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Kintsugi Counseling Services


  • What happens if I forget or don’t pay the monthly retainer fee on the 1st of the month?
    The monthly retainer fee is required to remain an active client and continue to receive concierge services. If the retainer fee is not paid on the 1 st of the month, the client will become inactive and no longer receive concierge services, and the next client on the waitlist will then become active. Autopay is an available option for clients, and it is the client’s responsibility to inform the therapist when they want to terminate auto-pay.
  • Can I pay a larger retainer fee if I need more than what the minimum retainer offers?
    Yes, a client can pay more than the minimum monthly retainer fee if more time is needed for the treatment plan. The minimum monthly retainer is simply the requirement to remain an active client with Kara and continue to receive concierge services. The minimum monthly retainer for individuals is $1,200, which covers 240 minutes. The minimum for couples and families is $2,160, which covers 360 minutes. If, for example, an individual needs 480 minutes for the month, it would be a $2,400 retainer fee. If a couple needs 600 minutes, it would be $3,600. Please discuss further with Kara if you need a larger retainer. All retainer fees are non-refundable. Please see “Retainer Fees Terms & Conditions” for more details.
  • How do I request a same-day or next-day session with Kara when I need it?
    Clients can text and email Kara 24 hours a day, 7 days a week. Typically, Kara will respond within one or two hours during opening hours and always within 24 hours, regardless of whether the business is open or closed. Clients can also call Kara anytime between opening hours. Calls made during closing hours will most likely not be answered and will be returned the following business day during opening hours.
  • What is Concierge Counseling, and how is it different from other therapy practices?
    With concierge counseling, clients can rest assured knowing they have enhanced access to services, leading to more personalized care and preventative measures. Unlike the insurance model, which often restricts sessions to one hour per week, the concierge model offers freedom and flexibility. Kara can provide a range of services during the monthly retainer without any restraints or barriers to treatment. This means practical skills and support are readily available when clients need them most, eliminating the need to wait a week or more to process something that has already passed. Under the concierge model, Kara can navigate around the barriers that often limit typical therapy practices. These include insurance dictating which therapists can be seen, the frequency and duration of sessions, the requirement for a diagnosis, and the high volume of clients most practices must handle. By maintaining a small caseload, Kara ensures that each client receives the utmost personalized care and attention, making them feel valued and prioritized. This freedom from insurance limitations empowers you to take control of your mental health journey.
  • How long do the sessions have to be? Is there a minimum or maximum length requirement?
    The wonderful thing about the concierge model is that sessions are as long or short as the client needs each time. Typically, an individual's session will vary from 15 to 120 minutes, and for couples and families, it will vary from 30 to 180 minutes. There is no minimum or maximum length requirement for sessions. They are on an as- needed basis, and the client and therapist will continually collaborate and check in to ensure that the sessions and their durations are effective.
  • Do I have to schedule sessions beforehand, or can all sessions be as needed for same-day and next-day sessions?
    It is totally up to the client to decide what is needed to fit the individual goals and schedules. Clients can always book ahead anytime, but it is not required, and there is no pressure due to the concierge model. Some sessions can be booked ahead, and others can be scheduled as needed on the same day or the next day. Or all sessions can be booked ahead of time. Alternatively, all sessions can be on-demand. With the concierge model, sessions are completely flexible and accommodating to the client’s needs.
  • Why do I have to pay a monthly retainer fee? Why can’t I pay per session?
    Studies have shown that treatment is most effective when done frequently and consistently. Typically, this would be at least one hour once a week for individuals and at least one and a half hours once a week for couples and families. The monthly retainer fee reflects this average minimum attendance for progress and growth. Studies have also shown commitment is key to achieving real change versus a temporary quick fix. Paying an upfront monthly retainer reflects the client's commitment to the treatment plan and provides more accountability and encouragement to the process. “Investing in yourself is the best investment you will ever make. It will not only improve your life; it will improve the lives of all those around you.” ~ Robin S. Sharma Once the retainer fee is fulfilled, the client pays per session for the remainder of the month to continue treatment and services as needed. Consistency and commitment have been achieved at this point, so pay-per-session is allowed for the remainder of the month.
  • What’s the difference between a Life Coach and Concierge Counseling?
    Life coaching and therapy have many similarities, so it is easy to confuse them. Typically, therapy focuses mostly on mental health and healing from the past, whereas life coaching focuses mostly on the future and achieving specific goals. In a nutshell, a therapist helps heal, and a life coach helps inspire. Concierge counseling is provided by a licensed mental health professional who has undergone years of education, supervision, and clinical training to provide quality, evidence-based services to others. To obtain and maintain their license, therapists must achieve a minimum of a master's degree, complete thousands of clinical and supervision hours, and fulfill continuing education hours every two years. A life coach does not require any formal training, certifications, degrees, supervision, or clinical experience. People can use the title “Life Coach” and provide services without regulation by any governing body. While many get professionally trained and certified, it is not required, so be sure to research if you decide to go with a life coach instead of a therapist.
  • What if I need services in the morning or evening during closed business hours?
    The client can text and email 24/7, and Kara will respond as soon as possible. If Kara is available and able to provide services during closed business hours, she will. It is always worth asking, and please understand that sometimes Kara will be able to accommodate the request; sometimes, the request may be slightly delayed, and sometimes, the request may not be possible. Kara will schedule a session as soon as possible when a request cannot be fulfilled when needed.
