Do you provide
therapy online?
therapy online?
I do not offer therapy
online, because I believe
a face-to-face contact
adds to the value of
therapy. I do offer phone
sessions to current
clients, and I will be
happy to talk with you
about whether my
services are best for your
needs.
online, because I believe
a face-to-face contact
adds to the value of
therapy. I do offer phone
sessions to current
clients, and I will be
happy to talk with you
about whether my
services are best for your
needs.
Beth Spring, LMFT
I’ve never been to therapy before. How do I get started?
You have already taken an important step, by considering sources of help. The best
way to get started is to choose a therapist that specializes in the services you need. If
you are interested in couples counseling, then find a provider with training and
experience in working with couples. Ask if the therapist is licensed, how much each
session will cost, and what specific programs or types of therapy he or she offers.
What can I expect when I come in for an appointment?
Therapy appointments are usually 50 minutes in length, although session length can
vary from 30 to 90 minutes. The first one or two appointments are generally considered
“assessments,” meaning it is a chance for you to be sure you feel comfortable with me,
and for me to determine if I can help you, or refer you to someone better equipped to
help. There is no obligation to return if you are not satisfied.
There is no set number of sessions, so we will discuss this as our work progresses.
Often, clients attend between 8 and 20 sessions, although many come just a few times,
and others continue long term, depending on their issues. If you believe you are not
making progress, we can discuss this and I will be happy to help you consider other
resources.
How much will it cost?
I charge $135 per hour, and I am an out-of-network provider for insurance companies.
Many of my clients submit a claim for reimbursement, and I am happy to provide an
itemized invoice for you to do so. Check with your insurance company about your “out-
of-network mental health benefits” to find out what your plan allows. Like most
therapists, I ask my clients to pay for services when they are provided, and I accept
cash, checks, and Visa and Mastercard. I offer a $5 discount for payment by check or
cash.
What kinds of therapy do you practice?
I use solution-focused, brief and systemic models of therapy that value client’s strengths
and resources. “Systemic” means that I pay attention to the web of relationships clients
have, rather than focusing on the individual in isolation. I often recommend family of
origin work, and I use time lines and genograms (family maps) to do this. Other
interventions include cognitive-behavioral work, anger management, and mindfulness
meditation. With couples, I offer communication skill building based on the Prevention
and Relationship Enhancement Program, as well as materials developed by author and
researcher John Gottman. I also provide therapy for couples seeking help with conflict
resolution, intimacy issues, disconnection, and stress.
Yes. I do not work with children under age 10, except in the context of family therapy. I
do not work with clients who are currently struggling with substance abuse or addiction,
and I do not work with the chronically mentally ill. I specialize in working with couples,
and currently approximately 2/3 of my clients are couples.
Do you specialize in working with clients of any specific religious view?
No. I welcome clients of any faith and of no particular faith. I have a background in
Christian publishing and pastoral care volunteer work, which helped me decide to
become a therapist. My training is not faith-specific and I do not impose or share
Christian beliefs with my clients. I have worked successfully with Jewish, Muslim,
Buddhist, and atheist clients. I value every client’s belief system and encourage them to
talk about their world view as we work together.
What about confidentiality?
Mental health professionals must protect every client’s confidentiality. I practice in
accordance with laws established by the State of Virginia and detailed by the state’s
Board of Counseling, and I uphold professional ethics established by the American
Association for Marriage and Family Therapy. I also adhere to the standards of HIPAA,
a federal law that protects private health information. I will ask you to sign an agreement
that spells out the terms of confidentiality, and also notes the exceptions: if I believe
you are going to harm yourself or someone else, then I must report this. Similarly, I am
required to report suspected child abuse or elder abuse, and I would be required to
break confidentiality if ordered to do so by a judge in a court proceeding. Therapists
are required to consult with other mental health providers being seen by a client.
No. I do not go to court voluntarily, and I do not prepare evaluations for court. If I am
compelled to appear in court by a judge, I charge the client a substantial daily fee to
cover my time for preparation, travel, and to compensate for the other appointments
that I need to cancel. When a client has been ordered to therapy by court or by an
employer, I am happy to write a letter documenting attendance and participation in
therapy sessions. I require a signed release in order to do so, and I provide a copy of
the letter to the client.
