The questions people actually ask before they call

Send a message through the site or call. The first step is a short phone call to work out whether this is a good match, not a booked session.

Mostly listening and history: what brought you, what has been going on, what you have already tried, and what you want to be different. We also cover confidentiality and its limits, and agree what we are going to work on. You are not expected to arrive with an account of the worst thing that has happened to you.

Standard sessions are 50 minutes, usually weekly at first. Accelerated Resolution Therapy (ART) sessions often run longer and the length is agreed in advance. Frequency is a clinical decision we review as we go.

It depends on what you are working on, and anyone who answers that confidently before meeting you is guessing. Focused work on a single trauma can be short. Long-standing patterns take longer. We agree goals at the start so that we can both tell whether we are getting anywhere.

No. This is an adult practice. We are glad to point you toward clinicians who work with young people.

A structured, eye-movement based therapy that works on the sensory imagery a difficult memory carries, rather than requiring you to narrate the event. It is often briefer than open-ended talk therapy, though the number of sessions anyone needs is assessed individually. Full explanation, including its evidence base and limits.

Not in detail. Both ART and EMDR are designed to work without requiring a spoken account of what happened. Many people find that is what makes starting possible at all.

Sometimes, briefly. Trauma work can stir things up, and symptoms occasionally bump upward early on. This is discussed and planned for in advance rather than sprung on you, and sessions are structured to close properly rather than leaving you open at the end of the hour.

No. Counselors do not prescribe. Where a medical review looks worthwhile I will say so directly, and with your consent I will coordinate with your physician or psychiatrist.

Yes, anywhere in Texas. Licensure is state based, so telehealth is limited to people physically located in Texas at the time of the session. For a first course of ART, in person is generally recommended.

Then I will say so and help you find someone better suited. Fit is one of the strongest predictors of whether therapy works, and it is not an insult to either party when it is not there.

$130 for a standard 50-minute individual session, private pay. Full fee and insurance information.

The practice is in network with Aetna, UnitedHealthcare, Blue Cross and Blue Shield of Texas, TRICARE, Humana Military and TriWest, and bills them directly. Give us the plan name when you get in touch and we will confirm where you stand. Insurance accepted, plan by plan.

No. In network means a rate has been negotiated. Whether your plan pays any of it depends on your deductible, benefit design, and sometimes prior authorisation. Only your plan can tell you. The questions to ask them.

Within limits, and you will be told what they are in writing before you share anything. In Texas, as elsewhere, confidentiality has legal exceptions — principally serious risk of harm to you or someone else, suspected abuse of a child or vulnerable adult, and court orders. No therapist can promise absolute confidentiality, and you should be sceptical of one who does.

No, and we say so on the form itself. It is ordinary email underneath. That is why it asks for the minimum: a name, one way to reach you, and a broad reason. Never send a member ID, a photo of an insurance card, a date of birth, or clinical detail through a website. Everything confidential moves to the secure client system once you begin.

Your employer does not receive your records. If you use insurance, your insurer receives the information needed to process a claim, which typically includes a diagnosis and dates of service. This is one legitimate reason some people choose to pay privately, and it is worth thinking about before the first claim rather than after.

Do not use this website. If you are in immediate danger call 911 or go to your nearest emergency department. If you are thinking about suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline, free, at any hour. Veterans can dial 988 then press 1. More on getting help right now.

No. This is a solo practice and it does not provide crisis or after-hours coverage. That is not a gap we hide — it is why the crisis numbers appear at the foot of every page.

Usually within one to two business days, from Jim himself. If your situation cannot wait that long, please use the crisis numbers rather than waiting on a reply.