Frequently asked questions.

Frequently Asked Questions

What is Above the Tides Counseling?

Above the Tides Counseling is a trauma-informed, affirming therapy practice serving adults across North Carolina, South Carolina, Utah, Maine, and Virginia. We specialize in helping individuals navigate anxiety, depression, trauma, grief, burnout, neurodivergence, ADHD, addiction recovery, and major life transitions. Our mission is to help you transmute pain into power and create a life rooted in healing, authenticity, and purpose.

Who do you work with?

I support adults from diverse backgrounds, including veterans, military spouses, first responders, healthcare workers, therapists, students, LGBTQIA+ individuals, and those in high-stress careers. I also work with neurodivergent clients, adult survivors of narcissistic abuse, individuals recovering from religious trauma, and those living with chronic pain or navigating identity development.

While I don’t currently provide EMDR, I recognize it as the gold-standard, evidence-based approach for resolving trauma. If we determine that EMDR would best support your healing, I’ll connect you with a trusted, credentialed EMDR therapist. Additionally, my telehealth practice is designed for outpatient, non-crisis care; if you require crisis stabilization or a higher level of support, I will help refer you to the appropriate intensive or inpatient services to ensure your safety and wellbeing.

What can I expect in therapy?

Therapy is a collaborative and supportive process. Together, we'll identify your goals, understand the challenges you’re facing, and build practical, evidence-based tools to support your healing and growth. I draw from approaches like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing (MI), and Solution-Focused Therapy.

Do you offer virtual therapy?

Yes, all therapy sessions are currently offered via secure, HIPAA-compliant telehealth. You can attend sessions from anywhere using your phone, tablet, or computer.

Do you accept insurance?

Yes, I accept insurance through third-party platforms such as Headway, Alma, and Grow. These services help verify benefits and manage billing. Availability may vary based on your location and plan.

What if I don't have insurance or prefer to pay privately?

If you do not have insurance or choose not to use it, I offer flexible self-pay options. A sliding scale and hardship accommodations may be available to help make therapy more accessible. Please contact me to discuss your needs.

How do I get started?

Email me at contact@abovethetides.com or preview my Psychology Today profile for more information. I’ll walk you through the next steps and answer any questions to help you feel supported from the start.