You don't need to have a particular diagnosis—or even know exactly what's wrong—to begin therapy.

People may seek therapy for concerns such as:

• Anxiety, stress, and overwhelm

• Depression or feeling emotionally stuck

• Relationship difficulties

• Life transitions

• Identity and self-understanding

• Grief and loss

• Perfectionism and self-criticism

• Emotional suppression or difficulty accessing feelings

• Boundary and people-pleasing patterns

• Meaning, purpose, and existential concerns

• Spirituality or religious exploration

• Repeating patterns that you understand intellectually but haven't been able to change

Sometimes the starting point is simply: “I know something needs to change.”

That's enough.

Therapy at Thorns & All is not intended to feel like someone sitting across from you with a clipboard telling you how to live your life.

Our approach is relational, integrative, curious, and collaborative.

Depending on your needs, therapy may incorporate insight-oriented work, cognitive and behavioral strategies, attachment and relational perspectives, existential exploration, mindfulness, emotional processing, and somatic awareness.

There may be practical skills and concrete interventions. There may also be sessions spent slowing down and understanding something more deeply.

The goal isn't simply symptom reduction. It's helping you understand yourself well enough to create meaningful and sustainable change.

Yes, we currently accept Aetna and Blue Cross Blue Shield insurances.

If your insurance is not accepted, you may choose to use private pay services. Depending on your plan, you may also have out-of-network benefits that reimburse a portion of therapy costs.

Coverage and reimbursement are determined by your insurance company and cannot be guaranteed by Thorns & All Counseling.

Current standard fees include:

Individual Therapy

• Initial diagnostic evaluation – $225

• 53–60 minute psychotherapy session – $185

Couples Therapy

• Initial couples assessment – $250

• 60-minute session – $200

• 90-minute extended session – $285

Additional services and session lengths may be available.

A limited number of reduced-fee appointments may be available depending on current practice capacity.

You're welcome to ask about availability.

Please provide at least 24 hours' notice if you need to cancel or reschedule.

Late cancellations and missed appointments may result in a $100 fee.

Emergencies and significant unexpected circumstances may be considered on a case-by-case basis.

Yes. Telehealth appointments is available to clients who are physically located in the state of Michigan.

Availability of in-person and telehealth appointments may vary.

Yes. Consultation may be available for licensed clinicians seeking another perspective on case conceptualization, clinical decision-making, documentation, professional development, or practice-related concerns.

Consultation is distinct from formal clinical supervision.

No. Thorns & All Counseling is a mental health practice and does not require adherence to any particular religious or spiritual tradition.

Spirituality, religion, philosophy, meaning, and existential questions can be explored when they are important to the client.

The therapist's role is not to tell you what to believe, but to help you explore what you believe and what those beliefs mean for your life.

Heck, no! Therapy isn't a place where you have to perform being healthy, insightful, agreeable, productive, or put together.

You can bring the things you're proud of.

You can also bring the jealousy, anger, shame, resentment, contradictions, strange thoughts, old wounds, embarrassing stories, uncertainty, and parts of yourself you're still trying to understand.

Curiosity tends to get us further than judgment.

The first session is an opportunity for us to begin understanding what brings you to therapy and what you hope might change.

We'll discuss relevant history, current concerns, relationships, strengths, previous experiences with therapy, and potential goals.

You don't need to arrive with your life story organized.

We'll figure out where to begin together.

You may appreciate working with Thorns & All if you're looking for therapy that balances depth with practicality, curiosity with accountability, and acceptance with change.

You don't have to know immediately whether the relationship is right. The first few sessions give both of us an opportunity to determine whether the approach fits what you need.

If another clinician or service would better support you, appropriate referrals may be discussed.

Reach out through the Contact page to request an appointment or consultation.

We'll determine what service you're interested in, discuss availability, and identify the next appropriate step.

You don't need to have everything figured out before reaching out.

Come as you are. We'll start there.