Before we begin.

Start here

1. 01

   Request a 15-minute fit call. Confirm you are in Ohio.

2. 02

   If there is a fit, you receive intake paperwork: informed consent, telehealth consent, and a Good Faith Estimate.

3. 03

   A card is stored before session one. Couples often begin with an 80–90 minute joint session.

4. 04

   Weekly work is 50–60 or 80–90 minutes.

Do you take insurance?

No. This is a cash-pay practice. HSA and FSA cards work. You can submit a superbill to your plan for possible out-of-network reimbursement. Couples work is often unpaid or poorly paid by insurance anyway.

Is this telehealth only?

At launch, yes — anywhere in Ohio, with your location confirmed at the start of each session. A small west-side suite is possible later. No out-of-state clients until she is licensed there.

What is the cancellation policy?

Full fee if you cancel or no-show with less than 24 hours’ notice. A card is on file before session one. This is in writing in the consent.

Do you keep secrets in couples therapy?

No. There is a written no-secrets policy. Individual collateral sessions are for assessment, not a parallel individual therapy with hidden material.

Is this Healing Pathways Cleveland?

No. Anjelica served as Clinical Director there for several years. This is her own cash-pay practice, opened after that chapter. Different entity, different book.

What about a crisis?

This practice is not a 24-hour crisis service. Call 988 or 911, or go to the nearest emergency department.