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What to Expect at Your First Therapy Session

Starting therapy can bring questions about what to say, which therapist to choose, and how appointments work. At The Clarity Clinic, you can ask about clinician fit, fees, and current availability before requesting an appointment.

 

Requesting your first appointment

Use our appointment-request page or contact the clinic to ask about getting started. We respond to inquiries within one week. A contact-form submission does not confirm an appointment; please wait for confirmation of your appointment details.

 

Daniel Kotsias, LMSW, offers in-person and telehealth appointments. Chana Shepherd, LLMSW, offers telehealth appointments only. Availability depends on the clinician and appointment type.

 

Coming to our Bingham Farms office

In-person appointments with Daniel take place at 30100 Telegraph Road, Suite 273, Bingham Farms, MI 48025. The office is near Southfield, Birmingham, Bloomfield Hills, and Bloomfield Township.

 

Before your appointment, confirm the time and location in your appointment details. Contact the clinic if you need help finding the office or have questions about access before visiting.

 

Preparing for a telehealth appointment

Telehealth is available for clients located in Michigan. Choose a private place where you can speak comfortably, and check your internet connection, camera, and microphone before the session. Follow the appointment instructions provided by the clinic, and let your clinician know where you are joining from.

 

What you might discuss

The first appointment is an opportunity to explain what brought you to therapy, what has been difficult, and what you hope will change. You might talk about current concerns, relevant background, and previous experiences with therapy. You do not need a polished explanation or a complete list of goals.

 

You can ask your clinician about their approach and what working together might involve. If a question feels difficult, say so. Discussing your comfort level and priorities can help shape the conversation.

 

Privacy, questions, and next steps

Your first appointment is also a time to ask about confidentiality and its limits, clinic policies, and how to communicate between sessions. Ask your clinician to explain anything that is unclear.

 

Discuss possible next steps together, including your goals, appointment frequency, and whether the clinician’s approach feels appropriate for your needs. You can raise questions about fit throughout therapy.

 

Fees and insurance questions

An initial individual therapy appointment is $180 for 60 minutes. Ongoing individual sessions are $175 for 55 minutes. Insurance participation and benefits vary by clinician and plan; contact the clinic to discuss your situation and check your benefits before assuming a service is covered.

 

Your first couples counseling session

Daniel offers couples counseling in person and by telehealth, with training in Gottman therapy. Both partners attend the first session. The $250 private-pay fee covers 55 minutes together.​

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The initial appointment gives both partners an opportunity to discuss their concerns and what they hope to work on. Ask Daniel how he structures couples sessions and what you can expect from the process.

 

Ready to ask about an appointment?

Request an appointment or call 248-491-8145 to ask about fit and current availability. Please avoid including sensitive clinical details in an initial website inquiry.

Compare in-person and telehealth therapy

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