Answers to Your Questions about Mental Healthcare
General Mental Health Basics
We offer both as my schedule allows. In general, we have more availability for medication appointments. If you are interested in both and our therapy slots are full, we will help you connect with another therapist while we manage your medication.
This will be determined during your intake appointment. Brief appointments are ideal for time-limited specific concerns or for clients who are stable and transitioning out of recurring therapy or have already been in recurring therapy in the past. It is also helpful for clients who have challenging schedules or financial concerns that do not accommodate recurring therapy.
No! we see young adults and young-at-heart adults from diverse backgrounds. We have additional training and experience working with the college health and perinatal mental health populations but you do not have to identify with those groups to receive care.
We do not at this time.
Depression, anxiety, social anxiety, OCD, PTSD, bipolar disorder, ADHD (with non-stimulants only)
No. Our services are offered predominantly through telehealth and I do not prescribe any controlled substances.
Yes. Clients who live locally, may request an in-person appointment.
Yes. We know how challenging juggling all these responsibilities can be and we will make a plan that will help you succeed all aspects of your life-including academic life.
Maternal Mental Health Basics
Perinatal refers to the period of pregnancy and one year after childbirth. Because we know that mood and anxiety symptoms can occur at any time during the reproductive years, we find maternal mental health to be a better term to describe what we treat but both are often used interchangeably. Some moms don’t seek care until their kids are already in school, and they are welcome too! And for many moms, their symptoms start before they ever consider pregnancy.
We welcome clients dealing with the difficulties of pregnancy preparation, childbirth, adoption, pregnancy loss, and early parenting in whatever time-frame is meaningful and necessary to them.
For patients receiving medication management, we send a treatment summary letter after every medication adjustment. Additionally, your obstetrician is welcome and encouraged to consult with us as needed.
PMADs (perinatal mood and anxiety disorders) include depression, anxiety, obsessive compulsive disorder, bipolar disorder, post-traumatic stress disorder, psychosis, attention deficit hyperactivity disorder, and insomnia.
Depression, anxiety, social anxiety, OCD, PTSD, bipolar disorder, ADHD (with non-stimulants only)
No. Our services are offered predominantly through telehealth and we do not prescribe any controlled substances.
Yes. Clients who live locally, may request an in-person appointment.
Yes. we know how challenging juggling all these responsibilities can be and we will make a plan that will help you succeed all aspects of your life-including academic life.
College Mental Health Basics
No, we see young adults who are entering the workforce without additional schooling, in community college, and who have already graduated. Each transition has its own challenges and we enjoy working with adults in any of these phases. College students often have a more difficult time accessing care so we provide additional information on my site for this group.
The majority of our patients are 45 or younger. This is because for our purposes, we work with clients who are entering adulthood and the challenges that occur with the challenges of adulthood and this happens at different ages for everyone.
No. As an adult, you are legally responsible for your own mental health and you will have to sign a release of information designating who you are allowed to share information with (this is a federal HIPAA policy). We do require that every patient have an emergency contact on file. Also, if you choose to use insurance and you plan to submit your Superbill to your insurance for out-of-network reimbursement and you are on your parent’s insurance, they will receive notice of this. Also, because if we are an out-of-network provider for your plan, you may have your parents cover the cost of their appointments.
No, your information is still protected (other than billing which will include a diagnosis code).
Only if that is your preference. Our initial appointments are always with the patient only so that we can discuss this in detail. If you would like to have a parent attend at the end of the appointment or at future appointments, we will make arrangements for this. This applies to medication appointments.
You are welcome to share information but please note that any information you share will shared with the patient. We do not schedule appointments with parents without the patient present.
No. Your information is legally protected by HIPAA regulations.
No. We do not evaluate or train animals. If you have had at least 3 appointments and we can provide a statement of your diagnosis and that you find your pet to be helpful. This letter does not provide any legal requirement that your landlord must follow. We will not submit any additional documentation for this purpose and you will need to sign a release of information for this letter.
Our first appointment is a comprehensive assessment and we will review the diagnostic criteria for ADHD. In most situations, if you are experiencing ADHD symptoms and mood symptoms, treating the mood symptoms first is recommended and then we will reassess ADHD symptoms. We are not able to provide diagnostic testing for learning disorders. We do not prescribe controlled substances. If you have a previous diagnosis or suspect ADHD and are interested in stimulant medication (Adderall, Vyvanse, Concerta, etc), you will want to work with another provider. We do prescribe non-controlled medications for ADHD and work with you on skill development for management of ADHD symptoms.
No. We do not prescribed controlled substances. For many reasons, I recommend a different plan of care.
No problem! This is common. You can schedule your appointment online and we will make sure you understand how to access medication services.
The transition to parenthood of an adult child is a developmental task as well. Our goal is to help our clients learn how and when to set safe and healthy boundaries and also learn how to advocate for themselves and communicate effectively. We provide a summary and care plan (often including handouts) at every visit and you may want to ask the patient to share this information with you. We also provide education at every visit so your family member should be able to share as they are comfortable. We provide the care to our clients that we would want our children and (and myself) to receive and we take this responsibility very seriously.
