Frequently asked questions.

 FAQs

  • Many people think therapy is only for moments of crisis, but therapy can also be helpful when life just feels harder than usual or has become too difficult to manage. Contrary to popular belief, you don’t have to have “something seriously wrong” to benefit from support.

    Therapy may be helpful if you notice:

    • You are feeling overwhelmed, anxious, sad, or emotionally exhausted

    • You have trouble slowing down your thoughts or relaxing

    • You are experiencing changes in sleep, motivation, appetite, or energy

    • Your relationships feel strained or emotionally disconnected

    • You are repeating patterns that no longer serve you

    • You feel “stuck” and are unsure of how to move forward

    • You are going through a transition and are feeling uncertain or alone

    • You want support, clarity, or personal growth

    Needing support does not mean you are weak. It means you are human. We are not meant to navigate every challenge alone, and there is strength in allowing yourself support when you need it. You don’t have to wait until things fall apart to ask for help!

  • It is natural to question whether therapy will actually be helpful or whether a therapist will be a good fit for you. Beginning therapy is an investment of your time, energy, and vulnerability, and it makes sense to want reassurance before getting started.

    That being said, therapy is not a one-size-fits-all experience. A strong therapeutic fit is important, and you deserve to work with someone you feel comfortable with. This is why I offer a free 15-minute consultation call prior to starting services. This gives us a chance to briefly connect, talk about what you are looking for, and help you decide whether moving forward feels right for you — with no pressure or obligation.

    It is also important to know that therapy does not have to feel like a huge commitment right away. You are welcome to schedule one session at a time and can decide what feels helpful for you along the way. If you ever feel like this is not the right fit, you are free to pause or stop services at any time.

    Many people begin therapy feeling hesitant, skeptical, anxious, or unsure. Those feelings are welcome and can be part of the process itself. You do not have to be completely certain in order to begin. My goal is to create a space where you feel supported, respected, and empowered to make the decisions that feel best for you.

  • That is completely okay and very common!

    Many people come to therapy feeling unsure about how to open up, talk about difficult experiences, or trust someone that they have just met. If you have been hurt, judged, misunderstood, or felt like you had to handle things on your own for a long time, it makes sense that trust may not come easily.

    Therapy is not about forcing you to share everything right away. Building trust takes time, and you are allowed to move at a pace that feels safe and comfortable for you. You are in complete control of what you choose to share and when.

    You do not need to arrive knowing exactly what to say or how to be vulnerable. Part of the work can simply be learning that you no longer have to carry everything alone. We will figure it out together, one step at a time.

     

  • Please note that, at this time, I am only providing therapy services online via telehealth.

  • On the date of your therapy appointment, you will receive an email notification with a link to begin your session. You will use this link to log into your appointment once it is time to get started. Since services are online, you can do therapy from the comfort of your own home or even in your car (as long as you are parked). Please note though that since services are online, you are required to have stable internet/audio connection, video capabilities, and a confidential space when engaging in therapy sessions.

  • My office hours are Monday-Thursday from 8:00am-12:00pm and from 1:00pm-5:00pm. I am also available on Fridays from 8:00am-12:00pm. Please note that available appointments may be limited as I do typically have a full caseload of clients. If you would like to confirm whether or not I currently have a reoccurring appointment slot on a specific day or time, please feel free to contact me using this link.

  • If you need to cancel or reschedule your appointment, I ask that you provide at least 24 hours’ notice whenever possible.

    Appointments canceled with less than 24 hours’ notice may be charged the full session fee. This policy helps protect reserved appointment times and allows opportunities for other clients to access care.

    That being said, I understand that unexpected situations can happen, and if there are extenuating circumstances, you are always welcome to communicate with me directly.

    Thank you for respecting both my time and the time reserved for your care.

  • Yes, therapy is a protected service in which you maintain your confidentiality. This basically means that whatever you say in session stays in session, with just a few exceptions.

    All therapists are mandated reporters. Consequently, if you report anything about child abuse (abuse of someone 17 years old or younger), elder abuse (abuse of someone 65 years old or older), or dependent adult abuse (abuse of an adult with a disability that prevents them from caring for themselves) then I do have to report this to the proper authorities in order to ensure the safety of everyone involved. If I ever have to make a report, I will always let you know in advance, since I know secret reports can damage our trust with one another. The only time I will refrain from informing you of a submitted report is if disclosing the report would put someone involved in physical danger.

    The other thing that I may not be able to keep confidential is if you express thoughts about hurting yourself or others. It is my number one priority to keep you and everyone around you safe. Consequently, if you begin to have thoughts about wanting to harm yourself or others, I will work with you on creating a plan to keep you and everyone around you safe. However, if I feel that we are unable to work as a team to keep everyone safe, I will be legally obligated to contact the hospital or police for extra support in ensuring your safety.

    Aside from these main exceptions, a majority of everything else discussed in therapy will remain confidential, unless you request and/or provide legal permission for your information to be shared. Please note though that their may be other minor exceptions to confidentiality based on your specific circumstances. If this is the case, I will always be upfront and honest with you if/and when these circumstances occur, so that you can personally decide how much you wish to disclose in session.

  • The frequency of your appointments will depend on your individual needs, but are usually scheduled on a weekly or biweekly basis. Please note though, that I can increase services to 2x a week for clients with more severe symptoms or decrease services to 1x a month for clients with very minor symptoms.

  • How long therapy will take will largely depend on your individual needs. However, a majority of people find that they experience benefits after 6-12 months of therapy services. Keep in mind though that for individuals with more significant symptoms or a long history of trauma, more time may be needed.

  • In case of an emergency, please call your local emergency telephone number OR go to your nearest emergency room. If needed, you can also contact the national suicide and crisis lifeline by dialing 988. The safety of you and your loved ones should always be a priority!

  • Therapy is an entirely voluntary service. You are in control of if and for how long you would like to engage in services. There is no time commitment and you can even schedule 1 session at a time. You can then stop services whenever you feel like you have met your treatment goals or are no longer benefiting from therapy. It is also common (and totally ok!) to occasionally need a break from therapy services. Whatever your pace, I will be honored to be a part of your healing journey and will gladly support your transition out of services once you are ready to do so.

Alexandra Duran, LMFT - CA Online Individual and Couples Therapy

Live the life you deserve.

Change is possible, we’ll help you get there.