FAQS

WHAT IS THERAPY?

This is a very common question and there is no shame in asking! Therapy can mean many things across different practitioners and practices, but a few things are consistent. Therapy provides a safe, confidential space to better understand ourselves, and to find a deeper level of peace and acceptance with the challenges life gives us. At Cohesive Counseling, the intention is to help clients develop insight, understanding, and self-compassion, while also becoming more aware as to how past experiences effect our present feelings and choices. Usually, sessions occur weekly and last for approximately 50 minutes.

IS THIS THE RIGHT PRACTICE FOR ME?

Ideal clients are simply curious and open to learn about themselves. We appreciate a dedication to the process of therapy, and a willingness to allow trust to form between client and therapist. If you feel that you have “hit a wall” in your personal development, need assistance with figuring out how to cope or heal from past events/relationships, or desire a space to process and explore the intersectionality of the many identities you hold, as a therapist we will likely be a great fit. However, if you are looking for a more structured and directive support, such as pure cognitive behavioral therapy, this may not be the ideal fit.

WHAT IS THE TIME COMMITMENT FOR THERAPY?

Most often seen as the classic therapeutic hour, we offer 50-minute individual therapy sessions. There are times when this just does not seem like enough, and to meet this growing need, Tricia now offers 75-minute sessions. 

Typically, clients meet weekly. This schedule maximizes the impact of the work and really allows us to make legitimate progress toward your goals. The total duration is up to you - some people come for a handful of sessions and feel equipped to move on. Others prefer to do deeper work and commit to longer periods of time. 

WHAT ARE SESSIONS LIKE?

Our first few sessions will be spent getting to know one another, discussing what’s led you to therapy, learning what is important to you, and allowing space to ask questions.


We will also establish your designated day and time to meet, and how often. Sessions are a combination of conversation and intervention as we talk about the events in your life (both currently and in the past) to uncover patterns, false beliefs, and various other ways of being that serve you well sometimes and other times not so much. We'll talk a lot about emotions, thoughts, feelings, reactions, and the various things that may trigger you.  We'll offer you tools for you to use in your day-to-day life. The goal is always to help you remain self-supporting present. 


Most of all, we will hold space for you to practice being who you already are, making it easy for your future self to emerge.

DO YOU ACCEPT HEALTH INSURANCE?

We are out-of-network with insurance providers. However, we work with each client to ensure they seek reimbursement from their out-of-network benefits within their current health plans. 

Please visit our Out-of-Network information section to learn about Reimbursify. We will also help you understand your Out-of-Network benefits and how easy filing can be. 

For organized record keeping, your payment receipts are available for you at any time within your private client account. These are great come tax time since all medical costs are tax-deductible. 

HOW MUCH DOES EACH SESSION COST?

Initial Assessment (60-75 minutes): 175

Individual Session (50-minutes): 125

Individual Session (75-minutes): 150


Family Session (50-minutes): 150 (offered only on a case-by-case basis)


Tricia offers a student discount with active student ID and, at times, have availability for a sliding scale fee. Please do not hesitate to ask. Cost shouldn't be a barrier for your wellness journey. 

If you are interested in sessions with Sierra, please e-mail CohesiveRVA@gmail.com to learn more.