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Mark Hollingshead, LGCP, Sania Tilden, LMSW, Megan “MK” Kalbaugh, LCPC, and Paul Rahn, LMSW offer couples counseling through Takoma Therapy. Couples counseling provides a non-judgmental, distraction free space to explore challenges, identify strengths, and gain a deeper understanding of your relationship.
Our therapists will work with you to discover patterns in your relationship that leave you feeling angry, disconnected, lonely, and hopeless. Our therapists will help you navigate significant life transitions and challenges, strengthening your relationship and fostering resilience. Through counseling, you and your partner can develop healthier patterns of interaction and emotional connection.
Couples counseling is not covered by insurance and is not the same as family therapy. The fee is $200 per session, and all sessions are 55-60 minutes. If you have additional questions about couples counseling with one of our therapists, please contact our Intake Coordinator, Hannah Insalaco at intake@takomatherapy.com.
Couples Counseling and Insurance
Several insurance companies have recently stated that they cover marriage counseling. However, they limit coverage to services they deem as “medical necessities”. This means providing a mental health diagnosis from the DSM-5 for serious mental illness. Unfortunately, there are no specific codes that cover marriage counseling and serious mental illness.
This presents an ethical dilemma for us as therapists and confusion for you as a couple seeking counseling. We highly recommend that you request a letter from your insurance company, in writing, detailing the CPT and diagnosis codes that are covered to avoid misunderstandings.
When seeking couples counseling, the focus is on the relationship—addressing issues like conflict, parenting, blended families, infidelity, or divorce. Unfortunately, while these issues may cause distress, insurance companies do not consider them “medical necessities.” Despite this, these issues can be incredibly disruptive to your mental health, and we believe they are worth the financial investment in the long run.
Cancellations require 24 hour advance notice. Late cancellations (less than 24 hours notice) will be charged a $50 cancellation fee. If the appointment is not cancelled in advance, the full session fee will be charged.
Takoma Therapy LLC is committed to maintaining the confidentiality of our clients. We do not share, sell, or otherwise disclose information about our clients to any other party except as requested by the client in writing. The law protects the relationship between a client and a psychotherapist however, and none of your information will be distributed to individuals or agencies outside of Takoma Therapy LLC with the exception of the following situations:
> Suspected child abuse or dependent adult or elder abuse, for which we are required by law to report to the appropriate authorities immediately.
> If a client is threatening serious bodily harm to another person/s, we must notify the police and inform the intended victim.
> If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we are required by law to take further measures without their permission in order to ensure their safety.
> Therapists are required by law to report incidences of sexual misconduct on the part of other therapists.
> We abide by HIPAA practice standards.
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Takoma Therapy LLC
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