First visit
What to expect
Calling a counselor for the first time is the hardest step in the whole process. It helps to know exactly what happens next.
The first call
You call a counselor directly (or send a message and we match you). A short conversation covers what’s going on, scheduling, and insurance — and whether this counselor is the right fit. If they’re not, they’ll say so and point you to who is.
A little paperwork
Before the first session you’ll complete intake forms — history, consent, and insurance details. For a child or teen, a parent or guardian completes these.
The first session
The intake session is mostly listening: what brought you in, what you want to change, relevant history. For children, parents typically join. You’ll leave with a proposed approach and cadence — usually weekly to start.
The ongoing work
Sessions run about 50 minutes. Progress gets reviewed openly — counseling is working when things are changing outside the room, and frequency tapers as they do.
By age, briefly
- Children (5–10): sessions happen in the playroom — play, art, and sand tray are the work, not a warm-up. Parents get regular check-ins.
- Preteens & teens (11–19): confidential, respectful talk-based counseling. Parents stay informed about safety and progress, not session details.
- Adults, couples & families: conversation-based sessions with clear goals — individual, together, or the whole household as needed.
In person or by video
Our office is at 200 N. Mullan Rd, Suite 214, Spokane Valley. Teens and adults can also be seen by secure telehealth anywhere in Washington State.
Step one is a phone call
A first appointment is a conversation, not a commitment. Call a counselor directly, or send us a message and we’ll help you find the right fit.