Jessica L Miller Counseling

Individual and Family Therapist, Bellevue, WA

Frequently Asked Questions

How much does it cost and do you take insurance?

Please click on Rates & Online Payments for this info.

How do I schedule an appointment?

Please call me at 425.999.5466 or email me at to schedule an appointment. Once a session is scheduled I will send you a confirmation email. Please respond within 24 hours to confirm your appointment.

What is your cancellation policy?

I ask for 24 hours notice when clients are unable to make a scheduled session, illness and emergencies excepted. Clients are charged in full for any missed sessions without notice.

Do you offer a free initial session?

I do not offer a free initial session, but will do what I can to reasonably answer your questions and concerns via email or phone prior to your first session.

Do you provide wheelchair access?

Yes. Wheelchair access is available at my office facilities. Please let me know in advance that you will need these services and please prepare to arrive 15 minutes in advance of your scheduled session.

How often should I plan on therapy sessions?

Experts recommend therapy to occur on a weekly basis. Often the work done in one session serves as a building block for the next week's work and so on. When more than one-week lapses, the emotions and feelings brought up in a session often dissipate or defense mechanisms take over. For lasting sustainable change, weekly sessions are recommended.

What is the benefit of talking with a therapist versus talking with a close family member or friend?

Support systems such as close family or friends are vital when weathering difficult life circumstances. Therapy often acts as a supplement to these supports, providing an objective perspective and when appropriate, recognizing and addressing unhealthy life patterns. Therapy should not be mistaken as a replacement to family and friends, but rather an addition to propel you to a happier state of mind.

How long will I be in therapy?

I encourage you to proceed at your pace, only moving forward when you feel ready. You may begin or end therapy whenever you feel you have accomplished what you hoped. Whether that is a few weeks, months or years, we will work together to create an appropriate timeframe that meets your needs and accomplishes your goals.

What happens in therapy?

My purpose is to create a space that feels secure, safe and free of judgment or bias; it is also to encourage you to listen to your heart and embrace what is true. The time in therapy is yours to do what feels right to you: Be silent, talk about the past, talk about the present, complain, vent frustrations, reveal fears, express doubts and insecurities, be vulnerable or not, cry, rage, be scared, etc.

What are the limits of confidentiality?

Confidentiality is a crucial aspect of the client/therapist relationship and a foundation to building safety and trust. The law protects therapy clients and their rights to confidentiality and what you share cannot be revealed outside the counseling setting. However, for the additional protection of therapy clients, the law does outline several exceptions:

  1. The client gives written permission to share confidential information.
  2. Anything that suggests a crime, harmful act or any abuse to individuals unable to defend themselves such as minors or elders.
  3. The client is threatening suicide or major self-harm and I am unable to obtain their agreement not to engage in those acts.
  4. If the client is a minor, and there is indication that she/he was the victim or subject of a crime.
  5. The client brings charges against the counselor.
  6. In response to a subpoena.
  7. As required under chapter 26.44 RCW.