Questions about therapy?
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Starting therapy or starting with a new therapist raises a lot of questions.
Here are the ones I hear most often, answered honestly.

Therapy FAQs | IFS Therapy in Maryland & Virginia | Kiara Hartwell Opara

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Getting Started · Working Together · IFS Therapy · Rates & Insurance · Logistics

topics

still have questions?

Are you currently accepting new clients?

getting started

Yes, I am currently accepting new clients for individual therapy in Maryland and Virginia. The best way to get started is to book a free 15-minute consultation through the contact form. I'll be in touch with you shortly.

What happens during the free consultation?

The free 15-minute consultation is a low-pressure conversation. There's no commitment or obligation. We'll talk a little about what's bringing you to therapy, I'll share more about how I work, and we'll both get a sense of whether this feels like a good fit. If it doesn't feel right, I'm happy to point you toward someone who might be a better match.

Do I need to have a specific issue to start therapy?

Not at all. Many of my clients come to therapy feeling like something is off, having a general heaviness, a sense of disconnection, or the feeling that success should feel better than this. You don't need a diagnosis or a crisis to benefit from this work. You just need to be curious about yourself and open to the process.

How long does therapy typically last?

working together

This varies significantly depending on what you're working through and what your goals are. Some clients do focused work over 6–12 months; others engage in longer-term therapy. I don't believe in keeping clients in therapy longer than they need. As you build internal resources and your relationship with yourself deepens, we'll regularly assess where you are and what makes sense next.

How often will we meet?

Most clients meet weekly, especially at the beginning of therapy. This consistency creates the kind of momentum and safety that allows deeper work to happen. Once you've built a strong foundation, we may shift to biweekly or monthly sessions. 

Do you offer IFS Intensives as an alternative to weekly therapy?

Yes. IFS Intensives are half-day or full-day immersive sessions designed for people who want to do concentrated, deep work — either as an alternative to weekly therapy or alongside it. They're particularly useful if you're facing a specific issue, a life transition, or you want to accelerate your progress. Learn more on the IFS Intensives page.

What is IFS therapy, and is it evidence-based?

ifs therapy

Yes. IFS Intensives are half-day or full-day immersive sessions designed for people who want to do concentrated, deep work — either as an alternative to weekly therapy or alongside it. They're particularly useful if you're facing a specific issue, a life transition, or you want to accelerate your progress. Learn more on the IFS Intensives page.

Do I have to have trauma to benefit from IFS?

No. While IFS is highly effective for trauma, it's a comprehensive model that applies to anyone. It's especially powerful for high-achievers who want to understand their inner patterns — perfectionism, overthinking, over-functioning, people-pleasing — regardless of whether those patterns are rooted in big-T trauma.

What are your rates?

rates and insurance

Individual therapy sessions are $275 per 55-minute session. A Good Faith Estimate is provided to all clients before services begin. Please visit the Rates & Insurance page for full detail

Do you accept insurance?

I am in network with BCBS and I am an out-of-network provider with all other insurance companies. I will only bill to BCBS and I do not bill to other insurance companies. However, many clients who are not in network with BCBS are able to use their out-of-network mental health benefits for reimbursement. I can provide a superbill, which is a detailed receipt that you can submit to your insurance company. I recommend calling your insurance before we begin to ask about your out-of-network benefits for outpatient mental health services.

Do you offer a sliding scale?

I have a limited number of sliding scale spots available. Please mention this during your consultation and we can discuss whether there's availability and what that would look like.

Are sessions in person or virtual?

logistics

All sessions are conducted virtually via a secure, HIPAA-compliant telehealth platform. I work with clients throughout Maryland and Virginia. Virtual therapy offers the same quality of care as in-person sessions — with the added flexibility of attending from wherever you're most comfortable, within Maryland and Virginia.

What states are you licensed in?

I am licensed as a Clinical Professional Counselor in Maryland (LCPC) and as a Professional Counselor in Virginia (LPC). I am only able to see clients who are physically located in Maryland or Virginia at the time of our sessions. If you do not live in Maryland or Virginia, please visit my coaching website, where I can work with folks worldwide.
www.thoughtfullyelevating.com

What is your cancellation policy?

I ask for at least 24 hours notice for cancellations or rescheduling. Sessions cancelled with less than 24 hours notice will incur a late cancellation fee of $125. This policy is in place to respect both your time and mine, and to protect the continuity of your care. The full cancellation policy is outlined in the intake paperwork.

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