Billing & Payments

Fees • Payments • Financial Policies

Billing & Payments

Graceful Self-Help Counseling

Clear information about psychotherapy and wellness coaching payments, psychotherapy fees, cancellation policies, receipts, and financial assistance.

Self-Pay Practice

Graceful Self-Help Counseling currently operates as a self-pay psychotherapy practice.

Graceful Self-Help Counseling does not currently bill insurance companies directly. Clients are responsible for payment according to the fees and financial policies agreed upon before or during the intake process.

Current Psychotherapy Rates

All fees listed on this page are in U.S. dollars (USD).

Individual Psychotherapy
$100 USD for approximately 50 minutes

Couples & Family Psychotherapy
$150 USD for approximately 50 minutes

Initial Consultation
FREE for up to 15 minutes

Sliding-scale and Community Care options may be available for qualifying clients depending on financial need and current availability.

View Rates & Financial Assistance

Payment Methods & Payment Due

Payment is generally due on the date services are provided unless another arrangement has been approved in advance. With prior written authorization, an agreed-upon charge may be processed on the appointment date, typically after the session, or within the following few business days.

Accepted payment methods may include:

  • Credit cards
  • Debit cards
  • Eligible HSA or FSA cards, when permitted by the client's plan administrator
  • Other approved electronic payment methods when available, including PayPal invoices when offered

Clients are responsible for confirming whether a particular payment method or health-benefit account may be used for psychotherapy services.

Card on File

Clients receiving paid psychotherapy or non-clinical wellness coaching services are generally asked to maintain a valid payment method securely on file with an approved payment processor, unless an alternative arrangement has been approved. This does not apply to no-cost services.

With the client's prior written payment authorization and according to the applicable financial agreement, the payment method on file may be used for:

  • Agreed psychotherapy or non-clinical wellness coaching session fees
  • Agreed extended-session charges
  • Late-cancellation fees
  • No-show fees
  • Other authorized outstanding balances

When payments are processed: With prior written authorization, Graceful Self-Help Counseling may manually charge the securely stored payment method on the day of an appointment, typically after the session is completed. Processing may occasionally take place within the following few business days. Charges will reflect the client's agreed-upon rate and applicable written financial policies.

Authorization and security: A signed payment authorization is required before charges are initiated to a card on file. Payment information is maintained through an approved secure payment processor. Please do not send card numbers through ordinary email or the public website contact form.

If a payment is declined: The client will be contacted to update their payment method or arrange prompt payment. Scheduling of future non-emergency appointments may be subject to resolution of the balance under the applicable written financial agreement. Clinical obligations and any applicable legal requirements continue to apply.

Participation in the Graceful Community Care Program is not automatically denied solely because an applicant does not have a credit or debit card.

PayPal Invoices & Alternative Arrangements

When an alternative payment arrangement has been approved, Graceful Self-Help Counseling may send a PayPal invoice showing the agreed-upon amount due. Clients can pay through the options available on their invoice. PayPal invoicing is an alternative to, rather than a replacement for, the usual authorized card-on-file billing process.

Clients with approved reduced fees or other individual arrangements are billed at their agreed-upon rates. Please use the payment instructions provided directly by the practice and do not include sensitive health information in payment messages.

Secure Client Portal

Established clients may receive access to Graceful Self-Help Counseling's secure Client Portal for available functions such as:

  • Completing intake and financial paperwork
  • Reviewing account or billing information
  • Receiving receipts or other practice documents
  • Managing available payment information
  • Accessing other secure client features when provided

Portal access information is provided directly to established clients when applicable.

Extended Session Charges

Standard psychotherapy sessions are approximately 50 minutes. A brief grace period of up to approximately five minutes may occur without an additional charge.

If a session reaches approximately 55 minutes and additional time is clinically appropriate, Christina's schedule permits, and the client agrees to continue, extended time may be billed in additional 15-minute increments.

Individual psychotherapy: $30 USD per additional 15-minute increment

Couples & family psychotherapy: $40 USD per additional 15-minute increment

Extended time is not guaranteed and will not automatically be added to a session.

Cancellation & No-Show Policy

Clients are asked to provide at least 24 hours' notice when canceling or rescheduling an appointment.

Late Cancellation

Appointments canceled with less than 24 hours' notice may be charged 50% of the scheduled session fee.

