Beginning Your Therapy Journey with Clarity
Therapy is a collaborative process designed to support emotional wellness, insight, and resilience. While many clients experience growth, outcomes cannot be guaranteed.
This page contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. You will be required to sign this document through secure platform portal as an agreement between us to initiate care. We can discuss any questions you have when you sign them or at any time in the future.
We provide telehealth therapy for clients located in:
TN, MS, AL, KY, GA, NC, WV, ND, SD, OH, UT, MT, WA, PA, AK, NY, FL, ME, MN
You must be physically located in one of these states at the time of service and verify this information before each session. If you are not located in one of the licensed states of the provider, the session will be terminated at regular rate
Psychotherapy is a working cooperative relationship between you and your therapist. Each member of this cooperative relationship has certain responsibilities. Your psychotherapist will contribute their knowledge, expertise, and clinical skills. You, as the client, have the responsibility to bring an attitude of collaboration and a commitment to the therapeutic process. While there are no guarantees regarding the outcome of the treatment, your commitment may increase the likelihood of a satisfactory experience. As a client in psychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections.
Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of psychotherapy often requires discussing the unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems. But, there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things we discuss outside of sessions.
The first $165 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work might include. At that point, we will discuss your treatment goals and create an initial treatment plan. You should evaluate this information and make your own assessment about whether you feel comfortable working with me. If you have questions about my procedures, we should discuss them whenever they arise.
Appointments are 50-90 minutes in length (dependent on the type of session), and take place on a consistent basis at a time we agree on, although some sessions may be more or less frequent as needed. Your psychotherapist holds your specific time frame for your respective service each week. If you are unable to keep an appointment, please cancel within 48 of our scheduled appointment. You will be responsible for payment of missed sessions or appointments that are not cancelled or rescheduled within the 48-hour window. You may reschedule your appointment at via secure client portal on Simple Practice
You are responsible for paying at the time of your session. I ask that you pay prior to your session each week. I reserve the right to suspend therapy if services are not paid for. Payment is due at the time of service. We accept all major credit cards and HSA/FSA cards via Simple Practice secure client portal.
If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure payment.
In addition to scheduled appointments, it is my practice to charge on a prorated basis for additional conversations that last longer than 15 minutes. I will not participate in additional conservations or services until there is an agreement regarding the fee and schedule of additional contact outside of regular sessions. Services are only initiated after there is a separate additional contract based on client specific needs, frequency, specific professional services requested, and fee
If you anticipate needing additional profession services such as report writing, attendance at meetings or consultations, or court case, I recommend that we discuss this fully before you waive your right to confidentiality or initiate services.
Additionally for court cases, if your case requires my participation, you will be expected to pay for the professional time required even if another party compels me to testify.
If you have a health insurance policy, it will usually provide some coverage for mental health treatment. By starting services and the submission of your insurance information, you are agreeing to billing procedures necessary through your respective insurance policy. However, you are responsible for knowing your coverage, ensuring I am in network with your insurance policy, and for letting me know if/when your coverage changes.
If you and/or authorized person fail to update insurance policy after services have been rendered resulting in an overdue balance, then you and/or your authorized representative are responsible for payment of overdue balance before further services. If appointments are already scheduled, they will be cancelled until the balance is resolved.
Due to the rising costs of health care, insurance benefits have increasingly become more complex. It is sometimes difficult to determine exactly how much mental health coverage is available. Managed Health Care plans such as HMOs and PPOs often require advance authorization, without which they may refuse to provide reimbursement for mental health services. These plans are often limited to short-term treatment approaches designed to work out specific problems that interfere with a person’s usual level of functioning. It may be necessary to seek approval for more therapy after a certain number of sessions. While a lot can be accomplished in short-term therapy, some patients feel that they need more services after insurance benefits end. Some managed-care plans will not allow me to provide services to you once your benefits end. If this is the case, I will do my best to find another provider who will help you continue your psychotherapy.
