TherapywithRio

FAQ

Questions, answered.

Everything most people want to know before reaching out — sessions, fit, fees, insurance, and privacy. If something's missing, just ask.

A calm corner of Rio's practice

Getting started

Our first session is a chance for us to get to know each other and talk about what led you to consider therapy. We'll explore your goals, your current challenges, and what you hope will feel different. By the end of the session, you'll have a clearer sense of my style and whether we're a good fit.

Not at all. Many people start therapy feeling stuck, overwhelmed, or simply wanting things to feel different. You don't need to have everything figured out — we'll clarify your goals together and take things one step at a time.

Yes. I provide secure video therapy to clients located in Massachusetts and California. Many clients appreciate the flexibility and comfort of meeting from home or work.

Sessions & fit

Yes. I support couples with communication, conflict patterns, trust repair, intimacy concerns, and navigating major transitions. My work is LGBTQ+ affirming and welcoming to all relationship structures.

I work with clients weekly. Weekly sessions provide consistency, momentum, and the depth needed for meaningful therapeutic work.

This varies. Some clients come for a few months to work through a specific concern, while others stay longer to explore deeper patterns, relational dynamics, or identity-related experiences. We'll talk openly about your goals and revisit them as therapy progresses.

Fees & insurance

For California clients, I am private pay only at $250 per session ($300 for couples), and I provide superbills for clients with out-of-network benefits. For Massachusetts clients, I accept United Healthcare, Aetna, BCBS of MA, and Harvard Pilgrim. I also offer private pay.

Yes. If your plan includes out-of-network coverage, you pay for your session at the time of service, and I provide a superbill that you submit to your insurance for possible reimbursement. Many plans reimburse a portion of the session fee. You can contact your insurance provider to ask about your specific benefits for 90791 (first session) and 90837 (ongoing therapy), including your expected reimbursement amount.

Policies & privacy

Yes. Therapy is confidential, with limited legal exceptions related to safety. I'll review confidentiality and answer any questions during our first session so you feel fully informed.

I ask for 48 hours' notice to cancel or reschedule a session. Sessions canceled with less than 48 hours' notice are billed at the full session fee. This policy helps maintain a consistent schedule and ensures reliable availability for all clients.

Still wondering about something?

The easiest answer is a 15-minute conversation.

Free, no pressure — just a chance to see whether we're a good fit. I reply within two business days.