Frequently Asked Questions
Please reach out if you don't see your question answered here.
Do you accept insurance? +
No — Rapha Care and Counseling is a private-pay practice. I do not bill insurance.
This is intentional. Insurance billing requires a formal psychiatric diagnosis, creates a permanent record in your health history, and often limits how frequently we can meet and for how long. Keeping this work private-pay protects your confidentiality and gives us the flexibility to work at whatever pace actually fits your life.
What does it cost? +
The initial intake session is $125 and runs 80 minutes. All ongoing sessions — individual counseling, coaching, and spiritual direction — are $85 per 50-minute session.
The intake fee is collected in advance to hold your appointment. All other sessions are due at the time we meet.
How do I pay? +
I accept payment via Zelle, Venmo, or PayPal. Payment details will be shared when you schedule. I don't currently accept credit cards or checks.
Is there a sliding scale or reduced fee option? +
I keep a small number of reduced-fee spots available for those with genuine financial need. If cost is a barrier, please let me know when you reach out — I'd rather find a way to make this work than have you not get the care you need.
What is your cancellation policy? +
I ask for at least 24 hours notice if you need to cancel or reschedule. Life happens — I understand that. The first time isn't a problem. Beginning with a second late cancellation or no-show, an $85 fee may apply.
The most important thing is that you communicate with me as early as possible. A quick message is always better than silence — and I'll always try to work with you.
Can I contact you between sessions? +
Email is the best way to reach me for scheduling, logistics, and brief questions. I typically respond within one business day, Monday through Friday. I don't typically respond to emails in the evenings or on weekends.
I'm not available for crisis support between sessions. If you're in a mental health emergency, please contact the 988 Suicide and Crisis Lifeline (call or text 988), go to your nearest emergency room, or call 911.
Is what I share confidential? +
Yes. Everything shared in our sessions is held in strict confidence. I will not disclose your name, your story, or the content of our sessions to anyone without your written consent.
There are limited exceptions required by law: imminent danger to yourself or another person, suspected abuse or neglect of a child or vulnerable adult, or a court order requiring disclosure. In each of these cases, I will tell you what I'm doing whenever it is safe to do so.
You'll receive a full Informed Consent & Confidentiality Agreement before our first session — it explains all of this clearly and in plain language.
What if this doesn't feel like the right fit? +
You are free to end our work together at any time, for any reason. I only ask that we have a brief closing conversation when possible — so that we can end well and I can offer any appropriate referrals.
The initial consultation call exists precisely for this reason: to make sure this feels like a good fit before anyone commits to anything. If it doesn't feel right after that call, that's okay — and I'll do my best to point you toward someone who might be a better match.
The therapeutic relationship matters enormously. A good fit matters more than any credential or method. I'd rather you find the right person than stay with the wrong one out of inertia.
Do you meet in person or virtually? +
I offer both. Many clients meet virtually via a secure video link — it's flexible and works well for most of what we do together. In-person sessions are also available for those in the Dallas–Fort Worth area.
We'll figure out what works best for you when we connect.
How long are sessions and how often do we meet? +
The first session is 80 minutes — longer than a typical hour because understanding your whole story matters more than jumping straight to the presenting issue.
Ongoing sessions are 60 minutes. Most clients begin meeting weekly or every two weeks, and we adjust frequency as the work progresses. There's no required commitment — we take it one season at a time.
What happens in the first session? +
The intake session is a chance for me to hear your story and for you to get a sense of how I work. We'll explore what brought you here, some of your background and relational history, and what you're hoping for. I read your intake form before we meet, so we're not starting from scratch.
Before your first session, I'll send you two short documents to complete: a Client Intake Form and an Informed Consent Agreement. Neither is overwhelming — they're designed to help us use our time well.
You don't need to arrive prepared or polished. The first session is simply a chance to begin. That's actually where most good work starts.
Are you a licensed therapist? +
No. I am a Certified Biblical Counselor (ABC) and a Certified Relational Spirituality Coach (Relational Spirituality Academy). I am currently completing a two-year Spiritual Direction program through Soul Shepherding.
This is not a licensed clinical therapy practice. If you are experiencing a psychiatric emergency, active suicidal ideation, or a condition requiring clinical psychiatric care, I will refer you to an appropriate licensed professional and walk alongside that process with you if it is helpful.
Many of the people I work with have found that what they most need is not a clinical diagnosis but a safe, honest relationship — someone who will help them slow down, make sense of their story, and bring it before God. That is what this work offers.
What is the difference between counseling, coaching, and spiritual direction? +
They're different entry points depending on where you are:
Biblical counseling is for when something is broken or stuck — pain, shame, compulsive patterns, or relational difficulty that needs healing work. The primary question is: What needs to be healed?
Relational spirituality coaching focuses on how you experience God in the middle of your real, everyday life. Rather than starting with behavior change, we pay attention to what's happening beneath the surface — your patterns, your emotions, and the ways you've learned to cope or protect yourself in relationships. Over time, this leads to a more honest and grounded faith — change that flows from being known and loved, not from striving or performance. The primary question is: What is God doing in the middle of my actual life?
Spiritual direction is for those already growing who want an unhurried companion to help them notice and respond to what God is already doing. The primary question is: Where is God, and how do I respond?
Is this faith-based? Do I have to be a Christian? +
Yes — this work is explicitly grounded in the Christian faith. The gospel, Scripture, and the person of Jesus sit at the center of everything. I draw from clinical and psychological frameworks — attachment theory, internal family systems, relational neuroscience — but always in service of the deeper formation work the Spirit is doing.
If you're not a Christian but are spiritually curious or open, you are welcome here. I won't force anything, and I'll always be honest about the foundation I'm working from. If you're looking for a strictly secular approach, I'm probably not the right fit — and I'd rather be upfront about that than have you discover it three sessions in.