You should also be aware that most insurance companies require you to authorize me to provide them with a clinical diagnosis. Diagnoses are technical terms that describe the nature of your problems and whether they are short-term or long-term problems. All diagnoses come from a book entitled the DSM-V. In addition, if you plan to use your insurance, authorization from the insurance company may be required before they will cover therapy fees. If I am not a participating provider for your insurance plan, you are responsible for finding a provider that is within network. If you desire to work with me, then I will supply you with a receipt of payment for services, which you can submit to your insurance company for reimbursement.
Please note that not all insurance companies reimburse for out-of-network providers. If you prefer to use a participating provider, please review with your specific insurance policy for an in-network provider search
Your care may be supported through:
These platforms assist with billing, scheduling, documentation, and coordination of care.
I am required to keep appropriate records of the psychological services that I provide. The location of your records are maintained in a HIPAA compliant secure platform where you initially interacted with Krishana Overstreet. Psychological service records are located on the following platforms: Simple Practice, Grow, and SonderMind.
Psychological service records include the following: dates and location of services, your reasons for seeking therapy, the goals and progress we set for treatment, your diagnosis, topics we discussed, your medical, social, and treatment history, records and/or information I may have receive from other providers, copies of records I send to others, and your billing records. Except in unusual circumstances that involve danger to yourself, you have the right to a copy of your file.
Because these are professional records, they may be misinterpreted and / or upsetting to untrained readers. For this reason, I recommend that you initially review them with me, or have them forwarded to another mental health professional to discuss the contents. If I refuse your request for access to your records, you have a right to have my decision reviewed by another mental health professional, which I will discuss with you upon your request. You also have the right to request that a copy of your file be made available to any other health care provider at your written request.
Communication between you and your psychotherapist confidential. This means that your psychotherapist will not discuss your case orally or in writing without your expressed written permission (please see the following section on “Training and Supervision”).
Your psychotherapist has an ethical and legal obligation to break confidentiality under the following circumstances:
Krishana Overstreet/Mapping Resilience Therapy Center acts as a clinical supervisor for social workers working towards and social workers not working towards clinical licensure as Licensed Clinical Social Work (LCSW). As part of this process, these supervisees will receive clinical supervision from Krishana Overstreet LCSW-S in their respective states.
To ensure high quality care, the respective supervisee may discuss case, treatment progress, and relevant information with supervisor Krishana Overstreet. All such discussions are professional and confidential, and all client information is safeguarded in accordance with HIPAA standard and/or strictest state requirement.
If appropriate, to increase clinical development and to facilitate increased access to qualified clinicians, Krishana Overstreet may request client’s permission to have supervisees observe sessions. The client’s written permission will be received before the observation.
The client has the right to refuse without fear or penalty to their care. Written permission will be obtained before the supervisee joins the session and documented within the session note. Client is allowed at any point to verbally withdraw permission without fear or penalty to their care.
The supervisee is bound by the same confidentiality rules and regulations as Krishana Overstreet LCSW and will adhere to those rules and regulations throughout the supervisee/supervisor relationship. No independent of unsupervised contact, communication, or care is expected or will be allowed between supervisee and client.
Professional Accounts: Mapping Resilience Therapy Center LLC may maintain professional profiles on platforms like LinkedIn or a dedicated business page on Facebook, TikTok, etc. for sharing general information, educational content, and updates about services.
Personal Accounts: Krishana Overstreet may maintain a personal account on platforms like LinkedIn, Facebook, TikTok etc. These accounts if discovered by clients past, current, or prospective will not accept friend requests or have any interactions with clients past, current, or prospective to maintain clear professional boundaries.
Interaction Boundaries: Krishana Overstreet/Mapping Resilience Therapy Center will not initiate or accept friend requests from clients on personal social media platforms. If a client attempts to connect on any platform, Krishana Overstreet/Mapping Resilience Therapy Center will politely decline and direct them to official communication channels like email or office phone to ensure confidentiality.
Interactions with pages whether professional or private on any social media platform does not constitute a professional or personal relationship/connection without expressed and written relationship and agreement through a business contract.
Krishana Overstreet/Mapping Resilience Therapy Center is prohibited from soliciting reviews or testimonials from clients on platforms like Yelp, Google Reviews, or any social media site to avoid ethical conflicts.
If clients wish to leave a review, they are free to do so independently without any encouragement from Krishana Overstreet/Mapping Resilience Therapy Center
I will check for voice mail messages during normal business hours and/or during days for session availability. All messages left will be addressed within 2 business days.
