Sheet notes · everything men ask before starting

Richmond · Virginia

Frequently Asked Questions

The logistics, the cost, and how the therapy itself actually works.

Logistics

Where do sessions take place?

Walk-and-talk sessions run along the James River — Parke meets at Robious Landing, Daniel and Devin at Pony Pasture. We also offer telehealth through SimplePractice, a HIPAA-compliant platform, from anywhere in Virginia, and phone sessions for clients who prefer to move while they talk.

Which therapist will I work with?

Parke handles all initial consultations and matches you with the therapist who fits best — based on what you’re working on, your schedule, and your preferred format. Switching is always an option, but in practice it almost never comes up.

How do I get started?

Schedule a free 15-minute consultation through the site or by phone. We’ll talk through what’s going on and figure out whether we’re the right fit. If we’re not, we’ll point you toward a therapist or resource that is.

What are the logistics of a walk-and-talk session?

You meet your therapist at the Pony Pasture or Robious Landing parking lot. Both routes cover roughly two to two-and-a-quarter miles. Wear walking shoes and comfortable clothes. If the weather isn’t suitable, we shift to telehealth that day.

Do you offer phone sessions?

Yes. Phone sessions are flexible, private, and ideal for busy schedules or men who think better while moving. Available statewide — anywhere you can talk privately for fifty minutes.

Where are you located and who do you serve?

We’re based in Richmond, Virginia. Walk-and-talk sessions run along the James River in the Richmond area; we serve Richmond, Midlothian, Chesterfield, Henrico, and — via telehealth — virtually everywhere in Virginia.

Who is your typical client?

High-functioning, driven men who get stuck in their heads, expect a lot of themselves, and don’t always know how to turn it off — mostly men in their 30s, 40s, and 50s juggling careers, relationships, parenting, and self-pressure. We also work with college-age men, men in their 20s, men in their 60s and 70s, and a smaller number of women who fit the same profile.

Cost, insurance, and policies

What does therapy cost, and do you take insurance?

Sessions are $275 for 50 minutes. We’re a private-pay practice and don’t work with insurance companies, but we’re happy to provide a monthly superbill for potential out-of-network reimbursement. Contact your insurance company ahead of time to ask about out-of-network mental health benefits. See pricing for details.

What is your cancellation policy?

48 hours’ notice to cancel or reschedule. Late cancellations and no-shows are charged the full session fee — always waived for genuine emergencies like illness, a sick child, or an accident. Work conflicts are still subject to the policy, because the time was reserved specifically for you.

The therapy itself

How does the first session work?

We review your intake paperwork and consultation notes beforehand, so we’re not starting from scratch. In the first session we get to know each other, understand what’s going on, and start sketching the road ahead. You go home with at least one tool you can use immediately and one concrete action step. More at what to expect.

What happens between sessions?

Therapy works best with action between sessions: trying a tool, noticing a pattern, keeping brief notes, or changing how you respond to specific situations. The session is where we learn the tools; real life is where the change happens.

How often will we meet?

Weekly or biweekly at the start, as a recurring appointment — consistency matters. If you can’t commit to regular meetings at the beginning, we usually recommend holding off until you can, so you get the best return on your time, money, and energy.

How long will I be in therapy?

No set timeline. Some clients keep therapy as a standing appointment every two weeks or monthly; others say “I’ll call you if I need you.” Keep it in your life as long as it’s an asset, then put it on the shelf when it’s not.

What approach do you use?

Acceptance and Commitment Therapy (ACT) — evidence-based, with strong research support across anxiety, depression, stress, addiction, and self-esteem. We blend in CBT, DBT, mindfulness, and compassion-focused therapy depending on the therapist and what you’re working on.

How is this different from traditional talk therapy?

A lot of therapy stops at talking about the problem. We move into practical work with tools you apply between sessions. At the end of therapy, we want you to point to specific changes in your life — not just describe good conversations.

What issues do you work with most?

Anxiety, stress and burnout, depression, self-esteem, anger, addictive patterns, communication challenges, social anxiety, and relationship friction. The focus is always your side of the street — we can’t change the people around you, but we can help you change how you show up.

How will I know if it’s working?

Progress feels like more contentment, clarity, and confidence in your direction: responding less reactively, avoiding less, communicating more directly, acting more aligned with the man you want to be.

Is there anything you don’t treat?

We may refer out for active suicidal crisis, eating disorders, substance dependence requiring a higher level of care, psychosis, or trauma presentations needing specialized treatment. If we’re not the right fit, we’ll tell you honestly and point you in the right direction.

What if I need medication?

We don’t prescribe, but we have a trusted network of psychiatric providers in Richmond and across Virginia. Many clients do well with therapy alone; others benefit from combining both.

What if I’m nervous about starting?

That’s a good sign — it means you’re stepping outside your comfort zone, which is where therapy does its best work. Almost every man is nervous before the first session, and it usually fades within the first 15 minutes.

Is therapy confidential?

Yes, with a few legal and ethical exceptions: risk of harm to yourself or someone else, suspected abuse or neglect of a child or vulnerable adult, or a court order. For minors, we protect confidentiality carefully and involve parents only when clinically necessary or when safety is involved.

Do you work with couples?

We only work with individuals. Relationship issues come up constantly in the work, but the focus is your side of the street. If couples therapy is the better fit, we’ll point you toward trusted couples therapists in Richmond.

“Action is the antidote to anxiety.”
Jon Kabat-Zinn

Take the next step

A free consultation is a low-pressure way to talk about what’s going on and see if this feels like the right fit.

Book a free 15-minute consult Or call / text 804-210-7891