Answers to the questions
people ask most.
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Questions and answers
How do I know which therapist is the right fit?
The consultation process is designed to help. You can reach out without knowing, share a little about what's going on, and we'll suggest who we think makes the most sense. The first session is also a chance to confirm the fit before committing to ongoing work.
How long and how often are sessions?
Individual and couples sessions are 50 minutes. Group sessions are 90 minutes. Most clients meet weekly at the start, then sometimes move to every other week as the work progresses. Cadence is a conversation between you and your therapist.
In-person or telehealth?
Both. In-person sessions happen at our office in Cary, convenient to the greater Triangle. Telehealth is available to anyone physically located in North Carolina. Many clients mix the two.
Do you take insurance?
Individual therapy is in-network with Blue Cross Blue Shield and Aetna, and Medicare is accepted for individual therapy with Diane Spell. Couples therapy, family therapy, group therapy, and supervision are private pay. Superbills are available for out-of-network reimbursement on private-pay services if your plan offers that benefit.
What happens if I need to cancel or reschedule?
We ask for 24 hours' notice for cancellations and reschedules. Late cancellations are typically charged the full session fee, since we've reserved the time specifically for you. Emergencies and genuine unavoidable conflicts are handled with judgment, not rigidity.
Is what I share in sessions confidential?
Yes. Everything shared in therapy is protected by clinical confidentiality and state licensing law. There are a small number of legally mandated exceptions (imminent risk to self or others, abuse of a child or vulnerable adult, court orders). We review these in full during the first session.
Do we have to come in together for the first session?
Usually yes. Couples work begins with both partners in the room so the therapist can see the dynamic directly. Individual sessions with either partner may happen later if clinically useful, but the starting point is joint.
Can my child and I be seen at the same time?
Yes. The Coordinated Visit is one of our signature offerings. Multiple family members can be in concurrent sessions with their own clinicians during a designated visit block, and with your written consent, the clinicians coordinate around shared goals. Learn more about The Coordinated Visit →
How does clinical coordination work without breaking confidentiality?
Each family member has their own confidentiality, including children with developmentally-appropriate protections. What gets shared between clinicians and what stays private is decided up front, in writing, and reviewed with you during intake. The team coordinates around goals, not the contents of individual sessions.
How are group cohorts formed?
New groups start approximately every six weeks. Each cohort runs for four 90-minute sessions. Before joining, we have a brief conversation to confirm fit. Group composition is intentional, so timing from interest to start can range from a few weeks to a couple of months depending on where we are in the cycle.
Do you see children and teens?
Yes. Diane works with children, teens, and families, and Vladimir sees teens sixteen and older. A dedicated child and adolescent specialist joins the practice soon, expanding individual therapy for school-age children and teens. The consultation conversation helps us determine the right fit for the young person and the family.
Is therapy available in Spanish?
Yes. Diane is a bilingual clinician and conducts full clinical work in Spanish, including for children, families, couples, and individuals.
Still have a question?
We're happy to answer directly before you commit to anything. A short consultation conversation often clarifies more than a form can.