapy, however, is different in a few key ways. A therapist is trained to listen without judgment, help you understand patterns in your thoughts and behaviors, and guide you toward lasting change using evidence-based techniques. Unlike friends, therapists maintain clear boundaries, focus entirely on your well-being, and provide a safe, confidential space where you can explore difficult emotions honestly and deeply.

Yes, your privacy is one of our highest priorities! What you share in therapy stays between you and your therapist.
There are only a few legal and ethical exceptions to confidentiality:

• If there’s a risk of serious harm to yourself or someone else

• If there’s suspected abuse or neglect of a child, elder, or vulnerable adult

• If records are subpoenaed by a court of law

Your therapist will go over these limits in your first session so you fully understand your rights and feel safe knowing your information is protected.

We only accept private pay right now for $150 per session.

Limited sliding scale fees are offered.

Absolutely! When you attend therapy without using your insurance, you are no longer required to receive a diagnosis. We can focus our work on the issues you are facing and figuring out the best path to the results you want to work towards. We also don’t have to worry about restrictions on the amount of time or number of sessions we can spend together. We are free to determine what you need rather than what outside entities (insurance companies) determine you are allowed. Your therapy can also be kept more confidential because we don’t have to be concerned with the insurance company requesting notes or information about your sessions. So in short, we can determine what will work best for you and focus our therapy work together on that!

Submit the contact form at the bottom of the page or through the Contact tab. We’ll determine if we’re a therapeutic good match through a free 15-minute consultation call, figure out if you’re paying through insurance or privately, and walk you through the paperwork that needs to be read and filled out prior to the intake session.

We do virtual appointments only at this time with a plan to offer in-person appointments in the future.

Sessions fees, copays, etc. are charged at the time of the appointment. If payment cannot be completed, any follow-up sessions will have to pause until payments are completed and up-to-date.

We ask that you cancel with at least 24 hours notice, or you will be subject to a $100 cancellation fee. Cancelling within the 24-hour mark will be considered a late cancellation resulting in the fee being charged.

Sessions are considered missed/ no-showed at the 15-minute mark past the time that the appointment was supposed to begin. At that point, the fee will be charged and the session will have to be rescheduled.

Your card on file will be charged the full amount at time of cancellation/ no-show.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW THIS NOTICE CAREFULLY.

Your health record contains personal information about you and your health. This information about you that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services is referred to as Protected Health Information (“PHI”). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law, including the Health Insurance Portability and Accountability Act (“HIPAA”), regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules, and the NASW Code of Ethics. It also describes your rights regarding how you may gain access to and control your PHI.

We are required by law to maintain the privacy of PHI and to provide you with notice of my legal duties and privacy practices with respect to PHI. We are required to abide by the terms of this Notice of Privacy Practices. We reserve the right to change the terms of my Notice of Privacy Practices at any time. Any new Notice of Privacy Practices will be effective for all PHI that we maintain at that time. We will provide you with a copy of the revised Notice of Privacy Practices by posting a copy on my website, sending a copy to you in the mail upon request or providing one to you at your next appointment.

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU

For Treatment. Your PHI may be used and disclosed by those who are involved in your care for the purpose of providing, coordinating, or managing your health care treatment and related services. This includes consultation with clinical supervisors or other treatment team members. We may disclose PHI to any other consultant only with your authorization.

For Payment. We may use and disclose PHI so that we can receive payment for the treatment services provided to you. This will only be done with your authorization. Examples of payment-related activities are: making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity, or undertaking utilization review activities. If it becomes necessary to use collection processes due to lack of payment for services, we will only disclose the minimum amount of PHI necessary for purposes of collection.

For Health Care Operations. We may use or disclose, as needed, your PHI in order to support our business activities including, but not limited to, quality assessment activities, employee review activities, licensing, and conducting or arranging for other business activities. For example, we may share your PHI with third parties that perform various business activities (e.g., billing or typing services) provided we have a written contract with the business that requires it to safeguard the privacy of your PHI. For training or teaching purposes PHI will be disclosed only with your authorization.

Required by Law. Under the law, we must disclose your PHI to you upon your request. In addition, we must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with the requirements of the Privacy Rule.

Without Authorization. Following is a list of the categories of uses and disclosures permitted by HIPAA without an authorization. Applicable law and ethical standards permit us to disclose information about you without your authorization only in a limited number of situations. As a social worker licensed in this state and as a member of the National Association of Social Workers, it is our practice to adhere to more stringent privacy requirements for disclosures without an authorization. The following language addresses these categories to the extent consistent with the NASW Code of Ethics and HIPAA.

Child Abuse or Neglect. We may disclose your PHI to a state or local agency that is authorized by law to receive reports of child abuse or neglect.

Judicial and Administrative Proceedings. We may disclose your PHI pursuant to a subpoena (with your written consent), court order, administrative order or similar process.

Deceased Patients. We may disclose PHI regarding deceased patients as mandated by state law, or to a family member or friend that was involved in your care or payment for care prior to death, based on your prior consent. A release of information regarding deceased patients may be limited to an executor or administrator of a deceased person’s estate or the person identified as next-of-kin. PHI of persons that have been deceased for more than fifty (50) years is not protected under HIPAA.

