You have found yourself asking this question for a reason.  Sometimes we feel lost, uncertain, or even afraid.  Life throws some really tough things our way that can be difficult to navigate and understand on our own.  People enter therapy for a variety of reasons.  Some come to therapy because they need someone to help sort through a circumstance that has presented itself.  Some come to therapy because they feel lost, alone and afraid that they may give up or hurt themselves or someone else.  Still, some come to therapy to find themselves or sort through a traumatic event from their past or present.  Whatever the reason you have found yourself here, our therapists can help you navigate your situation, emotions, and symptoms.  Therapy creates a safe space for you to discover your way to the life you deserve. 

The short answer is YES!  Therapy is completely confidential.  Everything discussed in a therapy room is privileged information between you and your therapist.  Even your presence in therapy is confidential.  There are a few exceptions to confidentiality, however.  Therapists are mandated reporters for certain things in Virginia.  These reports include:  1) If your therapist believes that you are in danger of harming yourself or someone else  2)  If your therapist learns about a child or a dependent adult being abused. 3) If a judge orders your therapy records in a legal matter (very rare) 4)  If you are using your insurance, your insurance company will receive your diagnosis code and could request records in an audit.  text goes here

Therapy is a collaborative process between you and your therapist.  It is very helpful for you and your therapist to discuss and focus on your goals of coming to therapy.  Some come to therapy for support, and some come to be challenged.  Your therapist is not there to give you advice, but is trained to ask questions and allow you to utilize your own strengths to arrive at your goals.  We believe in you, and are here to walk with you.  Ultimately, there can be no guaranteed results of therapy, but your level of participation often drives the outcome of the therapy.

This is a question that can only be answered by you and your therapist.  There are many factors involved in this answer such as past history, trauma, attachment styles, presenting problems, and much much more.  Some come to therapy for a few sessions and some go to therapy for years.  This should be an ongoing conversation with your therapist as you set goals and reflect on your progress throughout the therapeutic process.

Getting started is easy. Call or email New River Hope Center to speak with someone about your needs and answer a few questions. We’ll help you determine the next steps and schedule an initial appointment. Or, alternatively, you can book directly from our website!

Therapy can be misunderstood by well-meaning individuals.  As therapists, we encourage you to gather information and decide what is right for you.  There are different types of therapy and different types of therapists.  Don't be afraid to ask direct questions about the therapy you will receive, your therapists training, and discuss your concerns.  Ultimately, therapy is confidential and many people choose not to tell others that they are seeking therapy.  You have a right to your privacy, and a right to make this decision for yourself.  

We are located at 179 Tazewell Street in Wytheville, Virginia.

We offer in-person and virtual therapy sessions. We will let you know if your case would not be a good fit for virtual sessions.

New River Hope Center is a therapy practice, so we do not prescribe or manage medications. If medication may be helpful as part of your care, your therapist can discuss this with you and, when appropriate, coordinate with or refer you to a qualified medical or psychiatric provider.

New River Hope Center does not provide primary treatment for alcohol or drug addiction. However, we may provide therapy for underlying mental health concerns, trauma, relationships, or other experiences that may contribute to or be affected by substance use.

Clients receiving this type of therapy must also be engaged in a separate substance use treatment program. If you need help finding an appropriate program, we can help connect you with resources and coordinate care when appropriate.

Yes. Under Virginia law, a minor may independently consent to outpatient treatment for mental health or emotional concerns. This means that, in certain circumstances, an individual under 18 may seek and consent to their own outpatient therapy without parental consent.

Because consent, confidentiality, and payment requirements can vary depending on the circumstances, we encourage minors or parents with questions about starting therapy to contact us directly. We will explain the process and help determine the appropriate next steps.

Due to state law, clients MUST be in the state of Virginia when receiving treatment from a therapist licensed in Virginia. If you are not in Virginia at the time of your appointment, you will not be able to be seen.

Yes. We provide couples therapy to help partners improve communication, work through conflict, strengthen their relationship, and navigate difficult transitions.

Insurance coverage for couples therapy can be more complicated. Some insurance plans allow family or couples psychotherapy to be billed when there is an identified patient with a mental health diagnosis and the treatment meets the plan’s medical-necessity requirements.

Because coverage varies by insurance plan and individual circumstances, your initial assessment is an important first step. Initial assessments are generally covered by your insurance. We can determine whether the presenting concerns meet the requirements for insurance reimbursement and discuss the options available to you. If insurance does not cover couples therapy in your particular situation, we can also discuss private-pay or financial assistance options.

Our goal is to help you understand your options before beginning treatment so there are no surprises about the cost of care.