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THERAPY is a non-judgmental space for you to express yourself, process your past, and make the changes you want to make.
  • WHO: Adult (18+) Individuals or Relationships/Couples

  • WHERE: Telehealth for Residents of Texas or Washington

  • COST: $150 for Individuals, $175 for Relationships/Couples

  • THERAPIST: Anna Clark Miller, LPC-S, LMHC-S

  • SPECIALTIES: Religious Trauma, Neurodivergence, LGBTQ+

Have questions? Want to book a free 15-minute video call?

Already a client? Log into the portal here.


WHAT ARE YOUR VALUES AS A THERAPIST? My goal is to be empathetic, transparent, non-judgmental, and anti-oppressive so I can support my clients without causing hurt, shame, or any exploitation of power. I may offer insights from my perspective and challenge unhelpful thoughts or behaviors, but I highly value autonomy and your right to make choices for yourself. Other values that inform my work are inclusivity, compassion, and a belief in our capacity to heal and grow, no matter what we've been through. I’m open to feedback and willing to adjust my apporach to be most helpful for you.

WHAT ARE YOUR FEES? Individual sessions with me are $150, and relationship/couples sessions are $175. Late cancellations and missed appointments are $75. I operate on a private pay basis, meaning I don’t take insurance. However, I can give you documentation to submit out-of-network claims to your insurance for reimbursement if you request it. If cost is a barrier to therapy for you, talk to me so we can figure out a solution. I offer a limited number of reduced rates based on financial need. I don’t have anything available, I'll help you find someone else.

HOW DOES TELEHEALTH WORK? I conduct all sessions via a secure Telehealth platform. Research shows that in most cases Telehealth is just as effective as in-person therapy. It also offers a lot more flexibility. To minimize the risk of connectivity issues and privacy violations, I ask all clients to log in from a private place with a strong wifi connection. If for any reason, you feel that telehealth isn't a good fit for you, I can help you find a therapist who offers in-person sessions. NOTE: If we have connection issues during a session, I'll call you from my work number to troubleshoot.

HOW DO YOU ENSURE CONFIDENTIALITY? Your privacy is very important to me. Anything you tell me in therapy is protected under HIPAA privacy laws and the ethics of my profession. I won’t disclose your identity or discuss your case details with anyone unless I have a signed release form. I might consult with other therapists about your treatment but I’ll never use any identifying information. If I run into you in public, I won’t acknowledge you unless you address me first and I won’t accept friend requests from you on any social networking platforms. I’ll only contact you using the information you save in the client portal. Neither you or I are permitted to record any part of your sessions unless we’ve both given written consent. The only situations where I would be ethically or legally forced to break confidentiality are: (1) if you’re actively planning to harm yourself or someone else, (2) if you tell me about current abuse, neglect, or exploitation of a minor, elderly, or disabled person, or (3) if there’s a court order compelling me to disclose information.

WHAT’S YOUR CANCELLATION POLICY? Cancellations with at least 24 hours notice don't have any penalty and canceling or rescheduling is super easy to do in the client portal. When you miss or cancel an appointment last minute, I can’t schedule anyone else and I don’t get paid for my time. So unless there’s been a medical or family emergency, I charge $75 for all missed appointments and late cancellations. To make things equitable, if I have to cancel an appointment last minute for any reason, I’ll give you a $75 credit on your account. Lastly, if you miss three or more sessions within a 6 month period, I may need to talk with you about your investment level in therapy.

CAN I CONTACT YOU BETWEEN SESSIONS? To protect my work-life balance I don’t discuss therapy issues between sessions. I’m fine with getting therapy-related messages from you through the portal or my secure email; just know that I'll wait until our next session to discuss it with you. To protect your confidentiality, I won’t accept any social media requests from you or knowingly attend social events with you.

HOW OFTEN SHOULD I SCHEDULE MY SESSIONS? Therapy is usually most effective when you put in consistent time and energy. Weekly sessions are usually ideal, especially if you’re just getting started. Busy schedules and financial limitations can make weekly therapy unrealistic for some, though, so I’ll trust you to schedule at whatever frequency works best for you.

HOW LONG WILL I BE IN THERAPY? The length of counseling varies based on a lot of factors, but most people attend counseling for about 10-25 sessions. Some people stay in "maintainance" therapy for years, others just come for a few sessions to work through something specific. There’s no pressure to keep investing in something that doesn't feel helpful to you, so you can quit therapy any time. I won’t take it personally if you decide to take a break or choose to switch to another therapist. If you have concerns, though, talk to me about it so we can problem solve together. Circumstances under which I might have to terminate services with you include: (1) I feel you're not benefiting from treatment, (2) you attend sessions while intoxicated, (3) you don't pay overdue fees, (4) you miss three or more appointments, or (5) you act in a sexually inappropriate way or make threats toward me.

WHAT WILL WE WORK ON IN THERAPY? YOU are in charge of your therapy, so you get to decide what we focus on. The topics I’m most comfortable with and have the most experience with include processing past trauma (especially religious trauma and abusive relationships), building self-compassion, improving communication skills, understanding and accepting your identity, understanding and handling emotions, addressing unhelpful thought patterns, and setting healthy boundaries in relationships.

WHAT'S YOUR POLICY ON SELF-DISCLOSURE? The counseling relationship needs to have professional boundaries and it’s my job to make sure we’re focusing on you, not me. I might choose to tell you things about myself if I think it will be beneficial, but if I decline to answer personal questions, know that it’s for a good reason.

WHAT IF I HAVE MENTAL HEALTH CRISIS? I don’t offer crisis services and I'm not availabe outside of work hours. If you’re in a mental health crisis, go the the closest emergency room, call 911, or call/text the mental health hotline at 988.

HOW DO YOU HANDLE SUICIDAL IDEATION? I know that suicidal thoughts can be passive without the intention to act on them. I also know that suicidal thoughts and self-harm don’t always mean you’re at imminent risk or need to be hospitalized. If you share with me that you're struggling with this, I'll listen and ask questions before jumping to conclusions. If I don't feel that you're going to be safe, I'll talk openly with you about your options and we’ll problem-solve together. In some cases that may include reaching out to an emergency contact to make a safety plan.

WHAT'S THE NO SURPRISES ACT? You have the right to receive a good faith estimate explaining how much your therapy will cost. Under federal law, mental health care providers must give patients who don’t have insurance or who are not using insurance an estimate of the total expected cost of any nonemergency services. You may ask Empathy Paradigm Therapy to give you a good faith estimate in writing, which will be provided at least one business day before your service.  You can also ask your therapist for a good faith estimate before you schedule a service. Make sure to save a copy or picture of your good faith estimate. If you receive a bill that is at least $400 more than your good faith estimate, you can dispute the bill.

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