frequently asked questions

how old are your clients?

All of our therapists see adults (18+) and many see minors 6-17 years old with their parent or guardian's consent.

do you see any clients who aren’t lgbtq+?

Yes! All genders and sexualities are accepted here. Although most of our clients are LGBTQ+, we welcome straight and/or cisgender clients as long as they’re comfortable working with a queer therapist.

Do you accept insurance?

Yes, most of our therapists accept insurance, including Aetna, Cigna, Curative, and United (Optum). If you have insurance through another company, you may be eligible for out-of-network reimbursement. To verify, please call your insurance company or reach out to us for assistance. If you don’t have insurance or don’t want to use it, all our therapists accept self-pay as well (see below).

What are your fees?

Our session fees vary by therapist and by type of therapy (individual, couples, family, group). You can see each therapist’s standard fees at the bottom of their bio, and all of us offer sliding scale (lower fees) based on need. Our general standard fee ranges are below:

Individual therapy - $100-$150 per session

Couples/family therapy - $120-$200 per session

what is “vada”? How do you say it?

“Vada” comes from the name of the main character in My Girl and is pronounced VAY-duh. It’s also in the super-emo song The Tide by The Spill Canvas.

isn’t transgender therapy illegal in texas?

No. Despite continued attacks on trans healthcare, it is NOT illegal. The American Counseling Association, Texas Counseling Association, American Medical Association, American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Prevent Child Abuse America all support and recognize the importance of trans-affirming care, including therapy. We can and will provide the necessary, life-saving mental health services all trans, intersex, and non-binary people deserve. If you are under 18, please contact us to find out more about accessing safe, gender-affirming services.

do i need a letter for hrt?

Maybe. Hormone Replacement Therapy (HRT), also known as Gender Affirming Hormone Therapy (GAHT), is available in Texas using an informed consent treatment model. However, with recent attacks on transgender healthcare, some doctors and clinics are now asking for letters from a mental health professional before prescribing hormones to adults in Texas.

During the 2023 Texas Legislative Session, conservative lawmakers voted to ban gender-affirming HRT for trans minors. This bill was signed by the Governor and took effect September 1, 2023 and upheld by the Texas Supreme Court in June 2024.

If you are a trans minor seeking HRT, please contact us to discuss your options.

what do ALL THESE LETTERS MEAN: LPC, LMSW, LCSW, LMFT?

There are several different licenses therapists may have in Texas:

  • LPC: Licensed Professional Counselor

  • LMSW: Licensed Master Social Worker

  • LCSW: Licensed Clinical Social Worker

  • LMFT: Licensed Marriage and Family Therapist

  • “-S” at the end: The therapist has undergone training and been approved by the Board to supervise Associates

  • “Associate” at the end: The therapist has a Master’s degree and is in the process of earning the 3000 clinical hours necessary to become independently licensed

All licensed mental health therapists in Texas are bound to the rules and regulations of their State Board and the Texas Behavioral Health Executive Council. If you need to file a complaint against a mental health therapist in Texas, you can do so here.

do you prescribe anti-depressants or ketamine?

No. Only physicians, psychiatrists, or Psychiatric Mental Health Nurse Practitioners can prescribe psychiatric medication in Texas. If you are interested in trying medication, including ketamine, we can provide you referrals.

Note: Some of our clients take medication and some don't. We support your right to choose what's best for your health. We’re happy to discuss the risks and benefits of anti-depressants, anti-anxiety meds, ketamine, and other treatments so you can make an informed decision about what's best for you.

What is the no surprises act?

Under the No Surprises Act, clients have the right to receive a “Good Faith Estimate” explaining how much their medical care will cost. This means all healthcare providers are required to give an estimate of the bill to patients who don’t have insurance or are not using insurance.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call HHS at (800) 368-1019.