What is individual therapy?

Individual therapy (also called psychotherapy or counseling) is a one-on-one process between a client and a trained therapist. It provides a safe, confidential space to explore thoughts, feelings, behaviors, and life challenges.

What is the cost of therapy?

The first session is $200 and $150 per session after. Payment is due in full at the beginning of the session.

Do you take insurance?

Currently, By Design Behavioral Health, PLLC does not accept payment from any health insurance. We are considered out-of-network for every health insurance provider.  We are happy to provide you with a receipt of services which you can submit to your insurance agency. Reimbursement will depend on your out-of-network benefits. By Design Behavioral Health, PLLC does not submit claims on your behalf. Each client is responsible for submitting out-of-network claims to their insurance if they choose to do so.  By Design Behavioral Health, PLLC does not guarantee any reimbursement. The only way to guarantee reimbursement is to use an in-network provider through your health insurance. By Design Behavioral Health, PLLC does accept payments from health savings accounts.

What issues can therapy help with?

• Relationship or family issues
• Anxiety and depression
• Stress and burnout
• Relationship or family issues
• Grief and loss
• Self-esteem and identity
• Life transitions (e.g., career changes, breakups)
• Trauma and PTSD
• Personal growth and goal setting

How can therapy help me?

There are too many benefits of participating in therapy to list!  Therapists can provide support, problem-solving skills, and coping strategies for a wide range of issues. Therapists, being objective, can provide a different or fresh perspective on a problem that you have been struggling with. The benefits of therapy depend on your commitment and level of readiness. Some benefits can include, boosting self-confidence or improving self-esteem, improving
communication skills, learning/finding new coping skills, attaining a better understanding of yourself, changing old patterns and developing new ones, or managing your emotional feelings such as sadness, anger or other highly charged emotions you may be feeling.

Will going to therapy change who I am?

Therapy isn’t about changing who you are—it’s about helping you better understand yourself, work through challenges, and grow in ways that feel true to you. The goal is not to make you into someone else, but to support you in becoming the healthiest, most authentic version of yourself. Through therapy, many people gain insight, improve relationships, build coping skills, and make meaningful changes in how they think, feel, and live. You’re still you—just with more tools, clarity, and confidence.

What happens in a therapy session?

Each session typically lasts 53 minutes unless otherwise specified. In the first session, your therapist will ask questions to understand your background, current concerns, and goals. Future sessions may include:

• Talking through experiences and emotions
• Identifying patterns in thinking or behavior
• Learning coping tools and strategies
• Setting goals and tracking progress

How often will I need therapy?

Therapy frequency varies based on your needs. Many clients start with weekly sessions and adjust over time. You and your therapist will discuss what schedule works best for you.

Is therapy confidential?

Yes. What you share in therapy is private and confidential, with a few legal exceptions (e.g., safety concerns, mandated reporting). Your therapist will explain confidentiality in detail during the first session.

How long does therapy take?

The duration depends on your goals and situation. Some people attend therapy for a few months; others may continue longer for deeper or ongoing support. You are free to pause or end therapy at any time.

How do I prepare for therapy?

There’s no special preparation needed. Just bring yourself and an openness to talk. You might find it helpful to think about what you want to focus on or any questions you’d like to ask your therapist.

How do I get started?

To begin, contact us to schedule an initial consultation. This first meeting will help us understand your needs and decide if we’re a good fit.

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By Design Behavioral Health, PLLC is not a crisis facility and does not provide emergency services. If you or someone you know is experiencing a mental health crisis, please call or text 988 at any time to be connected to a trained crisis counselor. If you’re looking to find an incredible therapist for ongoing proactive mental health care, please email: info@bydesignbh.com or text/call 469-807-8077 to get connected.