Find answers to frequently asked questions about telehealth and online therapy. Learn about services, how we help, and what you can expect from James Consultancy Group.
Where Are You Located?
Dr. James is located in Texas, however, she is available to see clients for online therapy across multiple states, including:
Alabama
Arizona
Arkansas
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Illinois
Indiana
Idaho
Kentucky
Maryland
Minnesota
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
North Carolina
North Dakota
Ohio
Oklahoma
Pennsylvania
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
West Virginia
Wisconsin
Dr. James cannot see clients in the following states: Alaska, California, Hawaii, Iowa, Louisiana, Massachusetts, Montana, New Mexico, New York, and Oregon.
Do You Offer In-Person Sessions?
No, I only offer virtual online therapy sessions.
Do You Accept Insurance?
I don't accept insurance, but I can provide a 'superbill' for documentation. If you have out-of-network benefits, you can submit it to your insurance for potential reimbursement
What Are Your Therapy Session Fees?
Initial Consultation (20 min): Free
Initial Session (50 Min): 220.00
Individual Therapy Session (50 Min): 200.00
How Structured Are Your Online Therapy Sessions?
I actively participate in our conversations and may offer suggestions on where to begin. However, I prioritize letting you guide the session and determining which topics are most important for us to process together. If you require significant structure and want someone to tell you what to do, I am not the therapist for you. In such cases, exploring the services of a coach could be a more fitting option.
Do You Meet with Clients Weekly or Monthly?
While the research on the effectiveness of therapy suggests that weekly sessions are best (Lin, Anderson, Erekson, & Ogles, 2023), I acknowledge that it may not be feasible for everyone. I find that some people can make significant changes by attending therapy at least every other week. However, there are instances where weekly therapy is required.
Unfortunately, to make substantial progress, it's necessary to attend therapy at least every other week. However, for current or past clients who have achieved their therapy goals and desire ongoing support, I provide monthly check-ins to help them stay on track.
How Long Are Online Therapy Sessions?
Our sessions will be 50 minutes long.
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I commonly work with clients experiencing:
Anxiety and Stress Management
Depression
Grief and Loss
Trauma from Toxic Relationships or Toxic Work Environments
Burnout and Life Transitions
Relationship and Interpersonal Challenges
Reframing Limiting Thoughts and Long-Standing Conditioning
Identity and Self-Worth Concerns
Work and Career Stress
Mental Health Concerns Connected to Fitness, Nutrition, and Elder Care Support
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I am not able to help with the following services:
Court-Ordered Therapy or Forensic Evaluations
Custody Evaluations
Disability or Legal Evaluations
Paperwork for Legal Proceedings
Psychiatric Medication Services
If you need those services, you should look for the following professional:
Forensic Psychologists
Court-Approved Providers
Psychiatrists / Psychiatric Nurse Practitioners
Local Hospital Systems or Crisis Centers
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Therapy will help you gain greater clarity, confidence, emotional relief, and a stronger sense of self.
Together, we work to:
Identify Recurring Emotional and Behavioral Patterns
Understand What May Be Contributing to Feeling Stuck
Increase Self-Awareness and Self-Compassion
Improve Coping with Anxiety, Stress, and Burnout
Strengthen Boundaries and Relationships
Shift Unhelpful Thinking Patterns
Process Grief, Trauma, and Difficult Transitions
Develop Practical Strategies for Moving Forward
The overall goal is to help you feel more grounded, empowered, and able to navigate life with greater ease and intention.
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I primarily work with adults, typically age 27 and older, including professionals, leaders, caregivers, and individuals navigating significant life and career transitions. Many clients are high-functioning on the outside but internally struggling with stress, burnout, grief, self-doubt, or relationship challenges. A strong area of focus includes professionals managing elder care responsibilities alongside demanding careers.
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You will be a good match for me as a therapist if you are experiencing the following:
Being Overwhelmed in your Career
Burn-Out as a Leader
Stress as a Caregiver
Difficulties Managing Elder Care
Grief After Loss
Trouble with Sleep / Racing Thoughts
Work Stress and Toxic Work Environment
Imposter Syndrome
Relationship Stress
Feeling Stuck in Life Transition
If you are seeking highly directive, advice-only, or “tell me exactly what to do” support, you may be better with just a consultation with me rather than therapy.
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Sometimes issues that you may need therapy for can show up as:
Difficulty Sleeping or Racing Thoughts
Feeling Mentally “on” All the Time
Trouble Setting Boundaries at Work or with Family
Irritability and Lack of Boundaries in Relationships
Feeling Stressed while Taking Care of an Aging Parent
Constant Worry about Performance or Making Mistakes
Irritability, Exhaustion, or Emotional Numbness
Overthinking Conversations and Decisions
Difficulty Concentrating
Feeling Overwhelmed by Transitions such as Divorce, Loss, Promotion, Relocation, or Caregiving
Loss of Confidence or Feeling “Stuck”
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My therapy style is collaborative, thoughtful, warm, and insight-oriented. I will actively participate, offer meaningful feedback, and help you identify patterns while still allowing you to guide what feels most important in session. The approach balances emotional depth with practical support and clear movement toward goals.
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Goals are measured through:
Reduction in Distress Symptoms
Improved Daily Functioning
Stronger Coping Strategies
Better Boundaries
Improved Relationships and Communication
Progress through Life Transitions
Increased Clarity and Confidence
Scored Assessment Measures for Anxiety and Mood
Feedback is provided through active reflection, collaborative check-ins, and regular discussion of what is improving and what still feels stuck.
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I DO NOT provide the following services:
Inpatient or Residential Treatment
Crisis Stabilization
Emergency Psychiatric Services
24/7 On-Call Crisis Support
in-Person Therapy
Medication Management / Psychiatry
For emergencies, clients should go to the nearest ER, call 988, or contact local crisis services.
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I have over 20 years of experience across therapy, leadership coaching, academic leadership, and consultation settings.
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I have a strong cultural awareness around leadership identity, workplace dynamics, caregiving, grief, and high-achieving professionals dealing with stress. I also work with diverse professionals in industries like healthcare, law, education, engineering, business, and leadership positions.
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Ph.D. in Counseling Psychology
Licensed Psychologist (Texas)
PSYPACT / APIT telepsychology authorization
Associate Certified Coach (ACC), ICF
Leadership Coaching Training through Rice University Jones Graduate School of Business
Leadership Training through Stanford University and University of Pennsylvania Wharton School
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Sessions are offered by appointment via telehealth, Monday to Thursday, with daytime and early evening availability.
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If you are a new client, I recommend a session every week or every other week. We will discuss this in our intake session based on your individual needs. Eventually, you may be able to move to sessions once per month.
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After you contact me, you should hear back within 1-2 days. Your first session will usually be within 1-2 weeks, depending on availability.
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For new client inquires, please fill out my contact form at: https://www.jamesconsultancygroup.com/contact
For current clients, email and text are best used for scheduling and administrative matters only. Clinical concerns should be discussed during sessions. Messages are returned within 1–2 business days.
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Name
State of Residence
Preferred Service (Therapy Coaching)
Main Concern
Preferred Availability
Whether you are looking for weekly or biweekly sessions.
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If my practice is full or your needs would be better supported elsewhere, I will gladly provide you with trusted referrals to other therapists, psychiatrists, or specialized providers.