FAQs

Starting therapy, whether it's your first time or your first time with us, usually comes with questions. Reaching out for support means you're already doing something brave, and brave doesn't mean you're not also nervous, uncertain, or wondering if this is really going to help. This page exists to give you clear and practical answers, so you feel supported long before your first session.

Getting Started

  • You can schedule your first session through this page. Once your appointment request is in, one of our Client Care Coordinators (CCCs) will reach out to you. They’ll take the time to understand your therapy goals, what kind of counselor might be the best fit for you, and answer any questions you have about the process. 

    We offer counseling services 7 days a week, in person and online, with some providers seeing clients as early as 8 am or as late as 9 pm. In many cases we have same day or same week appointments, so you won’t have to wait. Help is on the way once you make the call.

  • No, you do not need a referral. Many clients find us through recommendations, therapy directories, or searches for Texas counseling services.

  • Your first session is about getting to know each other. Your therapist will start by briefly reviewing the intake paperwork you completed before the appointment, just so they have some context about what brings you in. After that, the session becomes a conversation. What's been happening in your life? What do you want to work on? What does support look like for you right now?

    Some therapists may offer simple coping tools or reflections during the first few sessions. Others may ask you to think about something between sessions — not homework in the punishing sense – but an invitation to notice patterns or sit with questions that came up. Most clients tell us that by the third or fourth session, they begin to feel more settled. 

    We don't expect you to have it all figured out when you walk in.

Insurance & Payment

  • Yes. Room for Change accepts most major insurance providers, including BlueCross BlueShield, United Healthcare, Cigna, Aetna, Oscar, Oxford, Lyra, Sana, Baylor Scott & White, Spring Health, Medicare, and Medicaid. Our team can guide you on how to confirm your benefits for insurance covered therapy, so you know what to expect before starting

  • We do not verify benefits on your behalf, but we can provide the exact questions to ask your insurance provider. This helps you confirm coverage quickly and clearly.

  • Counseling services range from $50–$150 per session depending on counselor type, location, and length of service. Student rates start at $50 per session.

    We want to build a practice where therapy is accessible to people from different financial situations. If you're a college student working part-time, or a single parent stretching every dollar, or someone whose insurance doesn't cover much, we want you to be able to get help here. Let your Client Care Coordinator know if cost is a concern. We'll work with you to find a therapist whose rate fits your budget.

  • Yes. Both HSA (Health Savings Account) and FSA (Flexible Spending Account) cards can be used to pay for therapy sessions.

Our Therapists & Approach

  • We provide individual therapy, couples therapy, family therapy, and teen therapy for adolescents ages 11 to 18. We also work with young adults navigating the transition into independence. Sessions are available in-person in Dallas and Houston, as well as through online therapy services anywhere in Texas. We also offer Terapia en Español for Spanish-speaking clients.

    Our services include:

    • Talk Therapy works through what's happening in your life, what's not working, what hurts, what you want to change.

    • LGBTQ+ Therapy is affirming and safe for queer, trans, nonbinary, and questioning folks. Our queer therapy approach means you won't have to explain or defend your existence here.

    • Specialized Trauma Therapy (EMDR) helps your brain process traumatic memories in a way that reduces their emotional charge. EMDR therapy is particularly effective for PTSD, childhood trauma, and sexual assault.

    • Couples Therapy addresses communication breakdowns, intimacy issues, betrayal, trust repair, and the erosion of connection. We work with married couples, dating couples, those doing premarital work, and couples considering separation.

    • Family Therapy addresses dynamics and patterns between people — conflict, ruptures, communication struggles — helping everyone feel heard.

    • Postpartum Therapy supports people navigating postpartum depression, anxiety, birth trauma, and the identity shifts that come with new parenthood.

    • Religious Deconstruction Therapy is for people questioning or leaving the religious beliefs they grew up with — wrestling with shame, fear, grief, and figuring out what spirituality looks like now.

    • Intensive Outpatient (I.O.P) refers to higher-level care with multiple sessions per week for acute mental health crises, substance use struggles, or when weekly therapy isn't enough.

    • Letters of Support provide documentation for emotional support animals, workplace accommodations, or academic accommodations.

    We support people experiencing trauma, anxiety, depression, relationship issues, identity questions, grief, substance use, self-harm, body image struggles, neurodivergence, and life transitions. If you're not sure what you need, that's okay. We'll help you figure it out.

