A Clear First Step
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Begin with the practical questions. Learn what a free consultation is for, what a first session can cover, how private pay works, and how to prepare for telehealth in Maryland.
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Free Consultation
A free consultation is a brief first conversation about what brings you to therapy, what you are hoping will feel different, and whether working together feels like a good fit. You do not need a polished explanation or a complete history. Bring the questions that matter to you, and I will answer as plainly as I can. If you decide you would like to continue, we can talk about next steps. If not, there is no pressure to schedule. Booking is handled through Alma so you can choose an available time directly. You may also use the conversation to learn what telehealth feels like before sharing more of your story. I will explain the scope of my Maryland practice, answer practical questions, and be direct if another kind of support appears more appropriate. Clear information helps you choose from a grounded place.
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Your First Session
Your first session is a place to begin with what feels heaviest now. You do not need to organize your experience into the right order before we meet. I will ask questions, listen for patterns in your thoughts and in the way your days are unfolding, and help us choose a useful place to start. We will talk about what brought you in, what you want from therapy, and what support could look like. We will usually end with one small step you can try before we meet again. You may want to arrive a few minutes early, silence notifications, and keep water or a notebook nearby. These details are optional. What matters is having enough privacy to speak and being physically located in Maryland. The first session can begin even if you feel nervous or uncertain about where to start.
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Private Pay Therapy
Some women choose to pay privately because they want more choice in selecting a therapist, more say in the pace of the work, or fewer decisions shaped by a health plan’s rules. Private pay does not automatically make therapy better, and insurance can be an important resource. The useful question is which arrangement fits your circumstances and priorities. Ask about insurance and fees in your free consultation. I can explain the available options so you can make an informed decision without pressure. It may help to consider what you value most in the arrangement. Your list might include approach, connection, scheduling, privacy, or the ability to choose a therapist directly. No single priority is right for everyone. Naming yours can make a complicated decision more concrete and easier to discuss.
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Preparing for Telehealth
Preparing for telehealth can be simple: choose a private space, consider headphones, check that your internet connection is stable, and make sure you are physically located in Maryland during the session. A little preparation can reduce distractions and help you speak more freely. You do not need a perfect office or a carefully styled background. The goal is a setting where you can hear, be heard, and give the conversation your attention for the time we meet. If you share your space with children, family, or roommates, think ahead about sound and interruptions. A fan, sound machine, or headphones may add privacy when appropriate. Put a note on the door if that works in your household. Make the plan realistic for your environment rather than expecting complete silence. If privacy changes unexpectedly, tell me so we can pause and decide what is appropriate. Telehealth should still leave you in control of what you share and when you share it.
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