What is therapy and how does it work?

Therapy is an effective means of helping individuals, couples, and families deal with difficulties they are unable to overcome alone. While there are many different forms of therapy available to the public, research shows that the type of therapy a person receives is less important than the relationship between the therapist and client. In fact, many therapists use an eclectic approach and incorporate different types of therapy in working to help people rise above their problems.

When should I seek therapy?

Once you feel that life’s problems are interfering with your day-to-day relationships or when feeling overwhelmed. It is important to remember that ultimately there is no “correct” or “incorrect” time to ask for help. Ultimately, only you know when it’s time.

How long will I be in therapy? 

Therapy is different for everyone, so an individualized approach usually works best. At the start of our relationship, we’ll talk about what you want to accomplish and develop a plan that’s right for you.

How do I make an appointment?

Just call me at 919.623.3989 to set up a time that’s convenient for you. Or send me an email at hpanara@me.com to schedule a 15-minute complimentary phone consolation. I’d be happy to answer any questions. Plus, it will give us a chance to get to know each other and find out if we’re a good fit to work together on your therapy needs and goals.

What are your hours?

I keep regular office hours from Monday through Friday 8:30 am to 7:00 pm and Saturdays from 10:00-2:00. I’ll work with you to schedule a time that’s best for you—including evenings and weekends. Appointments usually last one hour, but clients sometimes prefer to schedule 90-minute sessions. Couples Therapy is time limited therapy with different session lengths. Please refer to the Couple Therapy section.

What is your payment policy and fees?

Payment is due at the time services are rendered. You can pay by check, cash or credit.

  • The initial diagnostic interview is 90 minutes and is $145.
  • 55 minute sessions are $110, but when needed a sliding scale is available.
  • Telephone consultations greater than 15 minutes are $35 per quarter hour.
  • Group therapy sessions are $35

What is your cancellation policy?

If you need to cancel or reschedule, please call within 24 hours of your scheduled appointment otherwise you will be billed $85. Please be aware that third party payers do not reimburse for missed appointments.

Will my insurance cover my visits?

I am considered an “out-of-network” provider by insurance companies. A best practice would be to contact your insurance company to ask about the coverage, as each policy varies. I can provide you with a billing statement that you can submit to your insurance company for reimbursement. Please note that having mental health services as a part of your health record could impact factors outside of your healthcare, including your ability to obtain cost-effective life insurance coverage.

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HIPAA Notification

HIPPA regulations apply to therapy sessions, just as they do in doctors’ offices. The law protects the privacy of all communications between a patient and therapist. In most situations, I can only release information about your treatment to others if you sign a written authorization form that meets certain legal requirements imposed by HIPAA.  There are some situations where I am required to disclose information without your consent or written authorization. For more information on HIPPA, visit http://www.hhs.gov/ocr/privacy.  For more information on confidentiality, review my Policies and Services Agreement Form.

For more information on HIPPA >>

Review my Policies and Services Agreement >>



I’d be happy to answer any questions.

To schedule a 15-minute complimentary phone consultation, call me at 919-727-8314 or send me an email at hpanara@me.com to set up a time that’s convenient for you.

Verified by Psychology Today

I am a Licensed Psychological Associate in North Carolina since 1993.