  • Individual psychotherapy: $50 USD
  • Couples/family psychotherapy: $75 USD

No-Show

A missed appointment without notice may be charged 100% of the scheduled session fee.

  • Individual psychotherapy: $100 USD
  • Couples/family psychotherapy: $150 USD

Graceful Self-Help Counseling may waive a late-cancellation or no-show fee in a genuine emergency or other exceptional circumstance at its discretion.

Late Arrival & 10-Minute Grace Period

Graceful Self-Help Counseling provides a grace period of up to **10 minutes** for clients to join their scheduled telehealth appointments. **Arriving Within 10 Minutes:** Clients who arrive late but within the grace period may still attend their session. The appointment will generally end at its originally scheduled time, and the full agreed-upon session fee will apply. **Not Arriving Within 10 Minutes:** If a client has not joined the appointment within 10 minutes of the scheduled start time and has not made an alternative arrangement with the provider, the appointment may be ended and classified as a no-show. **No-Show Charges:** Appointments classified as no-shows are subject to a charge of up to 100% of the agreed-upon scheduled session fee, consistent with the client's signed financial agreement. **Emergencies & Exceptional Circumstances:** Graceful Self-Help Counseling may waive a no-show fee or make an exception in cases of genuine emergencies, technical difficulties, or other exceptional circumstances at the provider's discretion.

If additional time is available, clinically appropriate, and agreed upon, extended-session charges may apply as described above.

Superbills & Possible Out-of-Network Reimbursement

Graceful Self-Help Counseling does not currently submit insurance claims directly.

When appropriate, Graceful Self-Help Counseling may be able to provide documentation or a superbill that a client may choose to submit to a private insurance company for consideration of possible out-of-network reimbursement.

A superbill may include information such as:

  • Provider information
  • Dates and types of services provided
  • Fees paid
  • Diagnostic information when clinically appropriate and required
Important Insurance Notice

A superbill does not guarantee reimbursement. Insurance companies establish their own rules regarding out-of-network benefits, eligible providers, associate-level clinicians, diagnoses, deductibles, reimbursement rates, and required documentation. Clients should contact their insurance plan directly before relying on possible reimbursement.

Financial Assistance

Graceful Self-Help Counseling is developing financial-assistance options intended to improve access to psychotherapy when possible.

Depending on eligibility and availability, these may include:

  • Reduced-fee or sliding-scale psychotherapy
  • The Graceful Community Care Program for limited pro bono (no-cost) psychotherapy openings

Financial-assistance availability is limited and is not guaranteed. Eligibility and continued participation may be reviewed periodically.

Good Faith Estimate

Individuals who are uninsured or who are not using insurance to pay for services may have rights under federal law to receive a Good Faith Estimate of expected charges for scheduled healthcare services.

Additional information about Graceful Self-Help Counseling's fees and Good Faith Estimates is available here:

Fees & Good Faith Estimate

Military, First Responders & Helping Professionals

Graceful Self-Help Counseling welcomes individuals working in helping and high-stress professions, including:

  • Military personnel and veterans
  • Law enforcement professionals
  • Firefighters and EMS personnel
  • Dispatch and corrections professionals
  • Healthcare professionals
  • Mental health and social service professionals
  • Educators and school staff
  • Caregivers and community helpers

The same current self-pay and financial-assistance policies apply unless another written arrangement has been approved.

Billing Questions?

Questions regarding fees, payments, receipts, superbills, or financial policies may be directed to Graceful Self-Help Counseling.

Contact Graceful Self-Help Counseling

Please do not include detailed clinical information or emergency information in the public website contact form.

Graceful Self-Help Counseling
Christina F. Reed, M.Ed., MPA
Marriage and Family Therapy Associate
Psychotherapy provided under clinical supervision.

Crisis & Emergency Notice

Graceful Self-Help Counseling does not provide emergency or crisis-response services through this website, standard email, public contact form, social media, or Client Portal. If you are experiencing an immediate emergency, believe you or someone else is in danger, or need urgent medical assistance, call 911 or go to the nearest emergency department. If you are experiencing a mental health or suicide-related crisis, call or text 988 for the Suicide & Crisis Lifeline.

© 2026 Graceful Self-Help Counseling. All rights reserved.