Frequently Asked Questions
Helpful answers to clarify your next steps.
General Questions
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Rejoice in the Rain Counseling provide individual 1:1 therapy to adults living in Texas and Vermont. All services are fully-online for flexibility and accessibility.
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Telehealth involves providing therapy and other healthcare-related services through technology (as opposed to seeing people in-office). It allows clients to access care from their homes or other locations using video-audio, phone calls, and secure messaging.
Is it effective?
Research shows Telehealth is just as effective as in-person sessions, provided you do not need a higher level of care or specialized services (source).
Is it for everyone?
Not for all conditions. In-person care is more appropriate for those who have chronic and severe suicidal ideation or non-suicidal self-injury, homicidal thoughts, involvement in serious crime, severe experiences of psychosis (hallucinations or delusions), loss of contact with reality, or dissociation, alcohol or substance usage disorder, or lack of access to a private and confidential space.
Unsure if Telehealth is right for you?
Please reach out to me at (210) 307-4935 for a free 15-minute consultation to discuss your specific circumstances!
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Sessions: Rejoice in the Rain Counseling offers flexible scheduling to accommodate your needs—including mornings, afternoons, and evenings. To view the latest schedule, please visit my booking link.
Office Hours: Our business/communication hours are Monday – Friday, 9:00 AM to 5:00 PM (with the exception of holidays and planned time off). Lydia generally responds within 24 business hours.
Crisis: Our office is not equipped to handle immediate crisis calls. If you are experiencing an emergency, please reach out to the following:
-
Go to the booking link and select your preferred date/time.
If you are a new client, you will receive a link to your client portal to fill out paperwork and add billing information.
You will receive an email and text with your link to join the session shortly before the scheduled time.
If you are accessing the session with a mobile device, download the app called “Telehealth by SimplePractice”. Then simply go back to your email and click the link, which will open in the app.
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ABSOLUTELY. Your confidentiality is treated with the utmost importance, as trust is central to the therapeutic relationship. Be assured, what is said in the room stays in the room.
There are certain exceptions, however, where our legal and ethical duty to protect comes first, meaning we need to break confidentiality:
If you share that a child, disabled adult, or elderly person has been abused, neglected, or is at risk of this happening.
If you disclose a specific plan and clear non-reversible intent to seriously harm yourself or end your life.
If you disclose a specific plan and clear non-reversible intent to seriously harm or kill another person or group of people.
-
Rejoice in the Rain Counseling provide individual 1:1 therapy to adults living in Texas and Vermont. All services are fully-online for flexibility and accessibility.
-
Telehealth involves providing therapy and other healthcare-related services through technology (as opposed to seeing people in-office). It allows clients to access care from their homes or other locations using video-audio, phone calls, and secure messaging.
Is it effective?
Research shows Telehealth is just as effective as in-person sessions, provided you do not need a higher level of care or specialized services (source).
Is it for everyone?
Not for all conditions. In-person care is more appropriate for those who have chronic and severe suicidal ideation or non-suicidal self-injury, homicidal thoughts, involvement in serious crime, severe experiences of psychosis (hallucinations or delusions), loss of contact with reality, or dissociation, alcohol or substance usage disorder, or lack of access to a private and confidential space.
Unsure if Telehealth is right for you?
Please reach out to me at (210) 307-4935 for a free 15-minute consultation to discuss your specific circumstances!
-
Sessions: Rejoice in the Rain Counseling offers flexible scheduling to accommodate your needs—including mornings, afternoons, and evenings. To view the latest schedule, please visit my booking link.
Office Hours: Our business/communication hours are Monday – Friday, 9:00 AM to 5:00 PM (with the exception of holidays and planned time off). Lydia generally responds within 24 business hours.
Crisis: Our office is not equipped to handle immediate crisis calls. If you are experiencing an emergency, please reach out to the following:
-
Go to the booking link and select your preferred date/time.
If you are a new client, you will receive a link to your client portal to fill out paperwork and add billing information.
You will receive an email and text with your link to join the session shortly before the scheduled time.
If you are accessing the session with a mobile device, download the app called “Telehealth by SimplePractice”. Then simply go back to your email and click the link, which will open in the app.
-
ABSOLUTELY. Your confidentiality is treated with the utmost importance, as trust is central to the therapeutic relationship. Be assured, what is said in the room stays in the room.
There are certain exceptions, however, where our legal and ethical duty to protect comes first, meaning we need to break confidentiality:
If you share that a child, disabled adult, or elderly person has been abused, neglected, or is at risk of this happening.
If you disclose a specific plan and clear non-reversible intent to seriously harm yourself or end your life.
If you disclose a specific plan and clear non-reversible intent to seriously harm or kill another person or group of people.
Finance Questions
-
The standard session is $125 / hour, with an “hour” being around 50-60 minutes. In special circumstances, I offer shorter sessions.
How many sessions you will need depends on your unique goals and needs.
Experiencing financial hardships?
If your financial circumstances limit access to therapy, our Pay What You Can program can help; everyone deserves access to mental healthcare.
