Got Questions?
I've Got Answers.

Email Keesha at keesha@coastalcounselingservice.com to inquire if she is accepting clients and to discuss whether your availability will match. Due to demand, availability is limited.

Finding the right therapist is the most important aspect. I want you to have the therapist who meets YOUR needs, even if that may not be me. Once we meet for our consultation or first session, if it appears we may not be the best fit, I will provide referrals for other therapists who may be a better match. If you read this site and think "wow, she really does get me" — we're probably a good fit.

You can expect to be nervous but excited. We spend the first couple of sessions in the "getting to know one another" phase. Most clients describe feeling at ease within 15 minutes of the first session.

I work with adults 18 and up.

Absolutely. If you identify as LGBTQ+ or polyamorous, you will be welcomed with full support and respect. I understand the daily struggles, fear, and uncertainty life throws at you.

I work 100% online. All sessions are conducted via a HIPAA-approved video platform for security and confidentiality.

Sessions are by appointment only. Due to demand, I have limited availability. It is recommended you reach out to inquire if our schedules can match before scheduling a consultation.

A standard "therapy hour" is 50–55 minutes. I also offer 25-minute and 80-minute sessions. Please inquire about pricing and discuss your needs during your free consultation.

Therapy is an investment in yourself and your lifelong wellbeing. My session fee is $180 for 55 minutes or $250 for 80 minutes (recommended for hypnotherapy sessions). Payment is required at the time of service.

I accept check, credit card, and Health Savings Account (HSA).

I offer video sessions to residents of Arkansas, Texas, Virginia, and Florida using a HIPAA-approved platform for security purposes.

Every session is different. I tailor my sessions to meet each client's specific needs. Regardless, you will experience a warm and accepting environment from start to finish.

This depends entirely on you. Some feel better within the first month. Others may choose to stay for a year or longer. I also have clients who do a "check-up" a couple of times a year to stay on their chosen path.

Yes — and that's okay. I know the thought of crying can be uncomfortable. Through my attachment model training, I've learned to embrace tears as part of healing. Being temporarily uncomfortable is ultimately a good thing.

Absolutely not. Everything happens at your own pace and free will. I never require or demand a client share anything they aren't ready to share. That said, being open will be most beneficial to you.

Everyone! Even therapists have therapists. Therapy does not mean you are "crazy" or hopeless. Therapy is about investing in yourself and learning to become the best version of YOU.

The risk and benefit are both the same: change. As we begin therapy, feelings and perspectives may shift. Relationships may change, career decisions may be made. It varies by person, but typically clients feel much better about themselves and gain greater autonomy.

Absolutely. I will never acknowledge you in public or share your information. There are some legal limits to confidentiality — please review my informed consent for details on when disclosure is required.

No. As a licensed professional counselor, my role is to help you work through your symptoms. If medication seems appropriate during our work, I can discuss options and provide appropriate referrals.

Absolutely. I found therapy to be my favorite part of the week — a full hour to just talk, cry, or process whatever needed to happen. I would not be who I am today without my therapist, and I continue doing check-ups as needed.

Not really. I prefer to use our time staying present and on the same page rather than being preoccupied with notes. My brain holds all of the information you share with me — and I'll often make surprising connections months later.