  • Our team includes Licensed Counselors (LPCs, LPC-Supervisors, LMFTs, LCSWs), Licensed Counselor Associates (LPC-As) practicing under supervision, and Master's Students completing their training. Whether you're looking for a Garland therapist, Houston therapist, or DFW therapist, our Client Care Coordinators will help match you with the right clinician.

  • Many are, yes. But even more importantly, all of our clinicians are trained in culturally responsive, affirming care. You can request a therapist who matches your identity, your background, or your lived experience. Our Client Care Coordinators will listen to what matters to you and do their best to pair you with someone who gets it.

  • Yes, if requested. We can integrate spiritual or faith-based perspectives into therapy if that's meaningful to you. 

    We also — and this is just as important — support clients working through religious trauma or deconstruction. If the religion you grew up with has left you feeling shame, fear, or confusion about who you are, we're not going to dismiss that or tell you to just pray harder. We'll meet you in that tension, help you sort through what's worth keeping and what needs to be released, and walk with you as you figure out what faith (or lack of it) means for you now.

Locations & Telehealth

  • We provide in-person therapy at our offices in:

    • Dallas (Oak Lawn, South Garland, Central Garland, Firewheel)

    • Houston (East Houston and Central Houston)

    We also offer Texas telehealth services for your convenience. Whether you're searching for DFW counseling or Houston counseling, we have on-site locations and online therapy services to meet your needs.

  • Yes. Virtual counseling removes the barrier of commute time, gives you privacy if you're not ready to be seen walking into a therapy office, and lets you show up from wherever feels safe — your bedroom, your car during lunch break, your living room after the kids go to bed. 

  • Sessions happen through a secure video link that gets sent to you before your appointment. You just click the link at your session time and you're connected. 

    If you're worried about privacy — maybe you live with family or roommates — find a quiet space, use headphones, and let people know you need 1 hour uninterrupted.

During Therapy

  • Most clients start with weekly sessions. There's a reason for that: therapy builds momentum. When you're coming every week, you're staying connected to the work, patterns become clearer, and change happens faster. You're not spending half the session catching your therapist up on three weeks' worth of life events.

    As you make progress — and you will — you and your therapist can adjust. Some people move to biweekly sessions. Others come monthly for maintenance. Some take a break and come back when life throws something new at them.

  • It varies. Some clients feel relief in a few months, while others continue longer based on their goals and life circumstances. Your therapist will check in regularly to help you stay aligned with what you want from therapy.

  • You can always reach out to us. Our Client Care Coordinators can help you transition to another therapist who may be a better match.

  • Yes, if it supports your goals. Some clients start in individual therapy and realize they need to bring their partner into work through relationship dynamics. Others begin with family sessions to address conflict or communication breakdowns. Your therapist can include partners or family members in your existing sessions, or help you transition into couples therapy or family therapy as a separate track.

    Therapy doesn't have to be one isolated person in a room forever. Sometimes healing happens best when the people in your life are part of the process.

After Therapy

  • Many clients choose to "graduate" once they've reached their goals. They feel equipped, clearer, more stable. They know they've done the work they came to do. Others schedule maintenance sessions, checking in every month or every few months just to stay grounded and catch things before they spiral.

    Therapy doesn't end with some dramatic closure moment where you walk out transformed and never look back. Life is messier than that. You might finish therapy, do great for a year, and then something shifts — a breakup, a job loss, a family crisis — and you need support again. That's not failure. That's being human.

    You can always come back. Your therapist will still be here (or if they're not, we'll connect you with someone new). There's no shame in returning. In fact, we think it's a sign of self-awareness and strength to know when you need help again.

  • Yes. Life evolves, and your therapy can too. We’ll help you transition smoothly to the right type of counseling when your needs shift.

  • Of course. We can provide attendance verification, letters of support for emotional support animals (ESA), documentation for workplace or academic accommodations, or other paperwork as appropriate. Just let your therapist or our administrative team know what you need and we'll work with you to get it done.

  • Absolutely. Your privacy is protected by law (HIPAA) and our ethical standards as licensed mental health professionals. We never share your information with anyone without your explicit written consent.

    The only exceptions are specific safety-related situations: if you're at risk of harming yourself or someone else, if there's suspected abuse of a child or vulnerable adult, or if we're legally required to disclose information by a court order. These situations are rare, and they're outlined clearly in the intake paperwork you sign before starting therapy. If we ever need to break confidentiality for safety reasons, we'll talk with you about it first whenever possible.

Still Have Questions?

Our team is happy to help you navigate anything we didn’t cover here, from insurance details to finding the right counselor for your needs.

You deserve a therapist who truly sees you. Let’s start that conversation.

Book a Session