Frequently Asked Questions About Therapy At Vita Counseling Center

What to Expect Before Getting Started

Clear practical details help the work feel less murky from the start. This section walks through the structure of the practice, including sessions, fees, scheduling, and what the next steps usually look like.

If something is still unanswered, we can talk through it during a consultation call.

Blue watercolor flower blooming, beginning therapy and next steps at Vita Counseling Center San Antonio Texas

How We Work Together

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The Initial Connection

The first step is a complimentary 20-minute phone consultation. We'll talk about what's bringing you in, you can ask whatever you want to know, and we'll get a sense of whether we're a good fit.

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Getting Started

If we decide to move forward together, I'll send intake documents through a HIPAA-compliant portal. Everything is completed online, no printing, no scanning.

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The Work Begins

Your intake forms help shape our first session. This is where we get a clear picture of what you're carrying and what you want from the work. From there, the work is built around you.

Horse standing in open grass with moon overhead, grounded exploration in trauma therapy San Antonio Texas

A Pace Your Nervous System Can Use

The work moves at the pace your nervous system can actually use.

It isn't rushed and isn't indefinite.

That matters in trauma and attachment work, where too much too quickly can create more strain instead of more movement.

Fit matters. Sometimes that's clear on the consultation call. Sometimes it takes a session or two. Either way, we pay attention to it.

Your goals won't be fixed. Life keeps moving, and the work stays responsive to that. We aren’t working toward a static endpoint, but toward a more integrated, fluid way of being.

Frequently Asked Questions About Fees & Insurance

  • The initial consultation is complimentary.

    Individual sessions are $185, or your in-network copay, coinsurance, and/or deductible.

    Sessions are 50 minutes.

  • I'm in network with Aetna and United Healthcare/Optum. Check with your carrier to confirm I'm in network with your specific plan.

  • While I am an out-of-network provider for most plans, I provide monthly superbills for reimbursement. You can check your specific out-of-network benefits using the benefits check tool to see what your plan reimburses.

    For self-pay clients, I handle billing directly. For clients using in-network benefits, I work with a third-party billing company.

    Most carriers reimburse between 30% and 70% of session costs.

    When confirming in-network or out-of-network benefits directly with your insurance, useful questions to ask your carrier include:

    • Do I have out-of-network behavioral health benefits?

    • How do I request reimbursement?

    • How many sessions does my plan cover per year?

    • What CPT codes are covered?

    • Is telehealth covered?

lightbulb with flower in it, Rebecca Flores of Vita Counseling Center in San Antonio

Other Frequently Asked Questions About Therapy at Vita Counseling Center

  • We meet weekly at the start of therapy to build the consistency this work needs. Most of the work happens at this pace.

    As you move toward the later phase, we shift to biweekly sessions for the final month so the changes have time to settle, you can see how they hold in daily life, and we can close the work well.

  • This work moves at the pace of your nervous system, your life, and the complexity of what you're carrying. Some work is brief and focused. Other work takes longer, especially when trauma, attachment wounds, grief, or long-standing relational patterns are involved.

    We stay in the work as long as it's useful. As what brought you to therapy begins to feel less in charge of your life, we'll talk about ending well.

    The goal isn’t therapy forever. The goal is enough capacity, clarity, and steadiness that you feel more able to carry your life forward as your own.

  • I work with women in-person at my San Antonio office and offer online therapy for women in San Antonio and Austin.

    EMDR, Brainspotting, and hypnotherapy are offered in both formats.

    Many women find that being in their own space supports deeper somatic work. When the extra logistics of commuting and waiting rooms are removed, the nervous system often has a little more room to settle.

    Online sessions use a HIPAA-compliant platform. You'll receive a private link before each session.

  • It can be. EMDR, Brainspotting, and clinical hypnosis all translate well to online work when the work is paced thoughtfully and you have a private, comfortable space for sessions.

    The relational nature of attachment work doesn't depend on physical proximity. What matters is the consistency, attunement, and trust in the therapy relationship itself. Telehealth can hold all of that.

    In person, the office is set up to support nervous system work. Online, your own space can do the same when set up thoughtfully.

    The work itself doesn't change based on format.

  • Billing is handled through the practice EHR, SimplePractice. All major credit cards, as well as HSA and FSA cards, are accepted and kept on file. Payment is processed at the time of each session.

If you’re ready to see what the work looks like for you, reach out for a consultation.