FAQs

Fees for Therapy

What should you know about therapy fees at Rooted Paths Counseling?

Therapy sessions typically range from $100–$145. If your insurance plan includes coverage and you’re seeing an in-network therapist, it may pay for part or most of your cost. Your first session, also called an intake or assessment, costs more because it includes extra time for evaluation and planning. If you need to cancel or reschedule, please give 24 hours’ notice.

Do you offer sliding scale fees for therapy?

Yes, we reserve a portion of our practice for sliding scale clients who may need financial assistance.

Can therapy fees be covered by insurance?

Yes, if your insurance plan includes therapy coverage and we are in-network, your plan may cover part or most of the cost. Please check with your provider for details.

Are there additional costs for the first therapy session?

Yes, the first session, called an assessment or intake, may cost more due to the additional time needed for evaluation and planning.

What is a Good Faith Estimate for therapy costs?

A Good Faith Estimate provides a clear projection of your treatment costs upfront, ensuring transparency for self-pay clients.

Therapy Experience

Do I Need Prior Therapy Experience To Begin?

Not at all. You’re welcome to start wherever you are, and sessions move at a pace that feels comfortable for you.

How Long Is a Session?

Sessions typically last around 53–60 minutes, allowing enough time for thoughtful and meaningful conversation.

Are therapy sessions confidential?

Yes, your privacy is our priority. All sessions are conducted in a safe, confidential environment where you can feel secure sharing your thoughts.

How Often Should I Attend Sessions?

For the first 8-12 sessions, we almost always meet weekly, this is to establish a sense of rapport and trust, a better sense of getting to know each other, your child, or your teen.   The frequency of therapy varies based on the phase of treatment, financial and logistical needs of the client, the need for more or less support, and the modality being used.  Certain types of therapy require weekly sessions because of their need for consistency. 

After a time (somewhere between 4-12 sessions), we may taper off to every other week, or month,y or as needed, based on your, your child's, or your teen's needs and goals.  Be sure to go over these thoughts with your therapist. Sometimes, we may want to end therapy prematurely, before moving into the phase of treatment. 

If you are paying out-of-pocket or using out-of-network benefits, we provide Superbills to assist with insurance reimbursement. Furthermore, under the No Surprises Act, all self-pay clients are entitled to a Good Faith Estimate. This provides you with a clear projection of your treatment costs upfront so you can plan your budget with confidence. 

Note on Accessibility: Although we are unable to accept Medicaid, TennCare, or Medicare at this time, we do reserve a portion of our practice for sliding scale clients who may need financial assistance.

How Long Will I Be In Therapy?

The General Roadmap: 

The Assessment Phase (1-3 Weeks) 

The first few sessions are about "information gathering." We look at the history, identify triggers, and—most importantly—build a relationship of trust. By the end of this phase, we will have a clear Treatment Plan with specific goals.

The Implementation Phase (3-6 months) 

This is where the "heavy lifting" happens.

  • For Parent Coaching: We are actively testing strategies at home and refining them.

  • For Children/Teens: We are building emotional regulation skills and practicing them in real-time.

  • For PCIT/CPP: These evidence-based models typically show significant shifts within 12 to 20 sessions when practiced consistently

The Maintenance & Advocacy Phase (Monthly or As-Needed) 

Once the "Big Behaviors" have settled or the crisis has passed, many families move to a "check-in" model. We might meet once a month to ensure the school advocacy (IEPs) is staying on track or to navigate a new developmental milestone, or to navigate other concerns that you have brought to therapy. 

Every person's treatment is different, depending on their struggles and their goals. This is an average, but some can take longer. We are here to walk with you through the journey of healing. 

How Do I Get Started?

You can begin by scheduling a consultation to explore your needs and see if working together feels like the right fit.

What should we expect during the first therapy session?

The first session is a gentle starting point. We’ll talk about what’s bringing you in, learn a bit about your family or teen’s history, and begin setting clear goals together. There’s no pressure to have everything figured out before you arrive.

Therapy Services

Do you specialize in therapy for children and teens?

Yes, we specialize in supporting the emotional wellness of children, teens, and their families, tailoring our approach to meet their unique needs.

What is Parent-Child Interaction Therapy (PCIT) about?

Parent-Child Interaction Therapy (PCIT) is an evidence-based approach that strengthens the parent-child bond and helps improve interaction patterns for a healthier relationship.

Can I schedule an online therapy session?

Yes, we offer online therapy sessions to provide flexibility while maintaining a supportive and private space.

What types of therapy services do you offer?

We offer a range of therapy services including individual therapy, family therapy, and specialized approaches like Cognitive-Behavioral Therapy (CBT) and mindfulness techniques.

Can I access therapy sessions online?

Yes, we offer online therapy sessions to provide you with flexibility and a private, supportive space to focus on your well-being.

What concerns do you commonly help children, teens, and parents with?

We often work with big behaviors, teen transitions, anxiety, social pressure, depression, family stress, and parental burnout. If your home has been feeling heavy or hard to manage, we can work together toward steadier ground.

Do you offer in-person therapy in Johnson City as well as virtual sessions?

Yes. We offer in-person therapy in Johnson City and secure virtual sessions for added flexibility. You can choose the format that best fits your family’s needs and comfort level.

Do you help with school concerns or IEP advocacy?

Yes. We can support families who are navigating school stress, emotional regulation challenges, and IEP-related concerns. Our role is to help you feel more grounded and prepared as you advocate for your child’s needs.

Can parents or caregivers be involved in therapy sessions?

Yes. For children and teens, caregiver involvement is often an important part of the process. We may include parent check-ins, family sessions, or coaching so you feel supported and know how to help at home.