Signature offering

The Coordinated Visit

Therapy designed for families with more than one person who needs care, and not enough time to schedule it separately.

What it is

Concurrent sessions for the
people who share a household

A Coordinated Visit means multiple people in your family can be in therapy at the same time, in the same building, during a designated visit block. A parent can be working with their therapist while their child is working with theirs. Both partners can be in a couples session while their teen is meeting separately with the child specialist. A full family can come together, then split into individual sessions in the same hour.

Care that fits a real family schedule, without forcing anyone to choose whose well-being gets the time slot this week.

For families managing multiple needs at once, this isn't a convenience. It's the only way the work actually happens.
How coordination works

More than shared scheduling

The Coordinated Visit isn't just two appointments at the same time. With your written consent, the clinicians on your family's care team communicate with each other to coordinate around shared goals. The work each of you does in your individual sessions can inform, without compromising, the work happening in the others'.

What gets shared and what stays private is decided up front, in writing, with you. Children and teens have their own confidentiality protections. Couples have theirs. Coordination happens within boundaries each clinician agrees to respect.

Who it's for

Families facing more than one thing at once

  • A parent and a child or teen who both need ongoing care
  • Couples whose teen is also seeing a therapist
  • A single parent juggling their own therapy and their child's
  • Two-career households where time for therapy is genuinely scarce
  • Families facing divorce, transition, or grief on multiple fronts
The team

Three clinicians,
complementary by design

01
Children & Teens

Child & Adolescent Specialist

A dedicated clinician for school-age children, teens, and young adults anchors this side of the model. Practical, developmentally appropriate therapy that keeps parents involved so progress holds at home.

Joining soon. Introduction to follow.

02
Adults & Families

Diane Spell, LCSW

Family systems, parenting, anxiety, depression, trauma, and bilingual care across the lifespan. Provides clinical leadership for the coordinated care model.

03
Adults & Couples

Vladimir Tikhtman, LCMHCA

Adults, couples, life transitions, and the existential questions that surface in midlife and after. Trained in Gottman Method couples work.

How it works

From inquiry to first visit

  • 01. Tell us about your family in the consultation form. A few sentences about who needs care and what's bringing you in is enough.
  • 02. We'll respond with a proposed clinical pairing, available Coordinated Visit blocks, and answers to any questions about how coordination works.
  • 03. Each family member completes a brief intake with their assigned clinician. Coordination consents are reviewed and signed.
  • 04. Your first Coordinated Visit is scheduled. From there, you can return at the same time each week, or adjust the cadence as needed.
Schedule & format

Designed around real-life logistics

  • Format: In-person at our Triangle office
  • Cadence: Coordinated Visit blocks are offered approximately once daily, including late-afternoon and early-evening windows
  • Duration: Standard 50-minute sessions for each family member
  • Pricing: Standard per-session rates apply ($175 individual, $225 couples or family). No bundle premium or discount.

Specific block times are confirmed during the consultation process based on your family's availability.

Ready to talk through whether
this fits your family?

The consultation conversation is the right place to figure out who in your family would work with which clinician, and which Coordinated Visit block makes sense for your schedule.

Request a Consultation