Telehealth for clients seeking 1-on-1 mental healthcare
Yes, in order to provide effective care, we must be able to see you. You are not required to use your camera for asynchronous classes.
No, you will need to reschedule. Please be aware there is a cancellation fee for appointments not cancelled within 24 hours.
The best feature of Telehealth is the convenience! Come as you are, baby drool, messy house, and all. You must be clothed (shirts required, and you may not be using mind altering substances during your appointment.
You will be able to access your appointment from any device with internet and a camera. Due to state licensing regulations, you must be in NC or VA at the time of your appointment. Please try to give yourself a quiet and private place. (Some patients find their vehicles (parked-not driving!) or bathroom to be great escape locations for their appointment.
Practice Policies for clients seeking 1-on-1mental healthcare
Yes, we will collaborate with your individual therapist.
No. Due to the boundaries established by the DEA system, providers cannot prescribe controlled substances to patients they have not initially seen in person. It is anticipated that the COVID pandemic exception will expire. That said, we have many modalities that are safe and effective and provide a long-term solutions so that controlled substances may not be necessary. We are committed to helping patients connect with their best-selves (which involves the courageous exploration of a values-driven life, rather than avoidance and symptom management).
Yes. Please plan to sign a release of information so we can communicate with your medication provider as needed.
ADHD Virtual Course
No. Courses are individual specific and must be logged into on an individual basis. They may not be reproduced or shared without the express permission of Joy Spring Maternal Mental Health
This depends on the course and this information is available on the individual course pages.
No. Online workshops are available to all.
No! In fact, each course comes with a disclaimer to denote that this course is not meant to provide therapy or medical care. However, not everyone is ready or able to access therapy or medication management for a variety of reasons. In addition, many patients may want or need to supplement their therapy and medication with alternative methods of support and online courses are a great way to meet patients where they are and make sure they have access to the information they need.
The courses offered are constantly expanding and involve a significant time and research commitment by the course developer. We guarantee you will learn skills and information that can be applied to daily life in a manner that is engaging and interactive. That said, because of the online platform, course are not eligible for refund
Thanks for asking! We are committed to bringing you courses that are thorough, factual, and fun! We have several planned and loved suggestions for more. It typically takes several months to organize the information so it can be offered in a user-friendly format. AVAILABLE COURSES
Brainspotting for clients in NC seeking 1-on-1 mental healthcare
Brainspotting is an exciting and rapidly expanding modality used for trauma-processing. It is based on the science of brain development which involves the subcortex (“primitive brain” responsible for bodily regulation and instinct that becomes over-activated when trauma occurs) neocortex (“thinking brain” responsible for things like time, hope, values and language) and the limbic system (“emotional brain”). When a patient experiences trauma, the communication between these parts of the brain may be disrupted, resulting in symptoms of anxiety, rumination, flashbacks, and more. Since the brain is internal, and cannot be visualized or touched externally, we need different assessment tools to identify the areas where injury is located. When it comes to trauma, assessing for subtle changes in the visual field of gaze can help us pinpoint where we need to target our efforts of healing. It may help to think of this in terms of physical therapy for the brain.
For many patients it is VERY effective, even when other modalities have not been. For many patients, they are able to have much more rapid trauma resolution than seen in other modalities. Because patients take the lead, it is an empowering approach that can feel more gentle and tolerable. Because it doesn’t require talking, it can feel more safe and private.
You will be asked to bring to mind a concern or experience that you feel is causing you distress or disrupting your functioning. When patients bring to mind uncomfortable concerns or experiences, we call this “activation”. Holding this activation, your provider will work with you to locate the area of your gaze that correlates with this trauma-based tender-point in your brain. Once this area is located, the provider will use a pointer to “mark the spot” so that you can return your gaze to it as needed. By using this “spot” as a focus point for mindfulness, the brain is able to heal the area of injury.
An eye position that correlates with a brain-based location of traumatic memory
Attunement is the intentional sharing of presence between the provider and the patient that allows the limbic system (“emotional brain”) to fulfill its role in trauma processing. With attunement, the patient is gently reminded that they
Emotional pain is real and the thought of doing something that might require leaning into this discomfort, even for a short period, can be very scary! That said, when we do trauma work it is because there is already pain. This is a modality that works to resolve the pain. Just like physical therapy, it does require “stretching” tender areas. However, your provider will work with you to make sure it is tolerable and you will be in control at all times.
No, but there may be side effects such as temporary changes in energy, emotion, focus, or sleep while your brain is healing itself. These are typically mild and resolve within a few days. Keep in mind, living with unresolved trauma has MANY risks.
It depends on the individual. Some patients need a few minutes 1 session, others may work full-sessions for weeks.
Only if it is helpful to you.