  • Why isn’t any insurance accepted or a Superbill provided?
    While insurance can enhance accessibility to mental health services, it also has significant limitations. These include restricting therapists' earnings, the number and length of sessions, and requiring a diagnosis for treatment. In some cases, the client's employer may even request progress notes from the therapist. Another potential barrier is when insurance denies a claim or changes its coverage, forcing the client to halt their treatment. It's important to be aware of these limitations to make an informed decision about your mental health care. A Superbill is a receipt given directly to the client for the services received from the therapist. If the client has out-of-network coverage, the client is responsible for submitting that receipt to their insurance company. The insurance company decides how much, if any, of the bill it will cover and sends a refund check directly to the client. This process ensures you are fully informed and confident in managing your insurance coverage. At first glance, this seems simple enough; however, the Superbill is still going through the client’s insurance, and the same requirements apply, such as requiring a diagnosis, limiting the frequency and duration of services, and still being able to request the client’s progress notes if there is legal cause by the company the client works for. Private pay eliminates all those barriers to treatment and better protects the client’s privacy and autonomy. FSA & HSA Debit Cards are accepted. Since they work the same way as a typical debit card and do not have the same restraints and requirements as insurance coverage, they are easily utilized for payment. Please note that most mental health services can be paid for with FSA and HSA tax-free funds, but some services may require a letter of medical necessity (LOMN) to qualify. It is important to confirm with your plan administrator which mental health expenses are eligible for FSA or HSA.
  • What if I am running late or have an emergency and no-show to a session?
    We understand that sometimes unexpected things happen. This is the beauty of the concierge model; we can adapt, reschedule, and be much more flexible as needed. Please be considerate of the therapist and other clients who could use that time slot and contact Kara as soon as possible via text, email, and/or phone. Please see our “Cancelation, Late Show, No Show Policy” for more details.
  • What do I do if I have an emergency and can’t get a hold of Kara immediately?
    Kintsugi Counseling Services is NOT an emergency service. If there is an emergency, the client should call 9-1-1 or go to the nearest emergency room for immediate services. Sometimes, a client may have a “Safety Plan” in place that is part of their treatment plan, and the client should follow that plan as needed. As a licensed mental health professional, Kara is also a mandated reporter and is legally required to report any current or suspected harm, endangerment, or abuse. Helpful resources in case of an emergency: Cuyahoga County Crisis Line: (216) 623-6888 Medina County Crisis Line: (330) 725-9195 Lorain County Crisis Line: (800) 888-6161 Summit County Crisis Line: (330) 434-9144 Ohio Careline Hotline: (800) 720-9616 National Suicide & Crisis Lifeline: Call, Text, or Chat 988 National Domestic Violence Hotline: (800) 799-7233 LGBTQ+ Hotline: (888) 843-4564 National Parent Helpline (855) 427-2736 Rape Abuse & Incest National Network (RAINN): (800) 656-4673
  • Is there an option for Unlimited Concierge Services?
    Yes, and it is limited to only a few clients to maintain quality accessibility and services. Please understand that “Unlimited” does not mean 24/7 access to Kara. She will make herself as accessible and accommodating as possible, and she is also a human with her own life and family, so healthy boundaries will be maintained as needed for the clients and Kara. For further inquiries regarding Unlimited Concierge Services, please contact Kara.
  • Can my entire family get services from Kara under one Family Retainer fee? That way, I can get individual services, my spouse and I can get couples, and our kids can get individual and family services with her—like an all-in-one package.
    While this sounds like a dream come true package deal, unfortunately, it is impossible due to ethical issues and conflicts of interest. The therapist cannot treat all family members unbiasedly while providing individuals, couples, and family counseling to the same members. There are also potential risks for enmeshment, triangulation, and trust and power imbalances. If a client needs services for oneself and the family, then the client must decide which service to receive from Kara, which would be individual concierge services, couples concierge services, OR family concierge services. If, say, the client decides to receive couples concierge services from Kara, then Kara will refer the client for individual and family therapy to other mental health professionals.
  • Why are you closed on Sundays? What am I supposed to do if I need services that day?
    Sunday is sacred family time for Kara and her family. While Kara is a dedicated mental health professional, she is also a mother and wife and must model healthy boundaries and attachments to her children. Sundays allow Kara to be fully present and connected with herself and her family. They also allow Kara to recharge and provide exceptional services for the upcoming week. “A Sunday well spent brings a week of content.” ~Proverb Clients can still text, email, and call on Sundays as needed. All messages will be reviewed and returned the following Monday during business hours.
  • Why are Individuals, Couples, & Families different prices? Why are Couples & Families more expensive than Individuals?
    Couples and families are more complex situations than individuals in sessions due to the presence of more than one person. Individuals can discuss and process freely in sessions without interruptions or barriers and without worrying about other people’s feelings or reactions. The added complexity in couples and family sessions requires the therapist to manage various personalities, narratives, traumas, perspectives, biases, attachments, etc. Due to the added complexity and special skills required for couples and families, the price is higher than for individuals.
  • What if I cannot afford your services? Is there a sliding scale or any other options?
    We understand that Kintsugi Counseling Services will not be accessible to everyone for various reasons, including financial. Fortunately, there are many skilled mental health professionals around whom we can recommend and help clients find a therapist who accepts their insurance or is within their budget. Please check out our referral list below. There is no sliding scale or any other option currently. One great free resource to help clients find quality mental health services is the Psychology Today website at
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Monday - Friday: 9:00 am - 5:00 pm

Saturday: As Needed 

Sunday: CLOSED

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