Frequently Asked Questions
General Counseling FAQs
How do I get started with Mosaic Mind Counseling? Getting started is simple. Use the Contact form on the website or reach out via text or email and share a little about what you're looking for. We'll contact you to ask about your availability, insurance, and which location you're seeking. If we decide to move forward, we'll collect some additional information and send you a portal invitation to complete the required paperwork prior to starting.
How often will we meet? Most clients meet either weekly or every other week, depending on your needs, availability, and treatment goals. Your session frequency can also change over time as your needs change.
How long will I be in therapy? There’s no set timeline for therapy. Some people come for a few months to work through a specific situation, while others find that longer-term therapy is helpful. We’ll regularly check in about your progress and what you’re hoping to get from therapy, and you’ll always be part of the conversation about when it feels right to wrap up or take a break.
What can I expect from my first session? Your first session is a chance for us to get to know each other and begin talking about what brings you to therapy. We’ll spend some time learning about what’s been going on in your life, what you’d like to be different, and what you hope to get from counseling. You’ll have the opportunity to ask questions and get a feel for what it’s like to work together. You don’t need to come prepared with everything figured out—we’ll start wherever you are.
Why don’t you offer virtual sessions for couples and teens? I believe some types of counseling are most effective when we’re able to be together in the same physical space. For couples, being in the room together allows me to observe the natural dynamics between partners and creates opportunities to practice communication, connection, and new ways of relating in real time. For teens, I believe being in person offers benefits that are harder to replicate through a screen. Teens already spend so much of their day on phones and computers, and virtual sessions can make it easier to become distracted or disengaged. Meeting in person creates more opportunities for active participation, connection, and practicing skills in a way that feels more engaging and meaningful. Virtual counseling is available for individual adults who prefer the convenience and flexibility of meeting online.
What is your cancellation and attendance policy? I ask that you provide 48 hours’ notice if you need to cancel or reschedule an appointment. Cancellations or rescheduling requests made with less than 48 hours’ notice are subject to an $80 fee, which is not covered by insurance. As a private practice, I only receive income when I see clients, and an appointment time is reserved specifically for you. The cancellation fee helps offset some of the income lost when that time cannot be offered to another client. If I’m able to fill your appointment time with another client, I will waive the cancellation fee. This is one of the reasons giving as much notice as possible is so helpful. Consistent attendance is also important to maintaining a recurring appointment time. If there are frequent cancellations, missed appointments, or changes to your schedule, I may need to move you out of a recurring appointment time and offer that time to another client who is able to use it consistently. This is both to ensure that your reserved time is being used and to make those appointment times available to others who are waiting for care. I understand that unexpected circumstances happen, and I’m always happy to talk with you if something comes up.
Outdoors & Equine-Assisted Counseling FAQs
What should I wear for an outdoor counseling session? Dress comfortably and for the weather. Because we are on a farm with horses and may be walking on trails or uneven ground, closed-toed shoes are required for outdoor sessions.
What can I expect from an outdoor counseling session? Outdoor counseling gives you the option to meet outside rather than in the office. Sessions may take place on the trails around the property, while walking or sitting in one of the outdoor spaces. The horses are always part of the surroundings and may be visible during your session, but they do not need to be involved in your therapy simply because we are outside. You can choose what feels most comfortable for you—whether that means walking, sitting, talking, or simply enjoying a different environment while we work together.
What can I expect from an equine-assisted counseling session? Equine-assisted counseling takes place alongside the horses and incorporates their presence and natural behavior into the therapeutic experience. You may spend time observing, walking with, or interacting with the horses, depending on your goals and what feels comfortable for you. You don’t need any previous horse experience, and you won’t be riding the horses. Sessions are guided by your therapeutic needs, with the horses providing opportunities for connection, awareness, reflection, and learning in a different kind of environment.
Do I need to have experience with horses? Not at all. You don’t need any previous experience with horses to participate in equine-assisted counseling. You also don’t need to know how to ride or handle horses. We’ll go at your pace, and any interaction with the horses will be guided and based on what feels comfortable for you.
What happens if the weather isn't suitable for an outdoor session? If the weather isn’t suitable for being outside, your session will take place in the office inside the barn at the Boscawen location. You’ll still have a comfortable, private space for your session—just without the outdoor portion.
Is equine-assisted counseling covered by insurance? Equine-assisted counseling itself is not a service covered by insurance. However, if you are using your insurance benefits for a counseling session, the session is billed as a regular counseling session based on the services provided, regardless of whether horses are present. Your clinical note will reflect that equines were part of the session environment when applicable. There may also be an additional fee for incorporating equines into your session, which is not billed to insurance.
Is there an additional fee for equine-assisted counseling? There is no additional fee if horses are simply present, observed, or interacted with off-lead during your session. Off-lead means the horses are loose in their space and you may observe them, talk to them, or interact with them without the horse being attached to a lead rope. If a horse is intentionally partnered with us on-lead as part of the session, there is an additional $20 or $40 fee, depending on which horse is involved. On-lead means the horse is connected to a lead rope and is intentionally brought into the session for activities or interaction. This fee is separate from the counseling session fee and is not billed to insurance. The fee is paid directly to the farm electronically by the client on the day of the service. The therapist does not collect or process this fee.
Does the horse or mule provide consent to be included? Yes. The horse’s well-being and choice are an important part of equine-assisted counseling. Horses are never forced to participate. We pay attention to their behavior and body language, and they can choose whether to engage, move away, or end an interaction. Their comfort and safety are just as important as the client’s.
Can I choose traditional office counseling instead? Absolutely. Outdoor and equine-assisted counseling is an option, not a requirement
Is there an extra liability waiver I need to sign to be on the Boscawen property? Yes. Because the Boscawen office is located on a working farm with horses, clients will be asked to sign a separate property and equine liability waiver before participating in outdoor or equine-assisted counseling. The waiver helps ensure that you understand the nature of the environment and the potential risks associated with being around horses.
Why is interacting with and observing horses valuable? Horses can offer a different way to notice and explore what is happening in the moment. They are naturally present-focused and respond to what is happening around them, providing real-time feedback through their behavior and body language. This can create opportunities to notice emotions, body language, boundaries, communication, and patterns of interaction as they are happening. Simply observing horses can also help us slow down, become more present, and create space for reflection. When a horse is part of an activity, their responses give us something real and immediate to notice and explore together. The horse isn’t there to “fix” anything or provide answers. Rather, their presence can offer a unique opportunity for curiosity, awareness, connection, and learning that complements the therapeutic work.