Be Rooted Within
Sage Windemaker, LCSW, LLC
Holistic Psychotherapy for Total Wellbeing
WHEN AND WHERE DO YOU OFFER SERVICES?
We currently provide all one-on-one services through video telehealth therapy via our practice management system, Simple Practice. Clients may access the video session by clicking the link sent via email and opening in a web browser on a computer, or by downloading the free app, Telehealth by Simple Practice, to access the sessions by phone or tablet. Please note, incoming clients must be in Pennsylvania during all sessions, as telehealth and licensing laws require that the therapist be licensed where the client is at the time of each session. If you do not live in Pennsylvania and you need help connecting with a therapist in another state, you may wish to check out Therapy Den, as a therapist search engine that could potentially help connect you with a clinician local to you.
While we are not currently offering in-person sessions, we do hope to begin offering walk-and-talk sessions on the farm where the practice holds office space, potentially as soon as Spring of 2023. The farm is a 16-acre farm with rescue horses, mini donkeys, a pony, cats and dogs. There are trails throughout the property carving around the horse pastures, through the forest, along a stream, and through fields of wildflowers and native plants. It is a serene space that we feel so lucky to be able to use that serves the purpose of being a healing sanctuary for both people and animals. The farm is located in Oxford, Pennsylvania, roughly 40 minutes southeast of Lancaster city, 20 minutes west of Kennett Square, 40 minutes southwest of West Chester, and a little over an hour west of Philadelphia. In the very near future, we plan to begin offering in-person workshops, retreats, and expressive arts experiences in the restored barn on the farm. Check back for details as they evolve!
HOW TO BEGIN THE PROCESS...
If you are interested in pursuing working with one of the clinicians within our practice, the first step would be to complete the prospective client inquiry form on the contact page.
You would then receive an email from our Clinical Director, Sage Windemaker, to schedule a 15-minute Connection and Clarity call during which Sage would ask a few questions to gain clarity around that which you are hoping to get out of therapy, she would share more about our therapeutic approach within the practice, all logistics such as payment and scheduling would also be discussed, and you and Sage would mutually assess for goodness of fit.
If for any reason it was decided during the initial connection and clarity phase that your needs might be best met by a clinician in a different practice, you will be given referrals for clinicians who may be more specialized in that which you are specifically seeking and/or better able to meet your needs for a logistical or other reason. We are very connected within the local therapist community and passionate about helping to connect folks with the best possible fit for them, whether that is inside of or outside our practice. Please note, though we pride ourselves on building strong connections with other therapists who uphold a high standard for care, we can not be held liable for the care received at any other practice.
If it is mutually decided between you and Sage that you or your loved one’s needs could be met at our practice, the next step would be to access the client portal, where you would be able to review and electronically sign all paperwork within the intake packet, including your holistic wellness questionnaire, which will offer you the opportunity to provide (with as much detail or brevity as feels right for you), everything that you think would be helpful for your new support team to know about who you are, where you've been, and where you wish to go. We ask that all incoming clients please sign all consent forms prior to the first appointment.
The next step would be to schedule and attend your Intake and Wellness Planning Session with Sage, during which you would explore in greater depth that which you are hoping to journey through and beyond in therapy. Your learning style will also be explored during the intake session in a way that explores both how you best learn new concepts, theories and techniques, as well as how and in what ways you prefer to be supported, that is, through a gentle and nurturing, or more direct approach, etc. We know that therapy is far from one size fits all, and this intake process is one piece of the ways in which we truly strive to custom tailor your therapy experience to that which you, as a unique individual, are most in need of and craving. Together, with Sage, you will journey through your story and map out your goals for where you want to go and how you want to begin living. Following this intake appointment with Sage, you would then be connected with your clinician to begin your therapeutic journey.
WITH WHAT FREQUENCY AND FOR WHAT DURATION DO CLIENTS TYPICALLY ATTEND THERAPY?
While it is not possible for a psychotherapist to know in advance (when beginning treatment with a client), how many psychotherapy sessions may be necessary or appropriate for a given person (as the process of psychotherapy and that which is clinically appropriate in terms of frequency and duration of therapy unfolds over time), clinically appropriate session frequency and duration of treatment will be continually assessed collaboratively between you and your therapist, taking into account each of the following:
Your specific therapeutic needs and preferences
The type of services you are seeking (i.e., treatment of a specific problem, vs. ongoing supportive care)
Your treatment goals, which you will decide upon collaboratively with your therapist
Your diagnostic presentation and the ways in which that may evolve over time
The progress you make in therapy
Your assessed clinical readiness to titrate down to less frequent appointments to be followed by eventually discharging from services
It is our typical process to intake incoming clients at a session frequency of once a week on a recurring appointment schedule that remains the same from week to week, as we’ve found that reserving the same time each week on both the clinician’s calendar and on the client’s calendar is the only way to ensure that the client and clinician’s schedules consistently align in a way that ensures that the client’s clinically-appropriate level of care is being met at the therapeutically-appropriate rate of frequency as jointly determined by the client and clinician. In some instances, a client may begin with meeting twice a week or for an extended weekly session if the level of need is high enough to necessitate that as a therapeutically appropriate frequency.
