Do you provide
therapy online?
therapy online?
I do not offer therapy
online, because I
believe a face-to-face
contact adds to the
value of therapy. I do
offer phone sessions to
current clients, and I
will be happy to talk
with you about whether
my services are best for
your needs.
online, because I
believe a face-to-face
contact adds to the
value of therapy. I do
offer phone sessions to
current clients, and I
will be happy to talk
with you about whether
my services are best for
your needs.
Beth Spring, LMFT
I’ve never been to therapy before. How do I get
started?
You have already taken an important step, by considering
sources of help. The best way to get started is to choose a
therapist that specializes in the services you need. If you are
interested in couples counseling, then find a provider with
training and experience in working with couples. Ask if the
therapist is licensed, how much each session will cost, and what
specific programs or types of therapy he or she offers.
What can I expect when I come in for an
appointment?
Therapy appointments are usually 50 minutes in length,
although session length can vary from 30 to 90 minutes. The
first one or two appointments are generally considered
“assessments,” meaning it is a chance for you to be sure you feel
comfortable with me, and for me to determine if I can help you,
or refer you to someone better equipped to help. There is no
obligation to return if you are not satisfied.
There is no set number of sessions, so we will discuss this as our
work progresses. Often, clients attend between 8 and 20
sessions, although many come just a few times, and others
continue long term, depending on their issues. If you believe
you are not making progress, we can discuss this and I will be
happy to help you consider other resources.
How much will it cost?
I charge $135 per hour, and I am an out-of-network provider
for insurance companies. Many of my clients submit a claim for
reimbursement, and I am happy to provide an itemized invoice
for you to do so. Check with your insurance company about
your “out-of-network mental health benefits” to find out what
your plan allows. Like most therapists, I ask my clients to pay
for services when they are provided, and I accept cash, checks,
and Visa and Mastercard. I offer a $5 discount for payment by
check or cash.
What kinds of therapy do you practice?
I use solution-focused, brief and systemic models of therapy
that value client’s strengths and resources. “Systemic” means
that I pay attention to the web of relationships clients have,
rather than focusing on the individual in isolation. I often
recommend family of origin work, and I use time lines and
genograms (family maps) to do this. Other interventions
include cognitive-behavioral work, anger management, and
mindfulness meditation. With couples, I offer communication
skill building based on the Prevention and Relationship
Enhancement Program, as well as materials developed by
author and researcher John Gottman. I also provide therapy for
couples seeking help with conflict resolution, intimacy issues,
disconnection, and stress.
Yes. I do not work with children under age 10, except in the
context of family therapy. I do not work with clients who are
currently struggling with substance abuse or addiction, and I do
not work with the chronically mentally ill. I specialize in
working with couples, and currently approximately 2/3 of my
clients are couples.
Do you specialize in working with clients of any
specific religious view?
No. I welcome clients of any faith and of no particular faith. I
have a background in Christian publishing and pastoral care
volunteer work, which helped me decide to become a therapist.
My training is not faith-specific and I do not impose or share
Christian beliefs with my clients. I have worked successfully
with Jewish, Muslim, Buddhist, and atheist clients. I value every
client’s belief system and encourage them to talk about their
world view as we work together.
What about confidentiality?
Mental health professionals must protect every client’s
confidentiality. I practice in accordance with laws established
by the State of Virginia and detailed by the state’s Board of
Counseling, and I uphold professional ethics established by the
American Association for Marriage and Family Therapy. I also
adhere to the standards of HIPAA, a federal law that protects
private health information. I will ask you to sign an agreement
that spells out the terms of confidentiality, and also notes the
exceptions: if I believe you are going to harm yourself or
someone else, then I must report this. Similarly, I am required
to report suspected child abuse or elder abuse, and I would be
required to break confidentiality if ordered to do so by a judge
in a court proceeding. Therapists are required to consult with
other mental health providers being seen by a client.
No. I do not go to court voluntarily, and I do not prepare
evaluations for court. If I am compelled to appear in court by a
judge, I charge the client a substantial daily fee to cover my time
for preparation, travel, and to compensate for the other
appointments that I need to cancel. When a client has been
ordered to therapy by court or by an employer, I am happy to
write a letter documenting attendance and participation in
therapy sessions. I require a signed release in order to do so,
and I provide a copy of the letter to the client.
