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counseling and therapy frequently asked questions FAQ
Everything You Want to Know Before Reaching Out

Frequently Asked Questions

It's completely normal to have a lot of questions before reaching out to a therapist for the first time — or even the fifth time. Therapy is personal, and knowing what to expect makes the first step a lot easier to take. The questions below cover everything from how to get started to how sessions actually work, what things cost, and what to do if you're not sure therapy is right for you.

If you don't find what you're looking for here, don't hesitate to reach out directly. I am happy to answer any questions you have before you book. Call (254) 390-9243 — I’ll do my best to get back to you the same day, but if not within 1–2 business days.

No Question Is Too Small

Feel Informed Before You Begin

Getting Started & Working With Melanie

Yes —I am currently accepting new clients for online therapy across Texas. If you’re ready to get started, you can book a session online at a time that works for you. If you’re unsure whether Bloom Within Counseling is the right fit, feel free to reach out with any questions before scheduling.
You can book a session directly through this website by clicking the “Book a Session” button. After scheduling, you’ll receive the paperwork that needs to be completed before your first session. If you have any questions before getting started, feel free to reach out.
The first session is a chance for us to get to know each other and begin understanding what brings you to therapy. We’ll talk about what’s been going on, what your goals are, and what you’re hoping to feel or experience differently. You’re welcome to share at your own pace—there’s no pressure to have everything figured out. My goal is to begin building a relationship where you feel comfortable, understood, and ready to do meaningful work together.
I am a Licensed Professional Counselor Associate under the supervision of April West, LPC-S, and maintain my own independent private practice, Bloom Within Counseling, PLLC.
Standard therapy sessions are approximately 50-55 minutes. Most clients begin with weekly sessions, though we can adjust the frequency as you progress and your needs change.
I work with adolescents and adults. For younger clients, virtual therapy is most appropriate when they have the maturity and ability to engage meaningfully in an online session.
Yes — I offer limited evening availability to accommodate school and work schedules. Availability changes over time, so you can view my calendar through the “Schedule a Session” button to see the times that are currently open.
I’ll check in regularly about how therapy feels and whether you’re making progress toward your goals. If something isn’t clicking — whether it’s the approach, the pacing, or the fit — I’d rather know so we can adjust than have you quietly disengage. Good therapy is collaborative, and your feedback always matters. If at any point you decide Bloom Within isn’t the right fit, I’ll help connect you with other providers.
No. I do not require a referral from a doctor or a formal diagnosis to begin therapy. If you're struggling and ready to do something about it, that's enough. You're welcome to reach out at any point — no clinical paperwork required to get started.

Services, Fees & Telehealth

All sessions are held via a secure, HIPAA-compliant video platform. Before your appointment, you’ll receive a private link to join. All you need is a phone, tablet, or computer with a camera and microphone, a reliable internet connection, and a quiet, private space. No app downloads are required. Virtual therapy can be just as effective as in-person care for many clients — and the comfort and privacy of your own space may make it easier to open up.
That’s more common than you might think, and it’s a completely fine place to start. Your first session is a chance for us to get to know each other, talk about what brings you to therapy, ask questions, and get a feel for how therapy works. I’m experienced in working with people who are new to therapy, and I’ll guide you through the process at a pace that feels comfortable.
Yes, I accept most major insurance plans.
Individual sessions are $100. Family sessions are $130. All fees are due at the time of service. Insurance rates are set by your insurance company and will be verified before your first session.
My cancellation policy will be reviewed during intake. In general, I ask for advance notice if you need to cancel or reschedule. If you have specific questions about the cancellation policy before booking, feel free to reach out.
I provide virtual therapy for adolescents and adults experiencing anxiety, trauma, emotional overwhelm, burnout, and difficult life transitions. Somatic therapy is a core part of my approach, along with other evidence-based and trauma-informed therapies. For clients who desire it, faith can also be incorporated into our work. Visit the Services page to learn more about the areas I focus on and how I can help.
It can be — if that’s what you want. I offer space for clients who want to incorporate their faith, values, or spiritual beliefs into therapy. That might look like exploring experiences through a spiritual lens, drawing on your beliefs as a source of strength, or simply bringing your whole self — beliefs included — into the room. Clients who don’t identify with any faith tradition are equally welcome. Therapy is always centered on your values, your goals, and your comfort.
Yes — confidentiality is a foundational part of the therapeutic relationship. What you share in therapy is private and protected by law, with a small number of legally required exceptions, such as certain situations involving safety, abuse or neglect, or legal requirements. I’ll review confidentiality and its limits with you during your first session and answer any questions you have. Outside of those exceptions, your sessions and records remain private.
I provide virtual therapy for adolescents and adults throughout Texas. Because all sessions are held via telehealth, you can work with me from anywhere in the state. Visit the Service Areas page to learn more.
Reviews and Testimonials

Clients Love Bloom Within

While every client is different and comes with different needs, Bloom Within works to create the perfect plan for you and your needs.

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Kathryn Fowler profile picture
Kathryn Fowler
August 6, 2026
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Melanie is compassionate, knowledgeable and dedicated to providing exceptional care. I highly recommend her!
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Kristin Hall profile picture
Kristin Hall
July 10, 2026
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Melanie has been great to work with. I was very nervous when I started, but she has made me feel very comfortable. Therapy isn’t easy, but she’s easy to share with and understands how to help!
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Brian Anderson profile picture
Brian Anderson
April 10, 2026
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Melanie has been such a joy to work with. I can't say enough good things about the experience and recommend her to everyone I know!
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Cicely Shaw profile picture
Cicely Shaw
September 10, 2025
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Melanie has been wonderful with my child. She makes him feel comfortable, truly listens, and gives us helpful tools. I’ve seen so much growth and couldn’t be happier with her support!
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Wendy Hileman profile picture
Wendy Hileman
August 27, 2025
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Mrs Burns is very professional and does an amazing job! She truly cares about her clients. Our family highly recommends her.

Mon - Thurs: 9AM - 5PM
Fri: 9 AM - 3 PM
Sat & Sun: Closed

Serving all of Texas

(254) 390-9243
melanieburns@bloom-within-counseling.com

Still Have Questions?

Just Ask — There's No Obligation

If something isn’t covered above, or you’d simply like to talk through whether therapy might be right for you, I’m happy to help. Reaching out doesn’t commit you to anything — it’s simply a chance to ask questions and see if working together feels like a good fit.