We encourage ongoing conversations between therapist and client to collaboratively determine clinically-appropriate timing for titrating down frequency of appointments. It is always encouraged for the timeline of titration in frequency of appointments to be a discussion between therapist and client, and ideally something that is processed in session if at all possible. In the therapeutically best case scenario, it is discussed over one or more sessions before the move takes place, so that the treatment plan can be updated to include additional self-led therapeutic supports to be completed by the client during the weeks in which they are not meeting with their clinician. When titration of less frequent appointments does take place, every appointment is still scheduled on a recurring appointment schedule.
Further, in some instances, life and/or therapeutic circumstances may warrant a period of time in which an increase in session frequency becomes clinically imperative. Any such decision would be based on presenting clinical level of need and would be discussed between you and your therapist.
DO YOU ACCEPT INSURANCE?
The practice workswith self-pay clients who opt not to use insurance as a means of paying for psychotherapy. Our reasons for this are psychotherapeutic in nature and multifold. We understand that you may have questions around this decision, and we would be happy to answer any questions around this decision during the initial Connection and Clarity Call.
We understand that self-pay is not a fit for everyone. If you are seeking to utilize insurance benefits, there are several therapist search engines that allow you to search by insurance, as well as sliding fee/low-cost options:
Therapy Den - allows for searching by therapy type, specialty areas, insurance, price range, treatment techniques, as well as other filter options: https://www.therapyden.com/
Inclusive Therapists - allows for searching by therapy type, insurance, sliding scale options, focus, therapeutic approach, cultural knowledge, spiritual knowledge and therapist identity, as well as other filter options: https://www.inclusivetherapists.com/
Open Path Collaborative - Reduced-fee therapy ($30-$60 a session for individual therapy & $30-$80 for couples & family therapy) - Open Path works specifically with folks who cannot afford market rates for therapy and who are uninsured or underinsured: https://openpathcollective.org
WHAT IS YOUR FEE?
There is no fee for the complimentary Connection and Clarity call with Sage, which is the first step for all clients. This call typically lasts 15-30 minutes. The fee for the 60-minute Intake and Wellness Planning session with Sage, which is the next step for all clients, is $275.
Following the Intake and Wellness Planning session, the client would continue forward with their long-term therapist. Sage's fee for a 45-minute session is $225. Most clients begin by meeting on a weekly basis. Payment is always due at the time of service.
We do offer a Financial Support Program to help make the cost of sessions feasible for folks for whom seeking support through our practice would not otherwise be financially doable. Please note, these adjusted-rate slots are limited. Support through our private and direct-pay practice is highly specialized and we aim to provide a quality of therapy that is very high. We keep our caseload sizes intentionally small so that our clients feel as fully held and supported as possible. We care deeply for our clients and often go above and beyond providing support in the 45-minute session (be it through sending additional resources, checking in with clients between sessions if needed, etc.). We know that the level of care and support that we provide can be difficult to find, and we seek to make this level of care and support available to folks who may not traditionally be able to access such care due to financial and systemic barriers, as well as for those who have competing expenses that are non-negotiable as they either provide a basic necessity or help sustain holistic wellness. As such, this program is not meant to be utilized as a means of receiving a discount for clients who can afford or budget for the full fee, but is truly meant to help make therapy through our practice accessible for those who are seeking out our specific approach and areas of specialization (which they may struggle to find through another practice or a community mental health agency), but for whom the cost would otherwise be prohibitive. As such, eligibility for the financial support program is determined through a financial support questionnaire that is structured to walk those who seek financial support for therapy through an exercise of mindful and written reflection as you prepare to determine your self-selected tier level, so as to ensure that the limited adjusted-rate slots are reserved for those who need them the most. Financial Support program tier levels range from $125-$200. These adjusted-rate slots work on a rotation basis, meaning that a client can begin at Tier 1 - $125 and remain there for 3 months before rotating up to the next tier level. Each tier represents a $25 increase in the fee. This rotation is in place so that more people can access lower-cost therapy, rather than the limited adjusted-rate slots being held by the same few clients over a longer period of time. Clients enter this program with the rotation in mind, but if a rotation date approaches and a client is not able to rotate up due to financial limitations, a conversation can be had with their therapist and accommodations will be made within reason.
There is also a Financial Hardship Program for current clients who find themselves in unexpected financial hardship (due to job or home loss, etc.). We understand that when tragedy strikes, therapeutic need often rises, and we don’t want any of our clients to have to stop therapy when they need it the most. As such, our financial hardship slots for current clients range from pro bono to $100 a session, and are accessible for up to a year, depending on the level of need as determined between client and therapist.
As of January 25th, 2023, two adjusted-rate slots within the financial support program remain. This page will be updated when new openings within the financial support program become available.
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