There are times when we all need a little help to solve problems that overwhelm us or cause emotional stress. Counselors provide congruence, unconditional positive regard, and empathic understanding for you during these times. The therapeutic relationship enables you to explore deeply and assists you in finding constructive ways to cope with a situation that may be beyond your control. We believe that our clients are the experts on themselves, and our job is to assist them in finding the answers they are seeking inside of them. The emphasis moves away from a therapist telling a client what to do, and instead empowers the client to become more self-aware through the playing out of their inner world. The client dictates the pace and nature of our work, which in turn protects the client’s autonomy in the role of the engineer of the session. The relationship between the client and therapist becomes the technique for fostering change and understanding. In order to enhance our sessions, active involvement from caregivers is vital to seeing the whole child and situational concerns that might arise

Our therapists counsel children, adolescents, caregivers, families, and couples. We each have experience with clients of all ages, but our expertise is counseling clients aged 2.5-18 years and consulting with their caregivers. We coach caregivers, giving them the tools they need to promote effective communication and develop consistent routines that are developmentally appropriate. We also offer family and couples counseling to look at the mutual influences of family members on each other.

Upon arrival, you’ll enter our office and have a seat in our waiting room. Our waiting room is a designated Screen-Free Zone. We encourage you to spend your time connecting with your child or adolescent through TableTopics, reading books, and snuggling. To respect our clients in session, please limit all phone calls to outside of the office. Your therapist will come out to greet you at the start time of your appointment. We truly appreciate your promptness because it enables us to get the most out of our time.

If you are choosing to stay on the property and wait while your child or adolescent is in session, you may relax in our waiting room and peruse any caregiving books on our professional shelves. There are also children’s books on therapeutic topics available on our book shelves that you can check out. If you have another child waiting with you, please bring something quiet to entertain them.

If you are choosing to drop off your child, there are many nearby places you can easily walk to & give yourself some self-care or free playtime to your waiting siblings. Epoch (for coffee) and Loewy Family Playground are just a short drive from our Spicewood Springs office. Hanks (for coffee) and Bartholomew Park (for playground) are just a short walk from our Berkman office. Sessions are 45 minutes and we thank you for returning promptly!

We will review your completed forms and answer any questions you have. If applicable, we will make a copy of your photo ID and the custodial agreement/order regarding your child. After this, we will talk about why you sought out counseling for your child and what you hope to get out of counseling. We will get to know one another and discuss what we can do for your family.

This depends on your individual/family needs and what will be most beneficial to you. Generally, children and adolescents need to start with a minimum of once a week sessions. As counseling progresses, we will discuss reducing your sessions to every other week, once a month or as needed to reinforce the growth they have made. It takes an average of 20 sessions for most children to COMPLETE their therapeutic goals.

We currently do not accept insurance for payment, but you can pay for therapy sessions with cash, check, credit card, or your HSA/Flex Spending Account card. We believe the amount of time spent on paperwork, claims and accounts receivables from insurance providers can be better used to help your children and family. We prefer to use more focused time on providing your family with individualized attention & support and giving you detailed feedback.

In order for you to utilize your out-of-network insurance benefits, we are required to give your child a diagnosis. We continually struggle with the ethics of putting a diagnosis on a minor, particularly because this follows them and can impact their future schooling, college admissions, and also be a barrier to pursuing certain careers. If you’re comfortable with a diagnosis, we can provide you with an itemized Super Bill that you can submit for out-of-network reimbursement. Please feel free to reach out with any questions you may have and how we can financially help you make therapy a possibility for your family. Ensemble Therapy serves all clients regardless of ability to pay. Sliding scale services are offered based on family size and income. For more information, please speak to our Intake Coordinator at hello@ensembletherapy.com or learn more about our Whole Child. Whole City. Initiative.

Here is a fact sheet about out-of-network reimbursement you can utilize. Our current session fees vary from $140-$280 per session. Each clinician at our practice is compensated based on their years of experience and specialized training. You can find their counseling rates on their individual profile pages here. Read about our compliance with the federal No Surprises Act here.

If you cannot keep a scheduled therapy appointment, please notify your therapist at least 24 hours in advance through phone or email. Without notification, we will charge you the full session fee.

Counseling can only succeed in a trusting environment. However, there are certain circumstances and conditions under which the content of the counseling sessions may no longer remain confidential. Please refer to your Informed Consent Form and HIPAA Act Form to understand your rights since it is impossible to provide a complete list of all possible circumstances under which the content of the counseling sessions may no longer be confidential.

If you need to contact your clinician after hours, you can leave him/her/them a confidential voicemail on their business voicemail and he/she/they will make every effort to return your call promptly, with the exception of weekends and holidays. If your clinician will be unavailable for an extended period of time, he/she/they will provide you with the name of a colleague to contact as necessary. If at any time, you are unable to get a response and your need is life threatening, please contact your physician or go to the nearest emergency room or call 911. Ensemble Therapy does not provide 24-hour crisis or emergency services. Here is a document detailing local Crisis Support Services.

As licensed counselors and social workers, we will conduct ourselves in a manner consistent with the professional and ethical standards of our professional boards. If you are dissatisfied with something your therapist is doing, please discuss your concerns with them immediately. If for any reason you and your therapist cannot resolve your concerns, you may contact the Texas Behavioral Health Executive Council at 1-800-821-3205.