Beth Spring, LMFT
1984 Isaac Newton Square West
Suite 204
Reston, VA 20190
703-975-2628
started?
You have already taken an important step, by considering
sources of help. The best way to get started is to choose a
therapist that specializes in the services you need. If you are
interested in couples counseling, then find a provider with
training and experience in working with couples. Ask if the
therapist is licensed, how much each session will cost, and what
specific programs or types of therapy he or she offers.
What can I expect when I come in for an
appointment?
Therapy appointments are usually 50 minutes in length,
although session length can vary from 30 to 90 minutes. The
first one or two appointments are generally considered
“assessments,” meaning it is a chance for you to be sure you feel
comfortable with me, and for me to determine if I can help you,
or refer you to someone better equipped to help. There is no
obligation to return if you are not satisfied.
There is no set number of sessions, so we will discuss this as our
work progresses. Often, clients attend between 8 and 20
sessions, although many come just a few times, and others
continue long term, depending on their issues. If you believe
you are not making progress, we can discuss this and I will be
happy to help you consider other resources.
How much will it cost?
I charge $135 per hour, and I am an out-of-network provider
for insurance companies. Many of my clients submit a claim for
reimbursement, and I am happy to provide an itemized invoice
for you to do so. Check with your insurance company about
your “out-of-network mental health benefits” to find out what
your plan allows. Like most therapists, I ask my clients to pay
for services when they are provided, and I accept cash, checks,
and Visa and Mastercard. I offer a $5 discount for payment by
check or cash.
What kinds of therapy do you practice?
I use solution-focused, brief and systemic models of therapy
that value client’s strengths and resources. “Systemic” means
that I pay attention to the web of relationships clients have,
rather than focusing on the individual in isolation. I often
recommend family of origin work, and I use time lines and
genograms (family maps) to do this. Other interventions
include cognitive-behavioral work, anger management, and
mindfulness meditation. With couples, I offer communication
skill building based on the Prevention and Relationship
Enhancement Program, as well as materials developed by
author and researcher John Gottman. I also provide therapy for
couples seeking help with conflict resolution, intimacy issues,
disconnection, and stress.
Yes. I do not work with children under age 10, except in the
context of family therapy. I do not work with clients who are
currently struggling with substance abuse or addiction, and I do
not work with the chronically mentally ill. I specialize in
working with couples, and currently approximately 2/3 of my
clients are couples.
Do you specialize in working with clients of any
specific religious view?
No. I welcome clients of any faith and of no particular faith. I
have a background in Christian publishing and pastoral care
volunteer work, which helped me decide to become a therapist.
My training is not faith-specific and I do not impose or share
Christian beliefs with my clients. I have worked successfully
with Jewish, Muslim, Buddhist, and atheist clients. I value every
client’s belief system and encourage them to talk about their
world view as we work together.
What about confidentiality?
Mental health professionals must protect every client’s
confidentiality. I practice in accordance with laws established
by the State of Virginia and detailed by the state’s Board of
Counseling, and I uphold professional ethics established by the
American Association for Marriage and Family Therapy. I also
adhere to the standards of HIPAA, a federal law that protects
private health information. I will ask you to sign an agreement
that spells out the terms of confidentiality, and also notes the
exceptions: if I believe you are going to harm yourself or
someone else, then I must report this. Similarly, I am required
to report suspected child abuse or elder abuse, and I would be
required to break confidentiality if ordered to do so by a judge
in a court proceeding. Therapists are required to consult with
other mental health providers being seen by a client.
No. I do not go to court voluntarily, and I do not prepare
evaluations for court. If I am compelled to appear in court by a
judge, I charge the client a substantial daily fee to cover my time
for preparation, travel, and to compensate for the other
appointments that I need to cancel. When a client has been
ordered to therapy by court or by an employer, I am happy to
write a letter documenting attendance and participation in
therapy sessions. I require a signed release in order to do so,
and I provide a copy of the letter to the client.
Beth Spring, LMFT
1984 Isaac Newton Square West
Suite 204
Reston, VA 20190
703-975-2628
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