-
Rejoice in the Rain Counseling is currently in-network with major insurance and EAP plans, as well as certain Medicaid plans. We also provide superbills for out-of-network benefits.
Please note that availability of these plans varies by state!
TX Insurance Plans:
Aetna
All Savers
Ascension (SmartHealth)
AvMed
Blue Cross Blue Shield
Carelon
Cigna
Curative
Evernorth
Golden Rule
Humana (Medicaid-only)
Meritain
Nippon
Optum
Oscar
Quest Behavioral Health
United Healthcare
TX Medicaid Advantage Plans:
Humana
Parkland Community Health Plan
United Healthcare
Optum
TX Employee-Assistance Programs:
Employer-specific EAP plans
Cigna EAP
ComPsych EAP
Confide Enhanced EAP
HealthAdvocate EAP
MyGroup EAP
Optum Live & Work Well (EAP)
Resources for Living EAP
United Healthcare EAP
VT Plans:
Aetna
Cigna
Cigna EAP
Optum
Optum EAP
United Healthcare
United Healthcare EAP
-
A Good Faith Estimate (GFE) is an approximate calculation of the costs associated with therapy services—including fees, session duration, and any additional charges—provided to you before starting therapy. It helps you understand the expected financial commitment upfront.
If you are a private pay client, I will send you a GFE before your intake session. If you receive a bill that is at least $400 more than your GFE, you have the right to dispute the bill.
For more info on Good Faith Estimates and the broader No Surprises Act, please visit Ending Surprise Medical Bills.
-
You can pay for sessions using a Credit or Debit Card, Care Credit, or Health Savings (HSA) & Flexible Spending (FSA) Accounts.
Your credit card information will be kept securely on file for private pay, or for copays, coinsurance, deductibles, or late / no-show fees.
Payment method will be charged at the time of session.
-
Due to the cost of business, a $50 courtesy fee may be applied for each missed session, reschedule, or cancellation made less than 24 hours in advanced.
This fee will be waved in the instance of a family, medical, or national emergency.
-
The standard session is $125 / hour, with an “hour” being around 50-60 minutes. In special circumstances, I offer shorter sessions.
How many sessions you will need depends on your unique goals and needs.
Experiencing financial hardships?
If your financial circumstances limit access to therapy, our Pay What You Can program can help; everyone deserves access to mental healthcare.
-
Rejoice in the Rain Counseling is currently in-network with major insurance and EAP plans, as well as certain Medicaid plans. We also provide superbills for out-of-network benefits.
Please note that availability of these plans varies by state!
TX Insurance Plans:
Aetna
All Savers
Ascension (SmartHealth)
AvMed
Blue Cross Blue Shield
Carelon
Cigna
Curative
Evernorth
Golden Rule
Humana (Medicaid-only)
Meritain
Nippon
Optum
Oscar
Quest Behavioral Health
United Healthcare
TX Medicaid Advantage Plans:
Humana
Parkland Community Health Plan
United Healthcare
Optum
TX Medicare Advantage Plans:
Aetna
Humana
United Healthcare
Optum
TX Employee-Assistance Programs:
Employer-specific EAP plans
Cigna EAP
ComPsych EAP
Confide Enhanced EAP
HealthAdvocate EAP
MyGroup EAP
Optum Live & Work Well (EAP)
Resources for Living EAP
United Healthcare EAP
VT Plans:
Aetna
Cigna
Cigna EAP
Optum
Optum EAP
United Healthcare
United Healthcare EAP
-
A Good Faith Estimate (GFE) is an approximate calculation of the costs associated with therapy services—including fees, session duration, and any additional charges—provided to you before starting therapy. It helps you understand the expected financial commitment upfront.
If you are a private pay client, I will send you a GFE before your intake session. If you receive a bill that is at least $400 more than your GFE, you have the right to dispute the bill.
For more info on Good Faith Estimates and the broader No Surprises Act, please visit Ending Surprise Medical Bills.
-
You can pay for sessions using a Credit or Debit Card, Care Credit, or Health Savings (HSA) & Flexible Spending (FSA) Accounts.
Your credit card information will be kept securely on file for private pay, or for copays, coinsurance, deductibles, or late / no-show fees.
Payment method will be charged at the time of session.
-
Due to the cost of business, a $50 courtesy fee may be applied for each missed session, reschedule, or cancellation made less than 24 hours in advanced.
This fee will be waved in the instance of a family, medical, or national emergency.
Admin Questions
-
As a current or former patient, you have certain rights, including the following how to:
Request medical records (see next question)
Contact the state’s Executive Council
File a consumer complaint
To view or exercise your rights, please visit Your Patient Rights page.
-
You have the right to request a copy of your mental health records, either for yourself or to be released to an outside party.
Please submit your request to me via your secure SimplePractice portal, or if you are a former client and you do not have access to your portal anymore, email me at: Lydia@RejoiceInTheRainCounseling.com.
You must sign a Release of Information form if you want your records forwarded to an outside party.
A standard processing fee of $25 may apply.