Beth Spring, LMFT
1984 Isaac Newton Square West
Suite 204
Reston, VA 20190
703-975-2628
You have already taken an important step, by considering sources of help. The best
way to get started is to choose a therapist that specializes in the services you need. If
you are interested in couples counseling, then find a provider with training and
experience in working with couples. Ask if the therapist is licensed, how much each
session will cost, and what specific programs or types of therapy he or she offers.
What can I expect when I come in for an appointment?
Therapy appointments are usually 50 minutes in length, although session length can
vary from 30 to 90 minutes. The first one or two appointments are generally considered
“assessments,” meaning it is a chance for you to be sure you feel comfortable with me,
and for me to determine if I can help you, or refer you to someone better equipped to
help. There is no obligation to return if you are not satisfied.
There is no set number of sessions, so we will discuss this as our work progresses.
Often, clients attend between 8 and 20 sessions, although many come just a few times,
and others continue long term, depending on their issues. If you believe you are not
making progress, we can discuss this and I will be happy to help you consider other
resources.
How much will it cost?
I charge $135 per hour, and I am an out-of-network provider for insurance companies.
Many of my clients submit a claim for reimbursement, and I am happy to provide an
itemized invoice for you to do so. Check with your insurance company about your “out-
of-network mental health benefits” to find out what your plan allows. Like most
therapists, I ask my clients to pay for services when they are provided, and I accept
cash, checks, and Visa and Mastercard. I offer a $5 discount for payment by check or
cash.
What kinds of therapy do you practice?
I use solution-focused, brief and systemic models of therapy that value client’s strengths
and resources. “Systemic” means that I pay attention to the web of relationships clients
have, rather than focusing on the individual in isolation. I often recommend family of
origin work, and I use time lines and genograms (family maps) to do this. Other
interventions include cognitive-behavioral work, anger management, and mindfulness
meditation. With couples, I offer communication skill building based on the Prevention
and Relationship Enhancement Program, as well as materials developed by author and
researcher John Gottman. I also provide therapy for couples seeking help with conflict
resolution, intimacy issues, disconnection, and stress.
Yes. I do not work with children under age 10, except in the context of family therapy. I
do not work with clients who are currently struggling with substance abuse or addiction,
and I do not work with the chronically mentally ill. I specialize in working with couples,
and currently approximately 2/3 of my clients are couples.
Do you specialize in working with clients of any specific religious view?
No. I welcome clients of any faith and of no particular faith. I have a background in
Christian publishing and pastoral care volunteer work, which helped me decide to
become a therapist. My training is not faith-specific and I do not impose or share
Christian beliefs with my clients. I have worked successfully with Jewish, Muslim,
Buddhist, and atheist clients. I value every client’s belief system and encourage them to
talk about their world view as we work together.
What about confidentiality?
Mental health professionals must protect every client’s confidentiality. I practice in
accordance with laws established by the State of Virginia and detailed by the state’s
Board of Counseling, and I uphold professional ethics established by the American
Association for Marriage and Family Therapy. I also adhere to the standards of HIPAA,
a federal law that protects private health information. I will ask you to sign an agreement
that spells out the terms of confidentiality, and also notes the exceptions: if I believe
you are going to harm yourself or someone else, then I must report this. Similarly, I am
required to report suspected child abuse or elder abuse, and I would be required to
break confidentiality if ordered to do so by a judge in a court proceeding. Therapists
are required to consult with other mental health providers being seen by a client.
No. I do not go to court voluntarily, and I do not prepare evaluations for court. If I am
compelled to appear in court by a judge, I charge the client a substantial daily fee to
cover my time for preparation, travel, and to compensate for the other appointments
that I need to cancel. When a client has been ordered to therapy by court or by an
employer, I am happy to write a letter documenting attendance and participation in
therapy sessions. I require a signed release in order to do so, and I provide a copy of
the letter to the client.
Beth Spring, LMFT
1984 Isaac Newton Square West
Suite 204
Reston, VA 20190
703-975-2628
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