Frequently Asked Questions
Do you offer sliding scale rates?
Mile by Miles Counseling supervises interns through the VCU Marriage & Family Counseling graduate program. These interns offer a sliding scale rate aimed at making counseling accessible and affordable.
Residents and clinicians are in-network with a few insurance providers. HSA and FSA cards are accepted for both in-network and out-of-network appointments.
How long does counseling take?
Depending on the circumstances, counseling sessions occur weekly or biweekly for 45-55 minutes. Some clients improve quickly, while others prefer to continue counseling long-term. It is all based on individual goals.
For children and teens, it is recommended that appointments initially be scheduled weekly to build rapport with the therapist. Adults often opt for biweekly appointments depending on the individual wants and needs.
What is confidentiality and how does it work?
Confidentiality is very important to us. Successful therapy requires mutual trust with sensitive topics that are usually not discussed anywhere but the therapist’s office. At certain times, speaking to others like your family doctor, a teacher, or other professional may be useful. However, this will never occur without a signed Release of Information form.
In working with a child, it is important for them to know that the content of their sessions is held private. Counselors will create time to meet with parents to discuss progress and provide useful feedback. That being said, children and teens are informed that counselors will disclose to their parents if they fear for the child’s safety. If the counselor deems a topic important for the parent to know, he or she will discuss this with the client.
State law and professional ethics require therapists to maintain confidentiality except for situations of suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources, or if the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.
How are cancellations and no shows handled?
Mile by Miles Counseling understands that on rare occasions, you may have to miss an appointment due to an emergency. That being said, professional time is set aside specifically for you, so we request notification if your availability has changed.
When needing to cancel or reschedule an appointment, notification is required at least 24 hours in advance of your appointment. There are no charges for cancellations made in these circumstances.
Cancellations made less than 24 hours are charged a $50 fee. No-Shows are charged a full sessions fee.