The first session is for you and your therapist to get to know each other and figure out what your work together will look like. They will ask you questions about your history, what you're struggling with, your strengths, safety, and other things that are important about you. You can share what you'd like to get out of therapy, and they will see what they can do for that.

Your therapist will guide you through this process. There is no right or wrong way for a client to be during therapy. We want you to live your best life, and we are here to help you.

Everything you talk about with your therapist is confidential, with a few exceptions:

• If you or someone else is at a risk of serious harm that is more than your therapist can help with in their capacity, they will call the appropriate resources.

• Your therapist is mandated to file a report if a vulnerable person (juvenile, elder, or person who is disabled) is being abused, neglected, or exploited.

• Your therapist will consult with their supervisor or colleagues to get feedback and support. They will keep client-identifying information private in their consultations.

• Demographic and diagnosis information is required to file insurance claims. We will attempt to disclose the least amount of information to get covered.

• For clients under 16, the therapist may discuss some things with a parent.

At this time we are only providing telehealth services.

Insurance companies contract with individual therapists. To see if a therapist is in-network with your insurance, check out their bio.

You may have out-of-network benefits that cover outpatient mental health services. The coverage may be close to or equal to in-network benefits. While you would pay the full price at the time of the session, we can provide you with a "superbill" from which your insurance company would pay you reimbursement for the covered services.

If finances are a barrier for you, please ask us about our reduced fee sessions though the non-profit Open Path Collective.

Due to licensing laws, the therapist must be licensed to practice in the state where the client is located. That means you might not be able to have a session if you’re in another state.
Please let your therapist know your location at the beginning of your telehealth appointment, especially if you’re not at home.

If something is not working for you in therapy, our first suggestion is to talk to your therapist about it. You'll find that they are receptive to feedback, willing to make adjustments to better fit your needs, and make apologies and repairs if they made a mistake. Therapy can be a great place to practice your communication skills.

If you don't feel like your therapist is a good fit for you, we would like to help you find one who is. You can contact support@tamarasatherapy.org

If you feel like your therapist acted in a way that was harmful, inappropriate, or unethical, please let us know. We will take your concerns seriously, and do our best to address the situation appropriately.

Our goal is to help you improve your mental health, so please don't hesitate to let us know what you need.

For a mental health crisis, please call, text, or chat 988 or go to your local emergency room. If the crisis is severe and dangerous, call 911.

A mental health crisis is when someone's mental health symptoms or behavior put themselves and/or others at risk. This can include intentional or unintentional actions that may injure or kill the person or others. Though the person may not want to, it is important to seek professional help for a crisis.

Here is some information about caring for someone who is suicidal.

Here is some information on what to expect if you go to the ER

Your therapist may not be able to immediately respond to a crisis call, but please let them know as soon as you can when you are not in an imminent risk of harm situation.