FAQ: Answers for our most asked Questions

Acuity Counseling & Therapy Services

Helping Individuals, Couples and Children through anxiety, depression, trauma, relationship issues and more. Serving Seattle, Bellevue, Woodinville and online throughout Washington State.

Common Questions, Answered.

We strive to be transparent in our process, so that you know what to expect and can focus on your mental health and wellness. We understand that starting counseling can be a big decision and there’s a lot to consider. We’re here to help make getting the help you need, as easy as possible. Check out some of the most frequently asked questions here. If you still need help, give us a call at 206.910.9476 or email us at info@acuitycounseling.net.

What if I am late for my appointment?

When we reserve time specifically for you, we require all of that time to provide you with the best quality care possible.

When you are late it decreases our ability to accomplish this. If you arrive more than 10 minutes late for your appointment time, you will be asked to reschedule.

How do I CANCEL or RESCHEDULE an existing appointment?

We understand that sometimes you may need to cancel or reschedule your appointment.

We encourage you to use our TherapyPortal (online scheduling tool), call our main line at 206.910.9476 or email us at scheduling@acuitycounseling.net.

You may also email your therapist directly at theirfirstname@acuitycounseling.net

Because your therapy session is a time reserved exclusively for you, we require a credit card to hold your appoitnment. It is also our office policy to provide at least 24hrs advance notice in order to avoid a cancellation/missed appointment fee equal to the cost of the session.

Please be aware that insurance cannot be charged for this fee.

Do you accept insurance?

Yes! Acuity Counseling accepts most major health insurance plans for Individual Counseling. Individual counseling is typically covered by health insurance. 

Couples counseling is different.

Since the focus of treatment is working on the relationship (not the individual), we cannot directly bill health insurance for couples counseling.You may still be able to use your health insurance for couples counseling. You will be responsible for the cost of the therapy, at the time of service. We will then provide you with a bill to seek reimbursement from your insurance carrier if covered by your plan. 

We are in-network with:

We do not participate in EAP Plans

  1. Even if we are not in-network with your insurance, your insurance company may still cover a portion of your sessions. In this case, we are happy to submit a claim for you and have the reimbursement check from your insurance company sent directly to you.

What is the difference between In-Network and Out-of-Network?

In-Network means that the provider has a contract agreement with the insurance company. Patients seeing an in-network provider are responsible for anything not covered by their plan at the time of service (i.e. copays, deductibles, and coinsurance).

Out-of-Network means that the provider does not have a contract agreement with that insurance company. Patients seeing an out-of-network provider are responsible for the whole cost of care at the time of service, and may be eligible to receive reimbursement from their insurance company.

In both cases, Acuity Counseling is happy to submit all claims on your behalf in order to make getting coverage for your care, as easy as possible. 

What happens if it snows? Can I keep my appointment?

Yes! you get to keep your appointment using a Telehealth Zoom Video Counseling Session with your Therapist.

In the event that your session is being effected by inclimate weather/office closure, you will receive a direct email with a personalized link to a Zoom meeting with your therapist. Specific information on how to use Zoom, your insurance coverage for the video session (if applicable) and what to do if you want to cancel will all be contained in email.

Even in Seattle it occasionally snows, making it hard for our clients and our therapists to safely get to the office. Your continued and consistent care is important to us. We will post Office Closure updates on Facebook, Instagram and here on our website.

Please be aware that insurance cannot be charged for this fee.

Which therapist is right for me?

Let us help you find the right therapist. Many of our therapists specialize in anxiety, so view our profiles online to learn more about specific counselors specializing in anxiety treatment or speak with our Client Care Coordinator, who can help you with a personalized match to the right therapist for your needs. 

Finding the RIGHT therapist is the most important piece of reaching your goals.

How long does Therapy take?

Counseling works best within the framework of a safe and trusted therapeutic alliance. Since it takes time to build this relationship with your therapist, we recommend committing to weekly sessions for at least 8 weeks. Research shows that consistency adds to the positive outcomes of therapy. Once you reach your 8-week goal, you and your therapist can discuss a frequency of sessions that will support your continued success.

I’ve never done therapy before...What can I expect in my sessions?

The unknown of anything new can make it scary. Especially if you’ve never been to counseling before. Let us show you the “roadmap” so you know what to expect:

1st Session:
This first meeting is an introduction for both you and your counselor. Your therapist will explain the therapy process and go over the specifics of informed consent. From there, your therapist will gather additional information about your history, current circumstances, as well as struggles and personal strengths, which will help them to define a treatment plan that aligns with your goals. 

This is also the chance for you to learn more about your therapist. We encourage you to ask questions and get to know them; the relationship you build with your therapist will be the most important part of your work together. 

2nd Session and Future sessions:
In your weekly sessions, you and your therapist will use evidenced based therapies such as CBT, Mindfulness or ACT, to help you address your symptoms of worry, stress and anxiety. For anxiety rooted in trauma, or related to obsessive compulsive disorder (OCD), your therapist may recommend treatment with EMDR.

Closing Sessions:
Our goal is for you to find relief from your anxiety and be ready to “graduate” from therapy. In the last few sessions with your therapist, you will review your initial goals, the progress you have made, and solidify your new skills for managing anxiety in your life. At your last meeting together, you’ll have the time for the meaningful goodbye with your therapist.

How much does Counseling cost?

We strive to create access to high quality mental healthcare for everyone. Our therapists’ rates vary by experience and specialized training. We will make every effort to find the right therapist for you. 

Acuity Counseling also accepts health insurance and offers both in-network and out-of-network coverage. 

We are in-network partners with: 



First Choice

Premera Blue Cross

* We do not participate in EAP plans

How can I evaluate whether therapy is working?

Acuity is unique because we use research backed questionnaires to assess your mood, goals and progress. From time to time we may share with you your progress on these reports, “you report being angry 30% less days than when you started therapy,” and then ask what your goals for the future may be. We have found that by having clients set their own goals and following up regularly we can achieve better results.

If I go to Acuity for help, does it mean there is something wrong with me?

No. We try to break this stigma constantly.

Many people come to Acuity just to gain a better perspective of themselves and work on some issues that they are having in their daily life. There aren’t many places for people to vent and seek honest help, so we provide that space for people as well as psychologically informed advice to better cope with life’s persistent problems. Even if you have a mental health diagnosis there is nothing wrong with you. We all experience and react to the world in different ways, it’s hard to argue that there is anything wrong with that.

Should I Go To Therapy For Relationship Issues Alone or With my Partner?

Most couples therapy involves some initial counseling with each couple separately, so if you have concerns over a relationship issue you can start with relationship counseling for individuals. However if your main concern is almost totally with something your partner does, but you can’t seem to discuss it or come to a solution on your own, then going to counseling with your partner may be the best solution.

Is medication used in conjunction with your therapy?

Some conditions for some people are best treated with the help of medication. If we find it necessary after our initial assessments, we will discuss types of medication, your comfort with it, and the pros and cons of medication with you. If you so choose, we can refer you to the appropriate psychopharmacologist in the area. If you are already on medication, we will coordinate treatment with your primary provider.

Contact us to schedule an appointment or ask a question.

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Acuity Counseling Locations




Falcon View
12900 NE 180th St, Suite 160
Bothell, WA 98011
(206) 910-9476

Plaza 600 Building
600 Stewart St, Suite 1228
Seattle WA 98101
(206) 910-9476

–Coming Fall 2021–
221 N Wall St.
Spokane WA 99201

(206) 910-9476

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