Questions, answered honestly.

You schedule a 15-minute call through the contact page. Katie (or whichever clinician is the right match) will get on a brief video or phone call, ask what brings you in, and tell you honestly whether we're a good fit.

No paperwork, no intake form, no card on file. If we're not the right practice for what you're carrying, we'll tell you and try to point you somewhere better.

No. "I just feel off and I'm not sure why" is a completely fine reason to book a consult. So is "I've been crying in my car after work for three weeks." So is "my partner thinks I should talk to someone."

Figuring out what's actually going on is part of the work.

About half our clients haven't. The consult is partly so you can ask any logistical questions ("what's telehealth like? how do I pay? what happens if I cancel?") before you commit to anything.

Right now we're booking initial sessions for early June 2026. The consult itself is usually within 3–5 business days of you reaching out. If you need to be seen sooner, mention it in your message and we'll do our best.

Currently in-network with Aetna, Cigna, BCBS, United / Optum, Anthem, and Humana. We're also credentialed with TRICARE for active-duty military and CHAMPVA for veterans' families.

If you have a different plan, the consult is still free — we'll check your out-of-network benefits with you and lay out what self-pay would look like.

Two options:

• Out-of-network reimbursement: Many PPO plans cover 50–80% of out-of-network therapy. We'll provide a superbill you submit to your insurer.
• HSA / FSA: Therapy is a qualified medical expense and you can pay with HSA/FSA funds.

$140 per 50-minute session. That's the rate, full stop. No platform fees, no membership tiers, no surprise upcharges. Sliding scale is available case-by-case for clients with documented financial need.

If you're using insurance, your copay or coinsurance depends on your plan. We'll verify your benefits before your first session and tell you in writing what you can expect to pay.

If your deductible isn't met, you may pay the full negotiated rate (typically $80–$130) until it is. We don't hide this.

Yes. If you're in-network, we handle claim submission, follow-up, and reconciliation. You only see your portion. We don't bill you retroactively if a claim is denied without telling you first.

Yes — all sessions are telehealth through a HIPAA-compliant video platform. You'll need a private space, a stable internet connection, and 50 minutes.

If telehealth doesn't work for you (no private space, poor connection, dissociative concerns), we'll talk about whether we're the right practice or refer you to in-person care.

Standard sessions are 50 minutes, weekly. Some clients move to every-other-week after the first 2–3 months. EMDR sessions can run 75 or 90 minutes if needed; we'll discuss this before scheduling.

Katie is trained in EMDR (Eye Movement Desensitization and Reprocessing), which is evidence-based for trauma, PTSD, and grief. She also draws from CBT, IFS (parts work), and somatic approaches depending on what fits.

What we don't do: pretend one modality is right for everyone.

EMDR uses bilateral stimulation (eye movements or tapping) while you focus on a difficult memory. It sounds odd. It works.

It's a structured 8-phase protocol developed in the 1980s, validated in dozens of clinical trials, and recommended by the WHO and APA for PTSD. Most clients see significant relief within 6–12 sessions of active processing — though we always do prep work first.

24 hours notice, no charge. Same-day cancellations or no-shows are billed at the full self-pay rate ($140) because that time was held for you. Insurance does not reimburse for missed sessions.

No — therapists don't prescribe. If medication is something you want to explore, we'll coordinate with your primary care provider or refer you to a psychiatrist or psychiatric nurse practitioner in your state.

Yes. Katie has written Nexus letters for veterans seeking service connection or rating increases, including for PTSD, MST, and secondary mental health conditions.

A Nexus letter is a clinical opinion linking a current condition to military service. We don't write one after a single intake. A typical Nexus engagement is 4–6 sessions over 6–8 weeks: assessment, history-taking, records review, and then the letter itself.

Yes. We're credentialed with CHAMPVA and have worked with several veteran families through it.

We are not currently a VA Community Care Network (CCN) provider, but we're in the credentialing process. If you have a CCN authorization, contact us and we'll let you know our timeline.

Therapy itself doesn't increase your rating — your underlying condition and documented impairment do. But a clinical relationship with documented treatment notes, alongside a well-written Nexus letter, is often part of what supports a rating increase.

We've helped clients move from 70% to 100% P&T. We don't guarantee outcomes, but we know what good clinical documentation looks like.

Currently looking for fully licensed LCSW, LPC, LMFT, or PsyD/PhD clinicians with at least 2 years post-license experience. We're especially interested in clinicians licensed in states where we're expanding (CA, NY, GA) or with EMDR / IFS / trauma training.

Splits are transparent and discussed before you sign. Twice-monthly direct deposit. No clawbacks if insurance denies. We don't change the split after the fact, and we don't pay below the licensed-clinician floor for any covered session.

The specifics depend on your license type, caseload preference, and whether you bring your own clients. We'll walk through it on a call — happy to put numbers in writing once we've met.

We handle: credentialing, billing, claim follow-up, EHR licensing, malpractice tail coverage, HIPAA training, intake routing, and scheduling support.

You handle: the clinical work. Session notes within 72 hours. Showing up to a weekly clinical consultation. Treating clients and colleagues well.

Yes. All clinicians work remotely. You don't need to be in Houston or Texas — you need to be licensed in at least one state where we hold a license, and willing to maintain your CEUs.

Yes, with two conditions: (1) no poaching of Flow clients, and (2) no direct competing telehealth platform engagement (Grow, Talkspace, BetterHelp, etc.). Private practice, group practice, in-person work, supervisory roles — all fine.

Your clinician writes them. Our billing team sees the minimum necessary for claim submission (diagnosis code, date, CPT code). Your notes don't go anywhere else.

We don't share notes with employers, family members, or other providers without your written authorization — except in the narrow circumstances HIPAA requires (court order, mandatory reporting of imminent harm or abuse of a protected person).

No. Your sessions, transcripts, and notes are not used to train any AI model — ours or anyone else's. We don't sell anonymized data either.

Yes. You have the right to access your records under HIPAA. Email us and we'll provide them within 30 days at no cost. See our Privacy Notice for details.

Medical records have legal retention requirements (typically 7 years post-last-session, longer for minors). We can't delete records during that window, but you can request a copy and we can flag the file. After the retention period, records are securely destroyed.