• My office is located in Alamo Heights, Texas. I offer virtual appointments all across the state of Texas.

• Sessions are 55 minutes long. I offer 90 minute sessions for couples upon request.

Autumn Sage Counseling does not bill insurance directly so I can provide the highest level of personalized and confidential care to you. Insurance companies require a formal mental health diagnosis, detailed session notes, and ongoing documentation in order to authorize treatment. These requirements significantly limit your privacy and often restrict the type, length, and frequency of therapy.

A formal diagnosis is only given when clinically appropriate and ethically supported by adequate assessment.

If a diagnosis is needed for medical or psychiatric coordination of care, we will discuss that on a case-by-case basis to ensure accuracy and ethical practice.

• I kindly ask for 24 hours notice to cancel or reschedule. Late cancellations and no shows will be charged the full session fee.

• Yes. While I specialize in working with women through the unique and full spectrum of womanhood; I welcome clients from all walks of life. My practice is a supportive space where your individual story will be honored.

As part of the No Surprises Act, you have the right to a Good Faith Estimate of the cost of therapy before beginning services. This estimate outlines what you can expect to pay based on our agreed-upon session fee and frequency. I provide this in writing before we start and anytime you’d like one. My goal is to make costs clear and transparent so there are no surprises.

I accept credit/debit cards and HSA/FSA cards. All payments are processed securely at the start of each session.

Individual sessions : $175 (55 mins)

Couples sessions : $205 (55 mins)

Couples sessions : $320 (90 mins)

Premarital 8 pack : $900 (8 × 55 mins)

I understand that not everyone can afford the current market prices for counseling services. It is important to me as a clinician to provide affordable and accessible counseling for all.

I provide a limited number of sliding-scale rates for those who qualify. Please inquire within.