You don’t need to have this figured out before starting.

Most people reach out with a general sense of what’s been going on, and we use the initial consultation to clarify what type of support would be the best fit. The focus is on understanding what’s actually happening and choosing an approach that aligns with that.

Many people come in unsure, especially if they’ve been trying to manage things on their own or have had past experiences that didn’t feel helpful.

The first few sessions are focused on understanding what’s been going on and whether the process feels relevant and useful. You’re able to assess the fit before committing to ongoing work.

This depends on what you’re coming in for and how long certain patterns have been in place.

Some people notice shifts in how they think or respond within the first few sessions. More established patterns take longer to work through, but the process is structured to move forward with clear direction.

That’s very common.

Often one person is more ready than the other. The consultation can be a low-pressure way to understand how the process works and what to expect, without committing to ongoing sessions right away.

For many people, yes.

Online therapy follows the same structure and approach as in-person sessions. The main difference is the setting. Some people prefer the consistency and convenience of meeting remotely, while others prefer being in person.

There isn’t a fixed timeline.

Some people come in with a specific goal and work through it over a shorter period of time. Others choose to continue longer to address more complex or ongoing patterns.

The process is structured with a clear direction, while remaining flexible based on what you’re working through.

The first session is focused on understanding what’s been going on and what you’re hoping to get out of therapy.

We look at current patterns, relevant background, and what feels most important to address. From there, we begin to outline a direction so the process feels clear and purposeful moving forward.

The best way to determine fit is through the initial consultation.

This gives you a chance to talk through what’s been going on, ask questions, and get a sense of how the process works. From there, you can decide whether the approach feels clear, relevant, and aligned with what you’re looking for.

No, I am an out-of-network provider and am not currently contracted with insurance plans. I provide a monthly superbill that can be submitted to seek out of network reimbursement as well as credit toward your deductible with your insurance health plan. 

I work with clients ages 5 and up. Family therapy participants are invited to participate as developmentally appropriate.

No, it is beyond my scope of practice to offer any recommendations on custody rights, visitations, or placement and am not able to attend court proceedings. It is also beyond my scope to write any letters or endorsements. I can provide referrals to therapeutic interventionists who can assist with this process. 

To provide therapy to children of divorced parents, a custody document will need to be provided and consent obtained from both parents before beginning treatment.

In Arizona, therapists at my level of licensure provide services within what’s called a supervised private practice. This simply means I run my own practice and work directly with my clients, while also collaborating with an experienced, independently licensed supervisor who reviews my clinical work and supports my professional growth. It’s a built-in layer of accountability that ensures you receive thoughtful, ethical, and research-supported care.

For you, this translates into the best of both worlds: the personalized attention and relational consistency of a private practice, combined with the added benefit of ongoing consultation with a seasoned expert. Every treatment decision, modality used, and step forward is grounded in current best practices and supported by an additional licensed professional who oversees my clinical development.

This is a supervised private practice. It is owned and/or managed by a master's level, non-independent licensee under Board-approved clinical supervision pursuant to A.A.C. R4-6-211. The Board-approved clinical supervisor of this practice is:

Michaela Decker, hello@vestacounseling.com, (480)-746-4894