Medical Emergencies. We may use or disclose your PHI in a medical emergency situation to medical personnel only in order to prevent serious harm. Our staff will try to provide you a copy of this notice as soon as reasonably practicable after the resolution of the emergency.

Family Involvement in Care. We may disclose information to close family members or friends directly involved in your treatment based on your consent or as necessary to prevent serious harm.

Health Oversight. If required, we may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies and organizations that provide financial assistance to the program (such as third-party payors based on your prior consent) and peer review organizations performing utilization and quality control.

Law Enforcement. We may disclose PHI to a law enforcement official as required by law, in compliance with a subpoena (with your written consent), court order, administrative order or similar document, for the purpose of identifying a suspect, material witness or missing person, in connection with the victim of a crime, in connection with a deceased person, in connection with the reporting of a crime in an emergency, or in connection with a crime on the premises.

Specialized Government Functions. We may review requests from U.S. military command authorities if you have served as a member of the armed forces, authorized officials for national security and intelligence reasons and to the Department of State for medical suitability determinations, and disclose your PHI based on your written consent, mandatory disclosure laws and the need to prevent serious harm.

Public Health. If required, we may use or disclose your PHI for mandatory public health activities to a public health authority authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability, or if directed by a public health authority, to a government agency that is collaborating with that public health authority.

Public Safety. We may disclose your PHI if necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. If information is disclosed to prevent or lessen a serious threat it will be disclosed to a person or persons reasonably able to prevent or lessen the threat, including the target of the threat.

Research. PHI may only be disclosed after a special approval process or with your authorization.

Verbal Permission. I may also use or disclose your information to family members that are directly involved in your treatment with your verbal permission.

Fundraising. We may send you special speaking engagements/fundraising communications at one time or another. You have the right to opt-out of such communications with each solicitation you receive.

With Authorization. Uses and disclosures not specifically permitted by applicable law will be made only with your written authorization, which may be revoked at any time, except to the extent that I have already made a use or disclosure based upon your authorization. The following uses and disclosures will be made only with your written authorization: (i) most uses and disclosures of psychotherapy notes which are separated from the rest of your medical record; (ii) most uses and disclosures of PHI for marketing purposes, including subsidized treatment communications; (iii) disclosures that constitute a sale of PHI; and (iv) other uses and disclosures not described in this Notice of Privacy Practices.

YOUR RIGHTS REGARDING YOUR PHI

You have the following rights regarding PHI we maintain about you. To exercise any of these rights, please submit your request to Hayley Minger-Marlow at 21366 Hall Road, Unit #4092, Clinton Township, MI 48038:

· Right of Access to Inspect and Copy. You have the right, which may be restricted only in exceptional circumstances, to inspect and copy PHI that is maintained in a “designated record set”. A designated record set contains mental health/medical and billing records and any other records that are used to make decisions about your care. Your right to inspect and copy PHI will be restricted only in those situations where there is compelling evidence that access would cause serious harm to you or if the information is contained in separately maintained psychotherapy notes. We may charge a reasonable, cost-based fee for copies. If your records are maintained electronically, you may also request an electronic copy of your PHI. You may also request that a copy of your PHI be provided to another person.

· Right to Amend. If you feel that the PHI I have about you is incorrect or incomplete, you may ask us to amend the information, although we are not required to agree to the amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with me. We may prepare a rebuttal to your statement and will provide you with a copy. Please let us know if you have any concerns/questions.

· Right to an Accounting of Disclosures. You have the right to request an accounting of certain of the disclosures that we make of your PHI. We may charge you a reasonable fee if you request more than one accounting in any 12-month period.

· Right to Request Restrictions. You have the right to request a restriction or limitation on the use or disclosure of your PHI for treatment, payment, or health care operations. We are not required to agree to your request unless the request is to restrict disclosure of PHI to a health plan for purposes of carrying out payment or health care operations, and the PHI pertains to a health care item or service that you paid for out of pocket. In that case, we are required to honor your request for a restriction.

· Right to Request Confidential Communication. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests. We may require information regarding how payment will be handled or specification of an alternative address or other method of contact as a condition for accommodating your request. We will not ask you for an explanation of why you are making the request.

· Breach Notification. If there is a breach of unsecured PHI concerning you, we may be required to notify you of this breach, including what happened and what you can do to protect yourself.

· Right to a Copy of this Notice. You have the right to a copy of this notice.

COMPLAINTS

If you believe we have violated your privacy rights, please discuss your concerns with us. You have the right to file a complaint in writing with our Privacy Officer, Hayley Minger-Marlow at 21366 Hall Road, Unit #4092, Clinton Township, MI 48038 or with the Secretary of Health and Human Services at 200 Independence Avenue, S.W. Washington, D.C. 20201 or by calling (202) 619-0257. We will not retaliate against you for filing a complaint.

The effective date of this Notice is January 2026.