Counseling Services

Individual, Couples, Family, Adolescents, Addictions, Personality Disorders, Trauma (EMDR trained), Family systems/of origin, Anxiety, Depression, Life transition, Spirituality, Grief, Pre-Marital, Communication, Intensives (Marriage, Individual, Story), Groups

Consulting Services

Ministry, Churches, Organizations, Businesses, Schools, Teams, Counselors to help each function at the highest level possible, maximizing their potential impact with a focus on healthy team dynamics, vision-mission-values-strategies, DISC, MBTI, Enneagram

Speaking &Teaching

  • Marriage Retreats (A River Runs Underneath, Invitational Language in Marriage)
  • Story Workshops
  • Enneagram Workshops
  • Parenting & Attachment
  • Mental Health
  • Anger
  • Trauma
  • Anxiety/Depression
  • Self Awareness, Realization & Actualization

Why Don't We Take Insurance?

Most health insurance companies reimburse as long as it is provided by a licensed professional in the state of Florida. Before scheduling an appointment, call your insurance company to inquire if your type of plan provides for reimbursement for “out of network” providers…


Feel free to contact us, and we will be more than happy to answer all of your questions.

Why We Don't Take Insurance

Most health insurance companies reimburse as long as it is provided by a licensed professional in the state of Florida. Before scheduling an appointment, call your insurance company to inquire if your type of plan provides for reimbursement for “out of network” providers.  We are Licensed Mental Health Counselor (LMHC).   If your plan does provide reimbursement, we will be happy to provide you with the necessary documentation to submit to your insurance company.

Quandary has a standard counseling session rate for all of our clients, with a sliding scale for those who qualify due to economic or special circumstances

The downside of using insurance to pay for your therapy is that every claim must include a diagnosis putting your mental health into the medical model of “disease” and “treatment”.  This “disease” is one that will be included in a paper trail that will follow you for several years. Several insurance companies have chosen to deny a person coverage due to even the most benign mental health diagnosis. So you may want to weigh the short term savings of using your insurance with the long term loss of paying, in some cases could more than double your monthly premium for insurance in the years to come. If you choose this course of payment reimbursement for yourself, we will assist you in every way possible.


Things I wish all clients knew before/when they are using insurance-approved therapists.

  1. Your therapist has to diagnose you to get you reimbursed.
    Insurance doesn’t reimburse for “marriage therapy” or “I’m having a hard time” or even “grief”. It is a medical model, and so this means that payment can only be for a diagnosis. This means that (even in family therapy) a person has to receive a label. And these labels will be part of your official record permanently. This might never matter to you. If you are one of the fortunate ones who has medical, life and disability benefits through your employer… you might never worry about this. But if you’re someone who might ever be unemployed, self-employed, or need to purchase your own benefits- a mental health diagnosis can make the difference between preferred coverage or none at all.
  2. Your records are not protected. Your insurer can audit your records at any time they wish. This means any details that your therapist might have included in the paperwork (perhaps for good reason) is technically open to the eyes of any “claims specialist” the company hires. Again, this might not matter to you. But if you hold high clearance for a job, or have other reasons you want your information to be held confidential- this is important to know.
  3. Your care is dictated by the insurer. Most insurance requires some sort of treatment plan to be submitted by in-network providers. This means that (rather than giving you the care that best fits your needs) the therapist is responsible to the (non-mental health professional) claims representative for how you spend your time. To put it simply, an in-network therapist works for the insurance company, not you. It doesn’t matter what you and your therapist decide is in your best interest, it needs to fit their matrix of decisions. It also has to fit within the allotted sessions which are determined ahead of time, not based on need.
  4. Insurance almost never pays the full fee. This means you are either going to be responsible for the remainder (which you need to clarify ahead of time) or it means your therapist is working for less than a fair market wage. Which leads me to my final, and most unpopular point.
  5. Insurance limits your options. I have said it before, to an angry response. I cringe even as I type. But the truth is: I know very few licensed and experienced therapist on insurance panels.  I have been in this profession over a decade and supervised over 25 interns on their path to licensure.


From a 1993 New York Times article:

The most common invasion of the privacy of the therapy session is one that patients often fail to realize they have given permission for: the scrutiny of their psychotherapy by employees of the health plan paying for treatment.

“When you sign up for a health plan or health insurance policy, you usually sign a release giving the company the right to know details like your diagnosis, what kind of therapy you are receiving and the number of sessions,” said Dr. [David] Nevin.

Goleman, Daniel. (1993, April 14). What you reveal to a psychotherapist may go further. New York Times, retrieved from

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