Frequently asked

Good questions, honest answers.

What is telehealth therapy like?
We meet by secure video — you'll get a link a few minutes before each session. Wear what's comfortable, grab tea, find a private spot. Research shows telehealth is as effective as in-person for most concerns.
Which states can you see clients in?
I'm licensed in Texas and Oklahoma, so I can see clients located in either state at the time of their session.
How long are sessions and how often do we meet?
Standard sessions are 50 minutes. Most people start weekly, then move to every other week as things stabilize. Extended 80-minute sessions are available when helpful.
Do you use CBT, or only EMDR?
Both, plus other approaches when they fit. CBT (Cognitive Behavioral Therapy) is a practical, skills-based approach: we look at how thoughts, feelings, and behaviors connect, then practice small changes that ease anxiety, low mood, and stress. It often pairs well with EMDR. CBT builds coping skills for everyday life, and EMDR helps process what's underneath. Some clients use mostly CBT, some mostly EMDR, and many a mix. We'll decide together during your consultation and adjust as you go.
Do you take insurance?
Yes. Most Oklahoma insurance and SoonerCare are accepted, along with several plans in Texas. Coverage varies by plan and state; see the Rates page for the current list. For out-of-network clients, I provide monthly superbills for potential PPO reimbursement.
How do I know if we're a good fit?
The free 15-minute consultation is exactly for this. If it isn't a fit, I'll offer referrals — no hard feelings.
Is what I share confidential?
Yes. Everything we discuss is confidential within the legal and ethical limits of counseling (safety concerns and legal mandates). I'll go over confidentiality in detail before our first session.
What if I'm in crisis?
TeleKyla is not a crisis service. If you're in immediate danger, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.
How do I get started?
Send a message through the Contact page. I'll reply within one to two business days to schedule your consultation.