Stepping Stones Mental Health

Frequently asked questions

It is natural to have questions before beginning.

You do not need to understand the entire therapy process—or have everything figured out—to take the first step.

A straightforward beginning

Therapy can start with a simple conversation.

Choosing a therapist is personal. These answers are intended to make the process clearer and help you decide what questions you would like to ask Richard directly.

If something is not addressed here, you are welcome to include a general question when requesting a consultation.

01

Come as you are

You do not need to prepare the perfect explanation or share everything at once.

02

Move at your pace

Sessions are shaped around your needs, comfort, priorities, and goals.

03

Ask questions

An initial conversation is also your opportunity to evaluate fit.

Questions & answers

What would you like to know?

Select any question to read the answer.

01

Beginning therapy

Who does Richard work with?

Richard works with adolescents age 12 and older, adults, older adults, and couples. Services are provided in English.

What happens during the first session?

The first appointment provides time to discuss what brings you to therapy, relevant background, what you hope will change, and any questions you have. You do not need to share everything at once; the conversation can move at a pace that feels manageable.

What if I feel nervous?

Feeling uncertain or nervous before a first appointment is common. You do not need to know exactly what to say or have a clear set of goals before arriving. Richard will help guide the conversation.

How do I know whether Richard is a good fit?

A consultation and first appointment allow you to experience Richard’s style, discuss your needs, and ask questions. A useful therapeutic relationship should feel respectful, collaborative, and comfortable enough for honest conversation.

02

Sessions & the therapy process

What is therapy with Richard like?

Sessions are collaborative and tailored to you. The work may include understanding patterns, exploring thoughts and emotions, strengthening coping skills, improving communication, and identifying realistic steps toward your goals.

How long does therapy last?

There is no standard length that works for everyone. Some clients prefer short-term, goal-focused support, while others benefit from longer-term work. Richard will review progress with you and adjust the plan as your needs evolve.

Will I be judged?

Richard’s goal is to understand your experience with compassion, respect, and curiosity—not judgment. Therapy is a place to speak openly about difficult experiences while working together toward meaningful change.

Is therapy confidential?

Therapy is intended to be private. Confidentiality and its legal and ethical limits will be explained before treatment begins so you can ask questions and make an informed decision.

03

Practical details

Do you offer telehealth or in-person sessions?

Current session format, office location, and licensed-state availability still need to be confirmed. Please contact the practice for the most current information.

Do you accept insurance?

Insurance participation and private-pay rates should be confirmed directly with the practice before scheduling. Visit the Insurance & Fees page for questions to ask about coverage and cost.

How do I request a consultation?

Use the contact page to provide basic contact information, preferred availability, and a general reason for reaching out. Please do not include diagnoses, detailed treatment history, urgent concerns, or other sensitive health information.

What should I do in an emergency?

This website and its contact form are not monitored for emergencies. In immediate danger, call 911 or go to the nearest emergency department.

Still deciding?

You are allowed to take your time.

Reaching out does not require you to have made every decision. It is simply an opportunity to ask questions, learn more, and consider whether the practice may be right for you.

Have another question?

Start with a conversation.

Share a general question or request an initial consultation.

Request a Consultation