Frequently Asked Questions

Answers for therapists, individuals, and common questions about therapy.

For Individuals

What is professional counseling, and how does it work?

Professional counseling is a therapeutic relationship in which a licensed mental health professional helps you address psychological, emotional, or behavioral challenges. Unlike coaching (which focuses on goals and performance) or spiritual direction (which addresses faith and meaning), counseling is a clinical service provided by licensed practitioners, LPCs, LCSWs, LMFTs, LMHCs, and psychologists. Sessions typically last 50 minutes, occur weekly or biweekly, and focus on your specific mental health goals. Therapists listed on CounselorFit are licensed and reviewed by our team.

How do I choose the right therapist?

Start with what you want to work on, such as anxiety, depression, relationship issues, trauma, or a life transition. Then look at specialty, location (or telehealth), and rate range. CounselorFit therapist profiles list credentials, specialties, and session fees where the therapist has provided them.

What credentials should I look for?

Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), or Psychologist (PhD or PsyD). Credentials are listed on therapist profiles, and listed therapists have their license reviewed by our team.

How much does therapy typically cost?

Session fees are set by each therapist and vary with experience, location, and specialty. Some therapists offer sliding-scale fees. Where a therapist lists a rate on their profile, you can see it before you contact them.

Is my session information private?

Therapists are bound by professional ethics codes and applicable privacy law. Your therapist does not share your session content with your employer. If you access care through an employer benefit, your employer sees only aggregated utilization data, never individual session content.

Do I need a referral to see a therapist?

No. You can contact any therapist on CounselorFit directly, no referral needed. Some insurance plans require a referral from your primary care provider for coverage, but that’s between you and your insurance. You’re always free to see a therapist on a private-pay basis without a referral.

What if I don’t connect with my therapist?

It happens, and it’s okay. The therapeutic relationship is the strongest predictor of therapy outcomes, if the fit isn’t right, the work won’t be either. Give it 2-3 sessions to settle in, but trust your instinct. If it’s not working, tell your therapist directly or simply book with someone new. Therapists understand this.

How do I find a therapist who takes my insurance?

Contact your insurance company and ask for a list of in-network providers, then check whether they are on CounselorFit. You can also call a therapist's office directly, since many accept some insurance plans. Some therapists offer superbills (receipts for out-of-network reimbursement). Therapist profiles indicate accepted insurance where provided.

What do I say in my first therapy session?

You don’t need to prepare a speech. The therapist will guide the conversation. They’ll ask what brought you in, what you’re hoping to change, and some background about your life. It’s okay to be nervous, uncertain, or emotional. It’s also okay to say “I’m not sure where to start.” That’s a perfectly good starting point.

What if I cry in therapy?

That’s completely normal and expected. Therapists are trained for this, they won’t be uncomfortable, and they won’t rush you. Crying in therapy often means you’re touching something important. Your therapist will have tissues and patience.

For Therapists

What are the requirements to be listed?

Active state licensure in good standing (LPC, LCSW, LMFT, LMHC, PsyD, or equivalent), current professional liability insurance, 2 to 3 client testimonials, a professional headshot, and agreement to CounselorFit’s code of professional conduct.

How does CounselorFit pricing work?

Free is $0: a verified directory profile, bookings, Stripe payments with automated payouts, and free academy courses. Pro is $39/mo or $372/yr (about $31/mo) and adds your booking page, calendar sync, client records, SOAP notes, intake forms, invoicing, and superbills. Premium is $79/mo or $756/yr (about $63/mo) and adds HIPAA-compliant video, AI session notes, insurance billing and claims, SMS reminders, and marketing tools. Pro and Premium each come with a 14-day free trial. You set your own session rate. Clients pay a 5% service fee on completed bookings, on top of your rate.

What does each CounselorFit plan include?

Each plan includes everything in the plan below it. Free: verified directory profile, agency directory listings, embeddable widget, credential display, service management, receive bookings, manual availability, email notifications, Stripe payments and automated payouts, membership in multiple agencies, free academy courses. Pro adds: standalone public booking page, priority search placement, discovery calls, calendar sync and full calendar view, client records, session notes (SOAP), intake forms and e-signatures, goal tracking, outcome measures (ORS, SRS, CSAT), client tasks, CE logging (CPD), real-time messaging, custom quotes and FAQs, dispute tools, payment breakdown and export, invoicing and superbills, all academy courses. Premium adds: HIPAA-compliant video (1:1 and group), AI session notes, AI treatment suggestions, outcome benchmarking, SMS reminders, insurance billing and claims, course creator, email campaigns, lead pipeline and CRM, referral program, lead magnets, custom domain and branding, API and webhooks, practice analytics, mobile app, priority support.

How do clients find me?

CounselorFit is therapist-first practice software, and the directory listing is a perk of the platform. Your profile lists your specialties, location, and availability so prospective clients can find you, and they contact you directly through your profile and book via your booking link.

How long does the application take?

Applications are reviewed within 7 business days. You’ll receive a decision by email. If additional documentation is needed, we’ll contact you at the email you provided.

How do I make my profile effective?

Complete every section, bio, specialties, credentials, rates, and headshot. Therapists with complete profiles receive significantly more inquiries. Update your availability regularly. Respond to client inquiries within 24 hours, prompt response materially improves booking conversion.

How is CounselorFit different from Psychology Today or SimplePractice?

