FAQ

Questions Are Welcome.

Beginning therapy often comes with questions. We've gathered answers to many of the ones we hear most often to help you feel more informed and more comfortable before getting started.

Getting Started

Beginning Therapy

These are some of the most common questions we hear from people considering therapy for the first time, or returning to it after time away.

How do I know if therapy is right for me?
You don't need a crisis to benefit from therapy. Many people begin simply because something feels harder than it should, a relationship feels stuck, or they'd like to understand themselves more fully. If you're asking the question, that's often reason enough to explore it further.
How do I choose the right therapist?
Fit matters as much as credentials. A consultation is a good way to get a sense of how a therapist listens, whether their approach makes sense to you, and whether you feel comfortable being honest with them.
What happens during the first appointment?
The first appointment focuses on getting to know one another, understanding what brings you to therapy, and beginning to explore your goals. You are not expected to explain everything in one sitting.
What if I've never been to therapy before?
That's completely fine. Your therapist will walk you through what to expect and help the process feel less unfamiliar as you go.
Do I need to have everything figured out before I start?
No. Many people start therapy without a clear sense of what's wrong, only a sense that something feels off. Clarifying that is often part of the work itself.
How soon can I schedule?
Availability varies, but we aim to respond promptly to inquiries and get you scheduled for a consultation as soon as reasonably possible.
Can I switch therapists later?
Yes. If it becomes clear that a different clinician on our team might be a better fit, that's a conversation we're glad to have.
Online Therapy

How Telehealth Works

Since we offer therapy exclusively by telehealth, these questions come up often.

Is online therapy effective?
Yes. Research and clinical experience both support telehealth as an effective format for many types of therapy, including trauma-focused approaches like EMDR.
Do I need to live in California?
Yes, generally. Licensing laws require clients to be physically located in a state where the therapist is licensed at the time of each session, which for this practice means California.
What technology do I need?
A private space, a stable internet connection, and a computer, tablet, or smartphone with a camera and microphone are typically all that's needed.
Can I attend from work?
As long as you have privacy and won't be interrupted, attending from work can work well for some people's schedules.
Can I attend from my car?
Some clients do attend sessions from a parked car when it's the most private option available, though a quiet indoor space is generally preferable when possible.
What if my internet disconnects?
Occasional disconnections happen. Your therapist will typically attempt to reconnect or may call you to continue the session by phone if needed.
Is online therapy HIPAA compliant?
Yes. We use a HIPAA-compliant platform designed specifically to protect the privacy and security of telehealth sessions.
Therapy Process

What Therapy Is Actually Like

Questions about pacing, structure, and what progress really looks like.

How often should I come?
Many clients begin with weekly sessions, then adjust frequency over time based on their goals and how treatment is progressing.
How long does therapy usually last?
There's no fixed timeline. Some people attend therapy for a specific season of life, while others continue longer term, depending on their goals.
Will therapy make me feel worse before I feel better?
Sometimes therapy temporarily increases awareness of difficult emotions that had been set aside for a while. This doesn't necessarily mean something is going wrong. Healing is rarely a straight line.
How do I know therapy is working?
Progress often shows up as small shifts, like recognizing a pattern sooner or recovering more quickly after conflict, rather than one dramatic turning point.
Can therapy help if I don't know what's wrong?
Yes. Naming exactly what's wrong is often something that becomes clearer through the process itself, not a prerequisite for starting.
Do you give homework?
Sometimes, depending on your goals and the approach being used. It's never assigned as a formality, only when it genuinely supports your progress.
What if I don't know what to talk about?
That's alright. Your therapist will help guide the conversation rather than expecting you to arrive with an agenda every time.
Can I cry in therapy?
Yes. Emotion of any kind is a normal and welcome part of the process, not something to manage or apologize for.
Couples Therapy

Working On Relationships Together

Common questions from couples considering therapy together.

Should we come together or individually first?
This depends on your situation and goals. Many couples begin together, though this can be discussed during a consultation to determine the best starting point.
What if my partner doesn't want therapy?
Individual therapy can still be valuable even if your partner isn't ready to join. Sometimes one partner's changes shift the relationship's dynamic in meaningful ways.
Do you keep secrets between partners?
Confidentiality practices in couples therapy vary by therapist and are discussed explicitly at the start of treatment so both partners understand how information is handled.
Can you help after infidelity?
Yes. We work with couples navigating betrayal and infidelity recovery, helping both partners process what happened and decide how to move forward.
Can therapy help if we're considering divorce?
Yes. Couples therapy can help you gain clarity either way, whether that means rebuilding the relationship or navigating a separation with more understanding and less conflict.
Do both partners have to want change?
It helps, but it's not strictly required to begin. Sometimes willingness grows once a partner sees the process is collaborative rather than accusatory.
Trauma & EMDR

Processing Difficult Experiences

Questions about trauma treatment and how EMDR works.

