FAQS

If you're wondering whether it could help, that question is usually a yes. Therapy isn't just for crisis moments. It's for anyone who wants to feel more like themselves — more connected, more at ease, more at home in their own body and relationships. If something isn't feeling the way you want it to, that's enough.

My office is located at:

447 Carlisle Dr, Suite 203 Herndon, VA 20170

In person in Herndon, and virtually throughout Virginia — including Reston, Sterling, Chantilly, Centreville, Vienna, Tysons, McLean, Annandale, Springfield, Burke, Oakton, Great Falls, Lorton, Merrifield, Leesburg, Ashburn, Brambleton, South Riding, and Dulles.

I serve clients across Fairfax County, Loudoun County, and Prince William County.

My practice is LGBTQ+ affirming, kink-aware, and sex-positive.

Yes, I meet with clients in person at:

447 Carlisle Dr, Suite 203 Herndon, VA 20170

Online therapy allows you to access services from the comfort of your own home or wherever else you can secure a private space.

You will receive a unique and secure link to your telehealth session via text, email, or Sessions Health Client Portal

Yes. A lot of clients do both depending on their schedule. We stay flexible around whatever works best for you.

That's completely normal. Most of my clients feel nervous before our first meeting—it takes courage to reach out. During our free consultation, we'll talk informally about what's bringing you to therapy, and you can get a sense of whether we're a good fit. There's no pressure, and you're in control of how much you share and when.

During our first appointment we will cover three main areas:

1. Discuss what has brought you to therapy, begin reviewing a relevant history to your concern(s), and identify what you are looking for in a therapist.

2. I will share with you my approach to therapy and how this can be utilized with your concern(s) based on the information you have given me.

3. Decide together what next steps are and if my approach and services are a good fit for you and within the scope of my practice. The strongest indicator for change in therapy is the relationship between you and your therapist. It is important to me that you find someone who is a good fit whether that is with me or someone else.

Therapy is a unique and individualized process. For some, therapy may last a few weeks, and for others it may be a few years. It depends on a variety of factors including length of time living with your concern(s), intensity of symptoms, readiness and motivation for change, and interest in long-term growth.

I look forward to being alongside you regardless of how long the journey takes.

• Licensed Professional Counselor (LPC)

• AASECT Certified Sex Therapist (CST)

• Certified Holistic Sex Therapist (CHST)

• Masters in Clinical Mental Health Counseling

• Advanced Emotionally Focused Individual Therapist (EFIT)

• Advanced Emotionally Focused Couples Therapist (EFCT)

• Clinical training in facilitating Interpersonal Process Groups

• Virginia Board Approved Supervisor

I have partnered with Mentaya to help clients use their out-of-network benefits to save money on therapy. Use the tool by clicking here to see if you qualify for reimbursement for my services.

• Initial 60 minute intake (Individuals): $230

• All initial and follow up sessions for individuals and relationships are $230

I offer a discounted rate of $205 to healthcare workers, educators, and military members and their families.

I reserve three spots at a reduced rate of $100/session for those experiencing financial stressors. Please contact me to inquire about more details.

I'm an out-of-network provider and don't accept insurance directly. However, many clients are able to get partial reimbursement through their out-of-network benefits.

I've partnered with Thrizer to make this process easier—they can check your benefits instantly and submit claims on your behalf. I also provide Superbills if you prefer to submit claims yourself.

To check your out-of-network benefits, you can ask your insurance company:

- Do I have mental health/behavioral health benefits?

- What is the reimbursement rate for out-of-network providers?

- Do I need pre-approval or a referral?

- How many sessions per calendar year will my plan cover?

- What is my out-of-network deductible?

Why I don't take insurance: Insurance reimbursement rates don't allow me to sustain a practice while providing the depth of specialized care this work requires. Staying out-of-network means I can focus fully on your healing without the limitations that insurance companies often impose.

Yes. If you searched for Harbor and Hearth Therapy, Harbor and Home Therapy, Heart Home Therapy, or Hearth Home Therapy and landed here, you're in the right place.

Hearth and Home Therapy is Meghan Robinson's practice in Herndon, VA offering sex therapy, relationship anxiety counseling, EFT, and couples therapy in person and virtually across Virginia.