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FAQ

family therapy md
Below is a list if questions we commonly hear from new and prospective clients. If your question isn’t listed here, you are welcome to contact us by telephone or email. We are always happy to answer your questions.

What Is Couple and Family Therapy?

In couple (or marriage) and family therapy — which is often called CFT or MFT — the unit of treatment extends beyond the individual, even if he or she is seeking therapy alone.

What does that mean? Couple and family therapy focuses on the set of relationships in which a person has developed (their family or origin) and is currently embedded (their current family and/or couple unit). That focus makes the kind of therapy Lindsey Hoskins & Associates offers different from psychology, social work, or psychiatry because as licensed couple and family therapists, we’re trained to address the full spectrum of individual, couple, and family issues; and passionate about helping our clients find solutions to their problems in the relational contexts in which they exist.

However, if an individual within the treatment unit has been diagnosed with a mental health disorder, concurrent treatment with a psychiatrist may be necessary. In that case, we would communicate with an additional health provider to provide you with competent, collaborative care.

How Long Does Therapy Last?

Therapy is a unique process for each person and family, so there is no set length of time that works for everyone.

Those working on more severe issues (e.g., trauma, abuse, infidelity) may require more therapy. Weekly or bi-weekly sessions for three months to a year is considered average, but you may need more or less time depending on the specific issues you wish to address and the number of people involved.

Additionally, some clients find it helpful to continue therapy for less frequent “check-in” sessions after initial issues have been addressed, and this may continue for as long as it feels helpful and productive to you.

We understand that therapy is a significant investment of time and financial resources for our clients, and we don’t take this investment lightly. That’s why we are committed to helping our clients meet their goals — to guide them toward meaningful and lasting change — in the most efficient manner possible. The goal of therapy is to get to a level of understanding, connection, and functioning in which you don’t need therapy anymore. We don’t want clients for life — we want the best life for our clients. Nothing makes us happier than having a client tell us that therapy has worked for them and they don’t feel the need to keep coming to see us.

How Long Are Sessions? What Do They Cost? How May I Pay?

Clinicians at Lindsey Hoskins & Associates offer standard sessions lasting for 45-50 minutes; extended 90-minute sessions are also available. 

Extended sessions can be especially helpful for families and couples. Though much can be accomplished in just under an hour, having extra time each week can help clients make significant progress more quickly. Getting to the core of an emotional experience and sharing openly with each other is easier when time is less constraining.

First sessions for new couples and families are always 90 minutes in length. After that, your session length is up to you, and you don’t have to have the same session length each week.

Fees vary based on both the length of the session and which therapist you see. The fee for a 50-minute session starts at $140, and the fee for a 90-minute session starts at $210.

Packages

Lindsey Hoskins & Associates offers special packages for premarital counseling using the PREPARE/ENRICH program. These packages include five extended sessions (90 minutes) and an accompanying online assessment, plus all hard copy materials. Packages range from $950 to $1150, depending on which therapist is seen. Clients may choose to pay in installments, or in one lump sum.

Couples who wish to continue working together after completing the five specially priced extended sessions may continue at their therapist’s standard therapy rate.

Payment
Payment is due at the end of each therapy session. Clients may choose to pay in cash, by personal check, or by using a credit card.

Lindsey Hoskins & Associates accepts Visa, MasterCard, Discover, and American Express. We use IVY Pay, a payment system developed especially for therapists. You will receive a secure link to submit your payment information via text message, and this payment method will be kept on file for future sessions as well.

Do You Accept Insurance?

Lindsey Hoskins & Associates does not bill insurance companies directly for several reasons.

Unfortunately, most insurance companies don’t believe treatment for relationship problems should be covered the way that medical or psychiatric care are covered. The way the system currently works, billing insurance companies requires your therapist to give you a mental health diagnosis for your insurance company to cover the cost of your therapy. Most clients we see don’t have a mental health diagnosis, and we’re not comfortable creating one when the people who seek our services are experiencing very normal couple and family relationship issues. Such a diagnosis would then become a part of your permanent record with that insurance company, and may follow you for the rest of your life and create difficulties in receiving future care or coverage.

Billing an insurance company also requires us to provide details about our work together to an employee or group of employees at the insurance company, who would then have a role in making decisions about your case (e.g., advising what kind of treatment we should provide, how long you should be allowed to come for therapy, etc.).

We think decisions about our work together should be made by you!

We’re happy to provide you with a statement of paid services, which you can submit to your insurance company for reimbursement. Many of our clients are successful in receiving reimbursement in this way, though it is usually not for 100% of the fee. If you are covered by a PPO, you may be able to use your out-of-network reimbursement options. Please contact your insurance provider directly to explore this option.

When Do You See Clients? How Soon can I Come to See You?

Lindsey Hoskins, PhD, LCMFT

Lindsey is available Monday, Wednesday, and Thursday evenings, and Sunday during the daytime.