What is trauma?
Trauma refers to experiences that overwhelm a person's ability to cope, leaving a lasting impact on the nervous system. It can stem from a single event or from cumulative, ongoing experiences.
Do I have to talk about every detail?
No. Effective trauma treatment, including EMDR, does not require you to narrate every detail of what happened in order to help.
What is EMDR?
EMDR, or Eye Movement Desensitization and Reprocessing, is a structured therapy approach that helps the brain process distressing memories so they carry less emotional intensity.
Is EMDR hypnosis?
No. EMDR is not hypnosis. You remain fully aware and in control throughout the process.
How do I know if EMDR is right for me?
This is best determined together with your therapist based on your history and goals, often during your initial evaluation.
Can EMDR make things worse?
EMDR is well-researched and generally well-tolerated, though some sessions can feel emotionally intense in the moment. Your therapist paces the work to match your capacity.
How long does trauma therapy take?
This varies significantly by person and history. Some people notice meaningful shifts within months, while more complex or long-standing trauma may take longer.
Fees & Insurance

The Practical Side

For a deeper look at this topic, visit our full Fees & Insurance page. Here are the questions we hear most.

Do you accept insurance?
Please contact us directly to confirm current insurance participation, as this can change over time.
Can I use out-of-network benefits?
Many clients use out-of-network benefits by submitting a superbill to their insurance company for possible reimbursement, which varies by plan.
Why are therapy sessions different lengths?
Different session lengths match different clinical needs, from focused follow-up sessions to longer sessions for deeper trauma or relationship work.
Why does therapy cost what it does?
The fee reflects more than the face-to-face session time. Quality care typically involves documentation, treatment planning, and preparation beyond the scheduled appointment.
Can I use my HSA or FSA?
Many clients are able to use HSA or FSA funds for therapy. We recommend confirming eligibility with your plan administrator.
Do you offer a free consultation?
Yes. We offer a complimentary 15-minute consultation to discuss what brings you to therapy and determine whether it feels like a good fit.
What is your cancellation policy?
Please contact us directly for our current cancellation policy, which will be reviewed with you when you begin care.
Confidentiality

Privacy And Trust

Confidentiality is central to therapy, and we want you to understand exactly how it works.

Is therapy confidential?
Yes. What you share in therapy is protected by confidentiality, with a small number of legal exceptions explained clearly when you begin treatment.
When can confidentiality be broken?
Exceptions generally include situations involving risk of serious harm to yourself or others, or suspected abuse of a child, elder, or dependent adult, as required by law.
Will my employer know?
No. Your employer is not informed that you're attending therapy unless you choose to share that yourself.
Will my spouse know?
No, not unless you choose to tell them. Individual therapy is confidential even if your spouse is aware you're attending sessions.
Will insurance know?
If you use insurance, your insurer will typically receive a diagnosis and dates of service for billing purposes, though session content generally is not shared.
Can I record sessions?
This should be discussed directly with your therapist, as recording policies are addressed as part of informed consent at the start of treatment.
Can someone attend with me?
This depends on the type of session. Family members may join family sessions, but individual sessions are generally just between you and your therapist unless discussed otherwise.
Christian Counseling

Faith And Therapy

Reformed Christian faith is part of our practice culture, but it's never assumed or imposed. These questions come up often.

Do I have to be a Christian?
No. Our practice culture has a Reformed Christian throughline, but faith is never required or assumed for clients. Therapy is available to everyone regardless of belief.
Will faith be included automatically?
No. Christian integration is available for clients who specifically want it included in their sessions, and it is never assumed otherwise.
Can we use Scripture?
Yes, for clients who request it. Scripture and faith-based frameworks can be woven into treatment when that's meaningful to you.
What if I'm questioning my faith?
That's welcome here too. Therapy can be a space to explore questions about faith and identity without judgment or a predetermined outcome.
Can I receive therapy without discussing religion?
Yes. You're welcome to keep faith entirely out of your sessions if you prefer. It's your choice, not an expectation.
Practice Information

About The Practice

A few general questions about who we are and how to reach us.

Where are you located?
Crawley Integrative Marriage and Family Therapy is a California-based practice offering therapy by telehealth throughout the state.
Do you see clients in person?
No. We currently offer telehealth sessions only, which allows us to serve clients throughout California regardless of location.
What ages do you work with?
Please contact us directly to confirm age ranges served, as this can vary by clinician and availability.
What specialties do you offer?
Our specialties include complex trauma, first responder and military families, narcissistic and emotional abuse recovery, infidelity, EMDR, and Christian counseling, among others.
How do I contact the office?
You can reach us through our contact page to ask questions or schedule a consultation.

Still Have Questions?

If you don't see your question here, we'd be happy to answer it. Reaching out doesn't commit you to therapy, it simply gives you the opportunity to learn more and determine whether we're the right fit.