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Frequently Asked Questions

Services

  • We do see teens and pre-teens, age 10+!

    We don’t see younger kids because our current office is set up to be an intricate sensory haven primarily for adults and teens needing a gentler sensory experience. Our therapy rooms and waiting area are lovely but not child-proofed and potentially physically dangerous for our livelier curious loved ones.

  • We do! If you'd like to chat about how your situation might fit our expertise, we'd love to connect with you.

  • We are overtly non-religious in the services we provide. In this Greater Nashville Area/cultural buckle of the “Bible Belt” (and our Appalachian Knoxville office) we’re aware that so many therapists offer Christian-based counseling, and we want to help fill the gap to create a space that feels safe for folks who want to know they won’t be pushed in any doctrinal direction.

    That said, we absolutely love to help you connect with your own spirituality, and process your spiritual experiences. Many of our staff were raised in spiritual traditions, have processed their own religious trauma, and are so great at holding space for deconstruction, disillusionment, purity culture hangovers, etc.

    We’re not against spirituality, we’re just truly open and don’t secretly assume we know what’s best for you. We follow your lead and consent on any religious/spiritual concerns you bring up and stay in our lane, which is whole-person therapy.

Testing & Meds

  • Yes and no.

    It depends on what you need to get out of testing for your diagnosis.

    • Would it be helpful to know for yourself, to help you with your life, career, relationships?

    • Do you need it mostly to apply for government or other disability benefits, or does your workplace or school require neuropsych specific assessment to receive accommodations?

    We shine brightest at working with you to help informally confirm/discern a suspected autism or ADHD diagnosis.

    This option is desirable to lots of folks because

    1. you have the flexibility of not putting a diagnosis on your medical record if you’re concerned about that, and

    2. you can also start working on sensory supports, accommodations, and trauma work if needed right from day one, while you’re working through your diagnosis, and without having to wait for long, often expensive testing before you get to the support part.

    Though we can work with you to confirm or disconfirm your suspicions of the diagnosis, we aren’t always able to provide the official assessment or formal letter that would be needed for some disability benefits.

    Different systems and institutions have different requirements for that, but we’re happy to take a look at any requirements ahead of time if that’s what you’d need.

    But here’s the thing: whether the diagnosis ends up officially being there or not . . . how you’re feeling right now matters.

    We truly love getting to do all of this support work no matter what the diagnosis ends up being, because it’s usually struggles or feeling “different” that made you start wondering about the diagnosis in the first place. We haven’t met anyone that is seeking diagnosis just for fun.

    Let’s say you didn’t meet the current criteria, for example - does that mean how you feel in this moment - in your current reality - doesn’t deserve sensory supports or trauma processing, or support for navigating your relationships? Just because you don’t meet the medical system’s criteria for a certain diagnosis?

    It could even be that criteria for the diagnosis continue to evolve over the next few years, just as our current understanding has exponentially expanded over the last several years.

    No matter your diagnosis, we do a lot of work to help you get supports in place and adjust to this new way of seeing life/self.

    It’s different for everyone, but often looks like helping support sensory sensitivities, figuring out some accommodations for life/relationships - and so often there’s some grief, internalized shame, and trauma to work with, too.

    If that’s not what you’re looking for and you’d just like meds or the old-school testing for now, we have some Psychiatric Nurse Practitioners that we trust and love to partner with who can get you squared away for that part of the process.

  • We do not have a prescriber on staff but have trusted Psychiatric Nurse Practitioners we partner with for medication management.

    They usually have quick availability and we trust them with our own families - and they are truly neurodivergent-affirming, most of them having extensive lived experience themselves.

Scheduling

  • Yes! We’d love to support you, and have immediate openings.

    Please visit our team members’ profiles page for links to their online booking calendars with their live availability.

    If you don’t see a time that works for you, you can use the waitlist to tell us specific times you’d be available if we get a cancellation, and you’ll automatically be notified when a spot opens in that time frame.

    You’re also welcome to email or text us anytime, or skip the phone tag by setting up a time to chat.

  • There are several ways! Please choose what’s most comfortable for you.

    1 - If you’re ready to set up an appointment, you may choose your clinician and book on their online calendar.

    2 - If you’d like to chat on the phone for a few minutes to ask any questions or make sure we’re the right fit for you, you can schedule a time to speak with our client care coordinator, using our online calendar to avoid the phone tag.

    give us a call, text us at 615.709.2341 if you’d like to set up a specific time to chat.

    3 - Please also feel free to email us, give us a call, or text us at 615.709.2341!

    (By texting us you consent to receiving texts from The Hope Preserve. Message & data rates may apply. Reply STOP to unsubscribe at any time.)

  • We've got weekend and evening appointments!

    Days: we can meet with you -

    • Online - Sunday through Friday

    • In-person in Brentwood, TN - Sunday through Friday

    • In-person in Knoxville, TN - Thursday

    • Please view our practitioner profiles for the most up-to-date availability.

    Evenings & weekends: We offer sessions in the evening Monday through Thursday, and during the day on Sunday. We also have group therapy available in the evening.

    Feel free to text or email us to see how our schedules might be able to work together. You can also set up a time to chat if you'd like to skip the phone tag.

Fees

  • We do offer a sliding scale!

    Depending on the practitioner, sliding scale rates range from $35-$195.

    Please reach out if you’d like to apply, and we’ll get you set up ASAP.

  • The current rate is $150-$250 per clinical hour, depending on the clinician. Please view our Team page for the most current rates available. We do offer a sliding scale for those who need it.

  • Absolutely! If you have a health savings account or flex account, we can run HSA/FSA cards just as we would a regular credit card.

Insurance

  • We don’t process insurance. It may be worth checking in with your insurance company, just in case - some plans may reimburse for out of network sessions or let your sessions count toward your deductible.

    We can give you a receipt with the medical codes they’ll need if you have confirmed that they will reimburse you.

    (If you have an HSA or FSA, we can run those cards like a regular credit card and provide any receipts the HSA/FSA might request.)

  • You’ll want to check in with your insurance company to see what you need in order to get counseling covered or reimbursed, whether in-network or out-of-network. Here are some questions to ask about your plan's coverage:

    𖥸 Do they reimburse for counseling? For out of network counseling?
    𖥸 Do they reimburse for the type of counseling you’re doing? (some plans may reimburse for individual therapy but not for groups or for couple/family therapy)
    𖥸 Do they require a diagnosis in order to cover your sessions? (Most plans do.)
    𖥸 How many sessions will they reimburse you for? Do they limit the amount of sessions they’ll cover based on your diagnosis?
    𖥸 Do they reimburse for sessions over a certain length (for instance, many do not reimburse for 60-75 minutes, and primarily just reimburse for 45 minutes, “the clinical hour”)
    𖥸 How much do they reimburse per session? Is it a flat amount, or a percentage of what you paid?
    𖥸 Will they allow unreimbursed sessions to count toward your deductible?
    𖥸 Do they require out of network therapists to submit a W-9 form in order for you to reimbursed?

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    It’s important to find out these details before starting therapy so that both you and we have an idea of the expectations.

    Sometimes insurance plans cover enough sessions to give you coping skills to change outward behaviors, but not enough sessions to dig into the deep, healing heart-work we believe can sometimes better help sustain those changes and let you feel more like yourself.

    There are absolutely exceptions to that, though, so again: it’s always worth checking in with them.

To get started, just:

see who you’re drawn to
& click their calendar

pick your appointment time
(1st session or free consult call)

we’ll take it from there
so you can get heard
& take a big exhale