Bilateral music has been shown to facilitate processing. Some patients find it comforting and have more rapid resolution of their activation when bilateral music is incorporated in their processing. It is optional
No. Once the Brainspot is found, you will use this as a starting point for your focused mindfulness but then may find you want or need to move your gaze. Your provider will hold the position of your Brainspot so you can return your gaze to it whenever you need.
No. Once the Brainspot is found, you will use this as a starting point for your focused mindfulness but then may find you want or need to move your gaze. Your provider will hold the position of your Brainspot so you can return your gaze to it whenever you need.
We will continually be monitoring to make sure you are not overwhelmed and do not exceed your level of activation tolerance. We will be with you the entire time and available to help if needed. Tears are fine and common for some. Because of how my brain will also be using its limbic system, We may get tearful with you and that is fine too.
Group Therapy
Group therapy is perfect for clients who want to build skills in a safe community, practice the skills they have already learned-including communication, unmasking, social, and interpersonal skills, and give back to others with shared experiences and needs.
This depends on the client. For financial, logistical, and personal goal reasons, some clients prefer group therapy and find it adequate for their needs.
We do not file insurance for group therapy. The rate of group therapy is $50/session for 6 sessions. You must pay the full amount, even if you do not attend all the sessions. You may pay the full cost in advance or weekly after each session.
You must be located in NC or VA at the time of your service. Currently, these services are offered virtually only.
Great question! We take great care in setting up my groups to make sure the groups will be cohesive and effective at helping each client reach their therapy goals. It is expected that there may be mild interpersonal conflicts during group and we are trained in helping facilitate these challenges when they arise. In fact, experiencing differences in a safe space can be a great way to learn and an important part of your group work. That said, your safety is my top priority and we will work to make sure every participant stays within their window of tolerance.
Clients who do not have baseline emotion regulation, have extensive trauma that is triggered in group settings that has not been treated in individual therapy, or clients who cannot follow the group rules should not participate in group. We are committed to recognizing, addressing and eradicating all forms of racism, ethnic oppression, religious intolerance, negative judgments regarding neurodivergence or ableism, sexual or gender discrimination, and any mistreatment of marginalized communities. This language and these behaviors will not be allowed in group.
If therapy openings are available. If not, we will help you find a therapist that will be a good fit.
No. You may come to group as a new patient only for group therapy.
If medication appointments are available.
No. Assessment and diagnosis are separate processes from group therapy.
Of course! We will have you sign a release of information so we can communicate with your therapist as needed.
Payment is due at the time of service. You may pre-pay for all 6 sessions or pay weekly at the time of service. By joining group, you are committing to attending all sessions and will be responsible for the cost of each session even if you do not attend.
You will have opportunity to share you needs and requests for ongoing group sessions.
No. Of course not. However, being a part of group means that you are committing to showing up and participating. If you do not feel capable of participating verbally, please be sure to share this in your intake forms and consultation call so we can make appropriate goals for your time in group.
Therapy Intensives
We will determine this together during your consultation call and intake appointment depending on your needs, goals, and scheduling availability.
Some clients choose to do intensive work rather than individual therapy and many clients will continue their individual therapy during and after their intensives.
If your insurance includes out-of-network benefits, you may receive partial reimbursement for your sessions. Please check with your insurance to see if you have an out-of-network deductible and coverage and if your plan will cover multiple therapy sessions in the same day.
You must be located in NC or VA at the time of your service. Currently, these services are offered virtually only. Some clients prefer to travel to a relaxing location in NC or VA to have their sessions. If you are local and prefer to have an in-person intensive, this must be scheduled in advance and additional charges may apply. This can be discussed further during your free 15 minute consultation call.
Great question! We have extensive experience working with clients with a variety of symptoms and complex trauma. Intensive refers to the scheduling and the focus of the processing. It is a misconception that trauma processing has to be painful to be effective. In your intake session, we will discuss your goals and any concerns you may have about this type of processing. We will be very attentive and attuned to your needs during your session to make sure that you are safe, in control, and within your window of tolerance.
Clients who are acutely manic or experiencing psychotic symptoms will need stabilization first. Clients who do not have emotion regulation skills and respond to distress with self-injurious behaviors will need to do this work first or focus on these patterns as the primary concern for their intensive. Clients in active substance abuse who cannot be sober for their session or clients with restrictive eating patterns who need a higher level of care will need stabilization before beginning intensive work.
If therapy appointments are available.
No. If you are ready and interested in intensive therapy, we will make sure that you are prepared in your intake session.
If medication appointments slots are available.
If you plan to submit a Superbill for out-of-network benefits, we will be required to provide a diagnosis. Otherwise, assessment and diagnosis (if desired), will be provided in your intake session.
Of course! We will have you sign a release of information so we can communicate with your therapist as needed.
No provider can make this claim and we would suggest that you be very cautious if a provider is making these claims about any modality. That said, we am committed to your full recovery and helping you achieve your goals. We anticipate that you will experience significant breakthroughs in our work together. A realistic expectation is that you will experience profound healing and significant progress toward building foundational stability.
No. In fact, modalities like Brainspotting do not require talking at all.