Lindsey can typically accommodate new clients on the day of their choice within a few weeks; if not, she is happy to add you to a waitlist for fitting in as soon as possible. If your needs are immediate and Lindsey is not available, she will gladly refer you to another therapist in the practice.

Kara Smith, MS, LCMFT

Kara is available on Tuesday during the daytime and evening, and Thursday during the daytime. Kara typically has availability for new clients within one week.

Cara Nazareth, MS, LCMFT 

Cara is available Tuesday and Thursday evenings. Cara typically has availability for new clients within one week.

Laura Golojuch, MS, LGMFT

Laura is available Monday evenings and Saturday during the daytime. Laura typically has availability for new clients within 3-5 weeks.

Shy Porter, MS, LGMFT

Shy is available on Wednesday evenings and Sunday during the day. Shy typically has availability for new clients within one week.

 

How May I Schedule A Complimentary Phone Consultation, Or My First Appointment?

The easiest way to set up an appointment for an in-office visit or a telephone consultation is to call our office directly and speak to our scheduling staff. They can assist you in identifying a therapist that meets your needs in terms of clinical expertise, availability, and session fees. Please call the main practice telephone number (240) 752-7650 or email hello@lindseyhoskins.com. Our team will be happy to answer any questions you might have, and schedule a telephone consultation or your first appointment.

Lindsey Hoskins, PhD, LCMFT
If, after reviewing the information on our website, you would like to schedule a time to speak or meet with Lindsey, you may call the scheduling staff or reach out to Lindsey directly. Please call (240) 752-7650, ext. 2, or e-mail lindsey@lindseyhoskins.com. When we connect, we will discuss your goals for therapy and decide together whether pursuing therapy together will suit your needs. If you decide you would like to begin therapy, you will move forward by scheduling your first appointment.

Kara Smith, MS, LCMFT
To schedule with Kara, you may call her directly at (240) 206-1509, ext. 3, or e-mail kara@lindseyhoskins.com. Kara will be happy to talk with you about how she can help you reach your goals, and to schedule an appointment at a time convenient for you and your partner/family.

Cara Nazareth, MS, LCMFT
If you would like to schedule a telephone consultation or initial appointment with Cara, you may call her directly at (240) 752-7650, ext. 4, or e-mail cara@lindseyhoskins.com. Cara will be happy to speak with you about how she can help you reach your goals, and to schedule an appointment at a time convenient for you and your partner/family.

Laura Golojuch, MS, LGMFT

If you would like to schedule a telephone consultation or therapy appointment with Laura, you may call her directly at 240-752-7650, ext. 5, or e-mail laura@lindseyhoskins.com. Laura is happy to speak with you about how she can help you reach your goals, and to schedule an appointment at a time convenient for you and your partner/family.

Shy Porter, MS, LGMFT

If you would like to schedule a complimentary telephone consultation or first appointment with Shy, you may call her directly at 240-752-7650, ext. 6, or e-mail shy@lindseyhoskins.com. Shy will be happy to speak with you about how she can help you reach your goals, and to schedule an appointment at a time convenient for you and your partner/family.

Where Is Your Office, and Where Can I Park?

Lindsey Hoskins & Associates is located in downtown Bethesda, Maryland. The address is 4905 Del Ray Avenue, Suite 301, Bethesda MD 20814. The office is easily accessed from all over the DC metro area, and conveniently located just a few blocks from the Bethesda Metro station (the red-line) and within easy driving distance of I-270 and I-495. The nearest major intersection is Old Georgetown Road and Arlington Road. If you are driving to the office, the easiest way to get to the building is to turn on to Del Ray Avenue from Old Georgetown Road. #4905 is a light-colored brick building on the Northeast side of the street (on your left if you are coming from Old Georgetown Road). Please refer to the below map, which will direct you to Google Maps. When you arrive at the building, please come in the front door, up the elevator or stairs to the third floor, and all the way to the end of the hall on your left to suite 301.You will enter into our waiting room, and your therapist will meet you there.

Parking: There are a variety of parking options located within easy walking distance of our building:

  • Meters on Del Ray Avenue or Norfolk Avenue – cost is $1/hour. Payment is accepted via coins, or through the Montgomery County ParkNow! system (requires you to set up an account, but then you can pay by phone or using a SmartPhone app). Payment is required from 9am until 10pm, Monday through Saturday, except county holidays. There is a 2-hour limit for parking at these meters.
  • Auburn/Del Ray Garage — located at the corner of Del Ray Avenue and Old Georgetown Road. Cost: $0.80/hour on level 2 or higher. Garage has meters for payment via coin or Montgomery County ParkNOW system. Parking is free on weekends (including Saturdays) and county holidays. Note that parking is more expensive and is limited to 2 hours on the bottom two floors; longer term parking is available on higher levels.
  • Please DO NOT park in the lot located behind our building. These spaces are reserved for permit-holders and your car is at risk for being towed.

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