CounselorFit is built as practice software first. Pro and Premium bring your scheduling, billing, and telehealth tools together, and a directory listing comes with your plan instead of being the only thing you pay for. Your profile is reviewed by our team before it goes live. Compare features and pricing on the Practice Tools page and decide what fits your practice.

Does CounselorFit accept therapists who only do telehealth?

Yes. Many of our listed therapists offer exclusively virtual sessions. Your profile will clearly indicate your session format, in-person, telehealth, or both. Telehealth-only therapists can serve clients in any state where they hold licensure.

Can I set my own rates on CounselorFit?

Yes. You set your own session rate, and your clinical decisions stay yours. Clients pay a 5% service fee on completed bookings, on top of your rate.

Who pays the 5% service fee?

The client pays a 5% service fee on completed bookings, added on top of your session rate. You do not pay it. Your own costs are Stripe card processing and any insurance fees. There is no fee when a booking is not completed. See your plan details in the Practice Tools page and our Terms of Service for the full fee terms.

What happens if a client leaves a negative review?

All feedback is reviewed by our team before publication. We investigate concerns and give therapists an opportunity to respond privately. Reviews that violate our guidelines (personal attacks, HIPAA violations, factually inaccurate claims) are not published. Constructive feedback is part of our accountability standard.

How do I write a therapist bio that gets clients?

Write like a human, not a CV. Lead with who you help and what changes they can expect. Use “you” language, not “I provide” language. Mention specific issues you treat, not just credentials. Keep it under 200 words. Therapists with complete, specific bios receive significantly more inquiries than those with generic descriptions.

About Therapy

What is the difference between a therapist, counselor, psychologist, and psychiatrist?

A therapist is a general term for mental health professionals who provide talk therapy. A counselor (LPC, LMHC) holds a master’s degree in counseling. A psychologist (PhD, PsyD) holds a doctorate and can administer psychological testing. A psychiatrist is a medical doctor (MD) who can prescribe medication. On CounselorFit, you’ll find licensed counselors, therapists, and psychologists, all reviewed by our team.

What is EMDR therapy and how does it work?

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy developed for processing trauma. During sessions, your therapist guides you through bilateral stimulation, often eye movements, while you revisit distressing memories. This helps your brain reprocess traumatic experiences so they no longer trigger the same emotional response. EMDR is endorsed by the WHO and the American Psychological Association for PTSD treatment.

What is CBT (Cognitive Behavioral Therapy)?

CBT is one of the most researched and effective forms of therapy. It focuses on identifying and changing negative thought patterns that drive anxiety, depression, and other conditions. CBT is structured, goal-oriented, and typically runs 12-20 sessions. Your therapist will teach you practical skills to challenge unhelpful thinking and change behavior patterns.

What is DBT (Dialectical Behavior Therapy) and who is it for?

DBT was originally developed for borderline personality disorder but is now used widely for emotion regulation, self-harm, suicidal ideation, eating disorders, and substance use. It teaches four core skills: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT typically includes both individual therapy and skills group sessions.

Is online therapy as effective as in-person?

Research consistently shows that online therapy is as effective as in-person therapy for most conditions, including anxiety, depression, and PTSD. The American Psychological Association supports telehealth as a valid treatment modality. Some people actually prefer it, no commute, more scheduling flexibility, and the comfort of your own space. Many therapists offer virtual sessions.

How long does therapy take to work?

It depends on what you’re working on. Many people notice improvement within 6-8 sessions. CBT for anxiety typically runs 12-20 sessions. Trauma processing with EMDR can show results in 6-12 sessions. Deeper work on relationship patterns or personality may take longer. Your therapist should be able to give you a realistic timeline in your first few sessions.

What are the signs I should see a therapist?

Consider therapy if: your mood is affecting your work or relationships; you’re using alcohol or substances to cope; you feel stuck in the same patterns; you’ve experienced a loss, trauma, or major life change; you have persistent anxiety or worry; or you simply want to understand yourself better. You don’t need to be in crisis to benefit from therapy.

How is therapy different from talking to a friend?

A therapist is trained to identify patterns you can’t see yourself. They use evidence-based techniques, not just advice or comfort. They maintain strict confidentiality. They won’t judge you, take sides, or make it about them. And they’re accountable to licensing boards and ethical codes. A good friend is invaluable. A good therapist gives you something a friend can’t.

Can I see a therapist without a diagnosis?

Yes. You don’t need a diagnosis to start therapy. Many people seek therapy for stress, life transitions, relationship issues, or personal growth, none of which require a clinical diagnosis. If insurance coverage is a concern, your therapist may need to assign a diagnosis for billing purposes, but that’s a separate conversation.

What is sliding scale therapy and how do I ask for it?

Sliding scale means the therapist adjusts their fee based on your ability to pay. Many therapists offer this, just ask. You can say: “I’m interested in working with you. Do you offer sliding scale or a reduced rate?” It’s a normal question therapists hear regularly. On CounselorFit, profiles indicate whether sliding scale is available.

Is therapy confidential if I access it through my employer?

Yes. If you access care through an employer benefit, your employer sees only aggregated utilization data: how many employees are using the platform, not who or why. Your individual session content is never shared. Therapists are bound by professional ethics codes and applicable privacy law regardless of how you access their services.

Can couples therapy save a relationship?

Research suggests that couples who seek therapy earlier tend to have better outcomes. Couples therapy works best when both partners are willing to participate and the therapist is specifically trained in couples work, not just doing individual therapy with two people in the room.