-
This refers to FMLA paperwork, letters for accommodation, ESA letters, or other types of documentation. Please discuss any documentation requests at the beginning of treatment so I can be transparent about what I can or cannot provide.
Please know that documentation is provided after an evaluation and on a case-by-case basis. No paperwork is guaranteed.
FMLA and Letters for Accommodation: For these requests to be considered, I require meeting with you for at least 4 consecutive sessions (minimum 2 weeks), with you putting in the work required in counseling, as well as consistently participating in counseling after the paperwork is filled out. Even then, documentation is never guaranteed; it is based upon my clinical discretion and my level of training on the topic at hand.
It is my recommendation that you get this paperwork filled out by a medical provider, such as a Primary Care Physician or Psychiatrist.
Should I complete this documentation, a $75 fee will apply to cover the time that I put into the initial documentation, with additional fees for follow-up documentations and correspondence with your disability insurance. Please note that this may require extensive documentation.
Letters for Emotional Support Animals: After 3 sessions, I would be happy to provide an ESA evaluation, and if clinically indicated, the corresponding ESA letter. The evaluation is $75 to cover the cost of the assessment and documentation. Please note that an ESA letter or approval is never 100% guaranteed.
Psychological Assessments: Requests for ADHD, Autism, and other assessments may come up from time to time. I do not provide full extensive evaluations, but will refer you to a psychologist for the evaluation while continuing to work with you 1:1 in therapy sessions.
Services I do not provide:
Service animal evaluations
Child custody evaluations
Forensic evaluations
Expert testimonies
Court involvement
I will be more than happy to refer you to a clinician who can help you with your request.
-
Texas Licensure – I am a Licensed Professional Counselor (LPC) in the state of TX with no restrictions or reprimands.
Go to Verify a License
Click “Search by License Number” → My license number is 85822
You can also click “Search by Name” and my license will be under Suzanna (my legal first name) Anthony
Vermont Licensure – I am a Licensed Clinical Mental Health Counselor with an Interim Telehealth Registration. This means I can see Vermont clients via Telehealth.
Go to Find a Professional
Search by my license number → 068.0136050TELE
You can also enter my first and last name; my license will be under Suzanna (my legal first name) Anthony
I can provide you a copy of my licenses at any time.
-
As a current or former patient, you have certain rights, including the following how to:
Request medical records (see next question)
Contact the state’s Executive Council
File a consumer complaint
To view or exercise your rights, please visit Your Patient Rights page.
-
You have the right to request a copy of your mental health records, either for yourself or to be released to an outside party.
Please submit your request to me via your secure SimplePractice portal, or if you are a former client and you do not have access to your portal anymore, email me at: Lydia@RejoiceInTheRainCounseling.com.
You must sign a Release of Information form if you want your records forwarded to an outside party.
A standard processing fee of $25 may apply.
-
This refers to FMLA paperwork, letters for accommodation, ESA letters, or other types of documentation. Please discuss any documentation requests at the beginning of treatment so I can be transparent about what I can or cannot provide.
Please know that documentation is provided after an evaluation and on a case-by-case basis. No paperwork is guaranteed.
FMLA and Letters for Accommodation: For these requests to be considered, I require meeting with you for at least 4 consecutive sessions (minimum 2 weeks), with you putting in the work required in counseling, as well as consistently participating in counseling after the paperwork is filled out. Even then, documentation is never guaranteed; it is based upon my clinical discretion and my level of training on the topic at hand.
It is my recommendation that you get this paperwork filled out by a medical provider, such as a Primary Care Physician or Psychiatrist.
Should I complete this documentation, a $75 fee will apply to cover the time that I put into the initial documentation, with additional fees for follow-up documentations and correspondence with your disability insurance. Please note that this may require extensive documentation.
Letters for Emotional Support Animals: After 3 sessions, I would be happy to provide an ESA evaluation, and if clinically indicated, the corresponding ESA letter. The evaluation is $75 to cover the cost of the assessment and documentation. Please note that an ESA letter or approval is never 100% guaranteed.
Psychological Assessments: Requests for ADHD, Autism, and other assessments may come up from time to time. I do not provide full extensive evaluations, but will refer you to a psychologist for the evaluation while continuing to work with you 1:1 in therapy sessions.
Services I do not provide:
Service animal evaluations
Child custody evaluations
Forensic evaluations
Expert testimonies
Court involvement
I will be more than happy to refer you to a clinician who can help you with your request.
-
Texas Licensure – I am a Licensed Professional Counselor (LPC) in the state of TX with no restrictions or reprimands.
Go to Verify a License
Click “Search by License Number” → My license number is 85822
You can also click “Search by Name” and my license will be under Suzanna (my legal first name) Anthony
Vermont Licensure – I am a Licensed Clinical Mental Health Counselor (LCMHC) with an Interim Telehealth Registration. This means I can see Vermont clients via Telehealth.
Go to Find a Professional
Search by my license number → 068.0136050TELE
You can also enter my first and last name; my license will be under Suzanna (my legal first name) Anthony
I can provide you a copy of my licenses at any time.
Let’s connect!
Schedule your session below to get started or reach out to me with questions.