If messages are left outside of normal hours of operation the timeline for returned message will start at the next business day and follow the timeline of being returned within 2 business days. If you have an emergency that needs immediate attention you may need to
If you are experiencing a mental health crisis, call 911 or your local emergency services. You my call or text 988, the 988 Suicide & Crisis Lifeline or online chat at 988lifeline.org
While privacy in therapy is crucial to successful progress, parental/supervising/responsible adult involvement is essential. It is my policy not to provide treatment to an individual under the age of 18, without expressed agreement from the parent(s), legal guardian(s), and/or responsible person(s) agree to participate in the therapeutic process. Furthermore, the individual under the age of 18 must also agree that I can share whatever information I consider necessary with the parent(s), legal guardian, and/or responsible person(s).
For minors located in and receiving services in states that allow for them to direct and seek mental health services at an age of minority, all information shared will follow the standard disclosure of protected health information such as written consent, care coordination, suspected abuse, threat of self or others, and court order/government order. In addition, they also agree that the therapist may disclose information and requirement participation in the therapeutic process if the therapist considers it necessary for treatment progression.
All requests for disclosures will be reviewed with the minor before disclosures are attempted.
All other communication will require the minor’s agreement, unless I feel there is a safety concern, in which case I will make every effort to notify the minor of my intention to disclose information ahead of time and make every effort to handle any objections that are raised.
If parental/supervising/responsible adult involvement represents a significant risk to minor individuals’ mental or physical safety, the appropriate mandatory reporting procedures will be followed.
Extended and consistent failure of the parent(s), legal guardian (s), and/or responsible person(s) to participate in the therapeutic process for individuals under the age of minority and/or located in states where minors are unable to direct and seek mental health services without consent will result in termination of therapeutic process and discharge from services. A discharge treatment summary will be provided within 7 business days of involuntary discharge from services.
I am often not immediately available by telephone. I do not answer my phone when I am with clients or otherwise unavailable. At these times, you may leave a message on my confidential voice mail and your call will be returned as soon as possible, but all attempts will be made to return calls within two business days for non-urgent matters.
If, for any number of unseen reasons, you do not hear from me or I am unable to reach you, and you feel you cannot wait for a return call or if you feel unable to keep yourself safe, call 911 or your local emergency services. You my call or text 988, the 988 Suicide & Crisis Lifeline or online chat at 988lifeline.org.
I will make every attempt to inform you in advance of planned absences, and provide you with the name and phone number of the mental health professional covering my practice if away for an extended absence
As with any medical procedure, there may be potential risks associated with the use of telehealth psychotherapy. These risks include, but may not be limited to:
In addition to your right to confidentiality, you have the right to end your counseling at any time, for whatever reason and without any obligation, with the exception of payment of fees for services already provided. You have the right to question any aspect of your treatment with your therapist.
You also have the right to expect that your therapist will maintain professional and ethical boundaries by not entering into other personal, financial, or professional relationships with you.
If you are unhappy with what is happening in therapy, I hope you will talk with me so that I can respond to your concerns. These comments will be taken seriously and handled with care and respect. You may also request that I refer you to another therapist.
You have the right to considerate, safe and respectful care, without discrimination as to race, ethnicity, color, gender, sexual orientation, age, religion, or national origin. You have the right to ask questions about any aspects of therapy and about my specific training and experience.
We reserve the right to discontinue counseling at any time including, but not limited to, a violation by you of this consent for treatment, and/or a change or reevaluation of your therapeutic needs.
Our ability to address those needs, or other circumstances that lead us to conclude in its sole and absolute discretion that your counseling needs would be better served with another therapy provider. Under such circumstances, we will suggest an appropriate referral to another therapy provider.
We are also willing to provide a bridge a free transfer appointment of 15 minutes to answer any concerns or questions of the receiving clinician after scheduling and contact with necessary releases of information from the receiving clinician signed by the client
Your initiation of services indicates that you have read and understand this information. You will receive a copy of this consent form and give permission to us to provide counseling services and that this contract is binding for all future sessions you may have upon initiation of services
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