Questions about starting therapy?

Beginning therapy can come with a lot of practical questions. Here, you’ll find information about consultations, choosing a therapist, rates, insurance, scheduling, and what to expect from the process.

Schedule a Free Consultation

Getting Started

  • Begin by scheduling a free 15-minute video or in-person consultation. We’ll ask what you’re looking for from therapy, discuss therapist fit and finances, and explain the next steps. After the consultation, you’ll be connected with your therapist to schedule your first full session.

  • The consultation is a brief conversation rather than a therapy session. We’ll ask a few questions about what brings you to therapy, what you hope will change, and what you’re looking for in a therapist. We’ll also discuss rates, availability, and the process for scheduling your first appointment.

  • You can review Chelsea, Sam, and Emily’s therapist pages to learn more about their personalities, specialties, and approaches.

    Not sure who to choose? Select Chelsea when scheduling your consultation, and she’ll help connect you with the therapist who appears to best fit your needs, preferences, and goals.

  • Availability varies by therapist, and the scheduling page displays each clinician’s current consultation times. If you don’t see an option that works, email us at info@truenorthnash.com.

Rates and payment

  • Individual therapy sessions are 50 minutes. Current rates are:

    Chelsea Exton, LPC-MHSP: $175 per session

    Sam Carter-Orbke, LPC-MHSP: $150 per session

    Emily Maguire, LCSW: $165 per session

    The first full therapy session is the same length and rate as ongoing sessions. The initial 15-minute consultation is free.

  • True North Counseling is a private-pay practice and is not in network with commercial insurance plans.

    Chelsea and Sam are available to eligible clients through Lyra.

    If you have out-of-network benefits, we can provide a superbill that you may submit to your insurance company for possible reimbursement. Reimbursement depends on your individual plan, deductible, and out-of-network benefits, so we recommend contacting your insurance company directly to confirm your coverage.

  • Yes. We accept HSA and FSA cards as payment.

  • We have a limited number of reduced-fee openings based on financial need and therapist availability. Schedule a consultation or email info@truenorthnash.com to discuss current options.

Appointments and logistics

  • Yes. We offer in-person therapy in East Nashville and virtual therapy for clients located throughout Tennessee.

  • Our office is located in East Nashville at 933 E Trinity Ln, Nashville, TN 37207.

    We offer both in-person therapy and virtual therapy for clients located throughout Tennessee. Parking and arrival information will be included in your appointment confirmation email.

  • Individual therapy sessions are typically 50 minutes. Shorter or longer sessions may be available. Speak directly with your therapist about rates and availability.

  • Session frequency depends on your needs, goals, availability, and your therapist’s clinical recommendation. You and your therapist will decide together what schedule makes the most sense for you.

  • Please provide at least 24 hours’ notice when canceling or rescheduling an appointment.

    Appointments canceled with less than 24 hours’ notice are charged 50% of the scheduled session fee. No-shows are charged the full session fee.

Services and therapist fit

  • We primarily provide individual therapy for adults navigating eating disorders, body image concerns, LGBTQ+ identity and related experiences, anxiety, depression, grief, life transitions, relationship patterns, boundaries, and identity.

    Limited adolescent openings may also be available depending on age, therapist fit, and current availability. Chelsea may work with clients ages 12 and older, while Sam and Emily may have limited availability for older teens. Schedule a consultation so we can determine the best fit.

  • No. True North Counseling currently provides individual therapy only.

    We do help individuals explore boundaries, communication, relationship patterns, conflict, self-worth, and how they show up within their relationships.

  • No. You do not need to arrive with a diagnosis or have the perfect words for what is wrong.

    Many clients begin therapy because they feel stuck, overwhelmed, disconnected, or ready for something in their lives to change.

  • True North Counseling does not provide emergency or crisis services, and emails and scheduling requests are not monitored continuously.

    If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For immediate emotional or mental health crisis support, call or text 988 to reach the 988 Suicide & Crisis Lifeline.

Still wondering whether therapy is the right next step?

A free 15-minute consultation gives you space to ask questions, tell us what you’re looking for, and learn more about which therapist may be the best fit.

Schedule a Free Consultation

Have a question that isn’t answered here? Email info@truenorthnash.com.