Frequently Asked Questions
Everything you might want to know before getting started. Still have questions? Just reach out.
Getting Started
How do I schedule a first appointment?
Fill out the contact form on this site, send me an email, or give me a call. I'll get back to you within one business day to set up a free 20-minute consultation.
What happens during the free consultation?
We'll talk for about 20 minutes — you'll tell me what's going on, I'll explain how I work, and we'll both get a feel for whether we're a good fit. No pressure, no commitment.
How soon can we start?
It depends on my current caseload, but I do my best to get new clients in within 1-2 weeks of our consultation call.
What should I tell my child about coming to therapy?
Keep it simple and honest. Something like: 'You're going to talk to someone whose job is to help kids with big feelings. It's a safe place and you don't have to do anything you don't want to.' Avoid framing it as punishment or something being 'wrong' with them.
About Therapy
What does a session look like for younger children?
For younger kids, therapy looks a lot like play — because that's how kids process the world. We might use art, games, stories, sand trays, or imaginative play. It's structured and intentional, even when it looks like fun.
What about teens — what's different?
With teens, it's more conversational — real talk, not lecture. I meet them where they are, whether that's venting about school, working through identity questions, or learning to manage anxiety. I also use humor because teens can smell inauthenticity a mile away.
What if my child doesn't want to come?
Totally normal, especially for teens. I don't force it. Most kids warm up faster than parents expect once they realize I'm not going to interrogate them or tell them what to do. I let them lead.
How long does therapy usually last?
It varies. Some kids come for a few months to work through a specific issue. Others benefit from longer-term support. We'll check in regularly and you'll always know where things stand.
How will I know it's working?
You'll see it — fewer meltdowns, better communication, more confidence, less avoidance. I also check in with parents regularly so we're all on the same page about progress and goals.
What's a Professional Counselor Associate?
A PCA is a master's-level therapist working toward full licensure under the supervision of a licensed clinician. I'm supervised by Alphonso Nunez, LMFT, which means you get fresh, evidence-based training backed by an experienced safety net.
Do you prescribe medication?
No. As a therapist, I don't prescribe medication. If I think medication might be helpful, I'll refer you to a psychiatrist or your pediatrician and we can coordinate care together.
Logistics & Payment
Do you accept insurance?
I'm a private-pay practice, which means I don't bill insurance directly. This gives us more flexibility — no required diagnoses, no session limits, and no insurance company deciding when therapy ends.
What are superbills?
A superbill is a detailed receipt I provide after each session. You can submit it to your insurance company for potential out-of-network reimbursement. Many families get a portion of the cost back this way.
Do you offer sliding scale?
Yes. I have a limited number of sliding scale spots available for families who need them. Just ask — there's no complicated application process.
What payment methods do you accept?
I accept credit cards, debit cards, and HSA/FSA cards. Payment is collected at the time of each session.
Do you offer telehealth?
Yes! I offer secure video sessions for anyone located in Oregon. It's a great option for busy families, kids who feel more comfortable at home, or anyone outside the Portland area.
Where is your office?
I'm located in Portland, OR. My office is designed to be warm and comfortable — not the sterile clinical vibe you might be imagining. Exact address provided when you book.
Confidentiality & Parents
What will you tell me about my child's sessions?
I'll share themes, progress, and any safety concerns. But I won't share every detail of what your child says — that trust is essential for therapy to work. We'll talk about what level of communication works for your family.
What are the rules around confidentiality?
Everything shared in therapy is confidential, with a few legal exceptions: if there's a risk of harm to self or others, suspected child abuse, or a court order. I'll explain all of this clearly before we start.
How involved should parents be?
Very! You're part of the team. I'll check in with you regularly, share strategies you can use at home, and make sure you feel informed and supported. The balance of parent involvement depends on your child's age and needs.
Still Have Questions?
Book a free consultation and ask me anything. That's what it's for.
Book Free ConsultationOr call (503) 309-3126 · totstoteenscounseling@gmail.com