Frequently Asked Questions

I work 100% online.

Sessions are by appointment only. Being an exclusively online practice, I can accommodate most schedules including availability on weekends or evenings.

A “therapy hour” means 55 minutes. I need the additional 5 minutes to clear my head for the next client. I also offer 25 and 85 minute sessions. Please inquire on pricing and discuss needs during your initial call.

For self-pay, I charge $140 for 50 minutes or $200 for 80 minutes (recommended for couples & hypnotherapy sessions). 
Payment is required at the time of service. 

I accepted cash, check, credit card, Paypal, and Health Savings Account.

I am currently in network with Ambetter, BlueCross and BlueShield, and Qual Choice.

I am considered an out of network provider for other insurances. Please understand just because I do not accept your insurance, this does not mean we cannot work together. Most insurance policies also have out of network coverage. This means you would pay for your session upfront. I will submit the claim for you and you may receive partial reimbursement for the session.

Verify your health insurance coverage when you arrange your first visit.

If I am not in network with your insurance, it is possible we can still work together. Please contact your insurance provider and inquire about “out of network benefits.” You will be responsible for the full fee at the time of service. I will provide you with a “superbill” to send to your insurance company. The insurance company may send you a check for partial reimbursement of the services depending on your coverage.  

You can call (479) 719-8992 or schedule here. 


To ensure a positive and respectful experience for all clientele, we remind you that Coastal Counseling requires 12 hours’ notice for cancellations. The therapy hour has been reserved for you and our time together is valuable. If the client fails to inform us of their absence within 12 hours of their scheduled appointment, the client will be charged a $50 cancellation fee. A credit card number will be required prior to scheduling your first appointment. It will remain on file for any copays/deductibles as well as cancellation fees. Your card will never be charged as long as you cancel within the required window of time.

I work with 18 and up.

Please see my specific LGBTQ page.

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.

This is hard to say, as 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 on you. Some feel better within the first month and do not feel they need to return. Others may choose to stay for a year or longer. I also have clients who do a “check-up” a couple times a year to ensure they stay on their chosen path.  

I remember being in therapy and thinking, Don’t start crying, don’t do it. I know this is a challenging part of therapy. Through my attachment model training, I have learned to embrace my own tears. So I hope to help you learn to embrace your tears as well. In the long run, being temporarily uncomfortable is a good thing.

Absolutely not. It would be the most beneficial to you not to hold anything back. I understand everyone works in their own pace and I never require or demand a client to tell me something. Everything will be at your free will.

EVERYONE! Even therapists have therapists! Therapy does not mean you are crazy or just “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, our feelings or perspectives may change. Our relationships with loved ones may change, we may decide to change jobs, or go back to school. It varies from person to person, but typically clients feel much better about themselves and have gained autonomy.

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

Finding the right therapist for you in 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 for one another, I will provide you with referrals for other therapists who may be a better fit. I encourage you to review the rest of my website. If you get the feeling inside that says “wow, she really does get me”, then we are probably a good fit.

Absolutely. I will never acknowledge you in public or share your secrets. However, there are some limits to confidentiality. Please review my informed consent to learn more about when I have to disclose confidential information.

There is not a day that goes by when I wake up and think, Ugh, I have to go to work today. I adore my clients and am passionate about watching them grow into their ideal person. The approach I use is very collaborative. We work together on the same wavelength from day one until completion. My favorite part is helping clients learn how to be human with another human. That’s all we are, human beings, yet we hide behind our shame and pain and avoid letting people see who we truly are. I love seeing the relief people feel when they learn to sit back and just be themselves for the first time in their life.

Absolutely. When I was in therapy, I found it was my favorite part of the week. An entire hour of just getting to talk, or complain, or cry. Just whatever needed to happen that week. I would not be the person I am today without my therapist. I still continue doing “check-ups” as needed when “stuff” comes up.  

No. I am a licensed professional counselor, which means my job is to help you work through your symptoms. The goal is to not need medications someday. During our work together, if you feel you need medication, don’t hesitate to ask. We can discuss options and appropriate referrals for you at that time.

You bet. Arkansas License: P1602018. Texas license: 79885. Florida Out-of-State Telehealth Provider Registration number: TPMC92. 

Not really. I like to use our time ensuring we stay on the same page throughout the session rather than being preoccupied with notes. But no worries, my brain is a filing cabinet that holds all of the information you share with me. Sometimes we will be in the middle of the conversation and I will say, “Hey do you remember five months ago when you said this? I wonder if this is the same thing that is happening for you now?”

Email:  keesha@coastalcounselingservice.com

Hours:  By Appointment Only. Evening and weekend appointments available