Yes. ATC provides telehealth services to clients who reside in Arizona, and you must be physically located in Arizona at the time of each session.

This is a requirement related to where I am licensed to provide professional counseling services.

Ascending Thoughts Counseling is currently a telehealth-only practice and does not offer in-person services. HIPAA-compliant telehealth services are available to adults across Arizona.

We’re saving up for that brick-and-mortar, y’all. 😉

You don’t have to have everything figured out before reaching out. You also don’t have to be in crisis or have a specific diagnosis to benefit from therapy.

Sometimes you simply know that something doesn’t feel right, you’re tired of carrying so much, or you want support making sense of where you are and what comes next. Therapy can be a space to explore those questions without pressure to have the “right” reason for being here.

If you’re unsure whether ATC is the right fit, that’s okay. The complimentary 15-minute consultation gives us a chance to talk about what you’re looking for, answer any questions you may have, and get a feel for whether working together makes sense.

The first step is a complimentary 15-minute consultation. This gives us an opportunity to briefly talk about what you're looking for, ask questions about therapy, and see whether ATC feels like a good fit for your needs. If we decide to move forward, we'll talk through next steps for scheduling your intake.

As part of the intake process, we’ll explore what you’re experiencing, your history, current concerns, and the factors that may be affecting your well-being. When clinically appropriate, a diagnosis will be established to support your treatment and care.

A diagnosis is one part of the clinical picture—it does not define who you are or tell the whole story of why you’re seeking therapy. At ATC, we consider the whole person, including your experiences, relationships, identity, environment, strengths, and goals.

If you choose to use out-of-network insurance benefits, a diagnosis may also be required by your insurance plan for reimbursement.

ATC does not use messaging as a substitute for therapy sessions. If you have questions about your treatment, want to talk through something in depth, or need clinical support, please schedule an appointment so we have the time and space to address it together.

You’re welcome to contact ATC for administrative needs, such as scheduling an appointment, making changes to an upcoming appointment, or questions about billing.

Please note that ATC is not a crisis intervention service. If you are experiencing a mental health crisis or need immediate support, please use 988, Arizona’s statewide crisis line, or emergency services as appropriate.

No. I do not prescribe medication or provide medication management services. As a licensed professional counselor, I am not a prescribing provider.

If medication is something you’re considering, I can support you in identifying appropriate options for medication management, such as a primary care provider, psychiatrist, or other qualified prescriber.

Individual therapy sessions are typically 50 minutes. The initial psychosocial intake is approximately 80 minutes. A complimentary 15-minute consultation is available before scheduling an intake.

It depends on what you need the letter for. Ascending Thoughts Counseling may provide a summary of services or treatment letter that confirms your participation in therapy and provides relevant factual information about your care.

These letters are intended to document the therapeutic relationship and services provided rather than offer an independent evaluation, diagnosis, or opinion about matters outside the scope of your treatment. ATC does not provide forensic evaluations or recommendations regarding legal matters such as custody, parenting time, or other proceedings that require an independent evaluator.

If you’re unsure whether the type of letter you need falls within the scope of services ATC provides, you’re welcome to ask during your consultation or discuss it with your therapist.

Ascending Thoughts Counseling is a private-pay, out-of-network practice and does not bill insurance directly.

If your insurance plan includes out-of-network mental health benefits, you can request reimbursement directly from your insurance provider using a superbill provided by ATC.

If you prefer less involvement with the claims process, ATC has partnered with Thrizer, which helps simplify out-of-network mental health care by managing claims on your behalf.

Coverage and reimbursement vary by insurance plan, so we encourage you to confirm your out-of-network benefits directly with your insurance provider.

Yes. ATC offers a limited number of reduced-fee therapy spots through a three-tier sliding scale: Liberation Sustainer, Liberation Partner, and Liberation Access. The scale is based on financial access and resource burden rather than requiring you to prove financial need. Availability is limited. This information can also be found on the Rates page.

ATC accepts HSA/FSA cards and major debit and credit cards.

If you need to cancel or reschedule an appointment, please provide at least 24 hours’ notice whenever possible. A $75 late cancellation/rescheduling or no-show fee applies when less than 24 hours’ notice is provided.

This policy helps protect appointment time so that it can be available to other clients who may need it.