Great question—and the honest answer is: it depends. Therapy isn’t one-size-fits-all, and how long you’ll be in it can vary depending on your goals, needs, and the kind of support you're looking for. Here’s a quick breakdown:

Short-Term Therapy (6–20 sessions)

Ideal for:

• Specific goals or challenges (like navigating a breakup or work stress)

• Learning coping strategies or new skills (like managing anxiety or setting boundaries)

• Solution-focused or structured approaches like CBT

Medium-Term Therapy (3 -12 months)

Helpful for:

• Working through ongoing patterns or deeper emotional challenges

• Developing insight into long-standing behaviors, beliefs, or relationship dynamics

• Building self-awareness and emotional regulation skills over time

Long-Term Therapy (a year or more)

Best suited for:

• Complex trauma, long-standing mental health conditions, or identity exploration

• Major life transitions or personal growth over time

• Those who find therapy a valuable space for ongoing support and reflection

You’re in Control

You can always check in with your therapist about how things are going and whether your goals have shifted. Some people pause therapy and return later. Others taper off gradually. The most important part? It’s your process, and it should work for you.

Totally valid question—and it depends on the therapist and what works best for both of you.

Here are the common options:

1. In-Person Therapy

• You meet face-to-face in your therapist’s office.

• Great if you prefer a dedicated physical space, fewer tech distractions, or just like the feel of being in the room with someone.

• Some people find it easier to open up in person, or they like the routine of going somewhere for therapy.

2. Online Therapy (Teletherapy)

• Sessions happen over a secure video platform (like Zoom, Doxy.me, or something HIPAA-compliant).

• Convenient if you have a tight schedule, live far away, or just feel more comfortable at home.

• Still very effective, and a lot of therapists now offer it as a standard option.

3. Hybrid (Best of Both Worlds)

• Some therapists offer both options so you can mix and match depending on your week, mood, or needs.

• The hybrid option works great when you experience unexpected schedule changes, or are feeling under the weather.

We ask that all clients provide 24 hours or more of advance notice to cancel appointments. Late cancellations (under 24 hours) and no-shows are subject to a $50 cancellation fee and/or loss of regularly scheduled appointments. Repeat no-shows/late cancellations may also result in loss of regularly scheduled appointments.

At this time, we do not offer a sliding scale.

Wellness Therapies Spokane is not currently able to offer a sliding-scale option. We understand that investing in therapy is a meaningful commitment, and we’re happy to provide referrals to other providers or organizations that may offer reduced-fee services if needed.

However, if you are seeking services and need a reduced rate, you may qualify for Washington State Apple Healthcare, which covers mental healthcare at 100%. 

To apply:

https://www.wahealthplanfinder.org/_content/learnabout.html

We accept cash, check, credit card, and HSA cards. Payment for co-pays or fee-for-service appointments is required upon check-in for your appointment.

Great question—and honestly, both individual and group therapy can be really effective, but which one is better for you depends on a few things: your goals, your personality, and what kind of support you’re looking for.

Here’s a quick breakdown to help you compare:

Individual Therapy

Best if you want:

• One-on-one attention and a private space to explore your thoughts and feelings

• Personalized pacing and goals tailored just for you

• Help with specific issues like anxiety, trauma, relationship struggles, or life transitions

Why it works: You and your therapist build a close, trusting relationship. You set the pace, and every session is focused completely on you.

Group Therapy

Best if you want:

• Connection and support from others going through similar things

• A space to practice social skills, get feedback, and feel less alone

• New perspectives on challenges you're facing

Why it works: Hearing others share can help normalize your experience, reduce shame, and give you insights you might not get on your own.

Group therapy brings together a small group of people (usually around 5–12) who meet regularly with one or two trained therapists to work through shared concerns, build skills, or process experiences.

There are two main types:

1. Process-Oriented Groups – Focus on emotional expression, relationship patterns, and mutual support.

2. Psychoeducational or Skills-Based Groups – Focus on teaching specific tools (like managing anxiety, coping with trauma, or improving communication).

How It Works

• Regular meetings (often weekly, around 60–90 minutes)

• Led by a licensed therapist who guides the conversation and keeps things safe and supportive

• Everyone has a chance to share, listen, and support each other

• Confidentiality is expected and emphasized (everyone agrees to keep what’s shared in the group private)