Your questions,
answered.

Yes — Ironbridge Counseling accepts 16 major insurance plans including commercial, public assistance, and military coverage. We work with Aetna, Anthem HealthKeepers, Blue Cross, Blue Shield, BlueCross BlueShield, Carelon Behavioral Health, Cigna and Evernorth, Elevance, Medicaid, Medicare, Military OneSource, Optum, Sentara Health Plans, TRICARE, UnitedHealthcare UHC | UBH, and Virginia Premier. We recommend contacting your insurance provider directly to confirm your specific mental health benefits, copay, and deductible before your first session. Our staff is happy to assist you in understanding your coverage.

Everything you share with your clinician is confidential and protected by law under HIPAA. Your information will not be shared with anyone without your written consent. There are very limited legal exceptions — including if there is a credible risk of harm to yourself or others, or if a court orders disclosure — but these are rare and your clinician will always discuss these limits with you before therapy begins. You can speak freely knowing your privacy is our priority.

Counseling is a collaborative process between you and a licensed clinician. In your sessions, you will have a private, structured space to talk about what is on your mind — your challenges, your history, your goals. Your clinician will listen without judgment, ask thoughtful questions, and work with you to identify patterns, build new skills, and develop a personalized treatment approach. Therapy is not about being told what to do — it is about gaining clarity, tools, and support to navigate your life more effectively. Most clients begin to notice meaningful shifts within the first few weeks.

Ironbridge Counseling offers a comprehensive range of therapeutic services including Individual Therapy, Couples Therapy, Family Therapy, Group Therapy, Trauma and EMDR Therapy, LGBTQIA+ Affirming Therapy, Child and Adolescent Therapy, and Substance Abuse Counseling. Our clinicians are trained in multiple evidence-based modalities including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), family systems approaches, and more. Visit our Services page for full descriptions of each offering.

For your first appointment please bring your insurance card, a valid photo ID, your completed intake forms (which will be provided ahead of time), and a list of any current medications including dosages. If you have seen a previous therapist and have records you would like to share, those are welcome but not required. Arriving a few minutes early gives you time to settle in before your session begins. Most importantly — bring yourself, your questions, and an open mind.

Yes. Several of our clinicians offer telehealth sessions via secure, HIPAA-compliant video platforms. Maureen K. Leister, LPC operates exclusively via telehealth, and Jamie Plesko, MA, JD, LPC as well as other clinicians offer hybrid in-person and telehealth options. Telehealth sessions are conducted from the privacy of your own space and are covered by most of our accepted insurance plans. Please call (804) 706-1111 to confirm telehealth availability with your preferred clinician.

Standard individual, couples, and family therapy sessions are 50 minutes. Group therapy sessions typically run 60 to 90 minutes depending on the group format. EMDR sessions may run longer — up to 90 minutes — particularly during active trauma processing phases. Your clinician will discuss the recommended session length and frequency with you during your first appointment based on your individual treatment goals.