Clinical
Individual Counseling
A focused space to work through personal challenges, build insight, and develop practical strategies for change. Whether you are managing stress, trauma, substance use, or life transitions, individual therapy is tailored to your goals and pace.
Couples Counseling
Support for couples navigating communication breakdowns, trust concerns, or the impact of high-stress careers. We work to strengthen connection, improve understanding, and help partners move forward with clarity and intention.
Family Counseling
A collaborative approach to improving family dynamics, resolving conflict, and strengthening relationships. Family therapy helps create stability, structure, and healthier patterns of communication within the home.
Your therapist will require speaking to all members one on one prior to a full family session.
Assessment Services
Comprehensive behavioral health assessments designed to provide clarity, guide treatment planning, and meet clinical or administrative requirements. Assessments are thorough, thoughtful, and tailored to your specific needs and circumstances.
Rates & Policy
Session Fees
Insurance & Superbill
Tough Cookie Counseling is currently in the process of becoming in-network with select insurance providers. At this time, we do not bill insurance directly.
Upon request, we are happy to provide a monthly superbill for you to submit to your insurance for potential reimbursement. Please note that reimbursement is not guaranteed and depends on your individual plan.
We believe cost should not be a barrier to care. A limited number of reduced-rate appointments may be available based on financial need and availability. Please inquire directly for more information.
Cancellation & No-Show Policy
Your appointment time is reserved specifically for you. We require at least 24 hours' notice for cancellations or rescheduling.
- Appointments canceled less than 24 hours in advance will be charged the full session fee.
- Missed appointments (no-shows) will also be charged the full session fee.
- Late arrival or leaving early does not reduce the session fee.
- All clients are required to keep a valid credit card or HSA card on file, which will be charged on the day of service.
This policy is non-negotiable, as your scheduled time is held exclusively for you and cannot be offered to another client on short notice. Your time is valuable, and ours is as well.
Good Faith Estimate
In accordance with federal law, you have the right to receive a "Good Faith Estimate" outlining the expected cost of your care. This will be provided upon request or prior to the start of services.
Peer Support
A dedicated space for first responders to connect with others who understand the realities of the role.
Frontlines Peer Support Community
Our peer support network fosters mutual support, shared experience, and practical guidance — creating a trusted community where no one has to carry it alone.
We are currently building our Frontlines Peer Support Community. If you are interested, please contact us.
Consulting
Strategic support for departments, teams, and organizations looking to strengthen the well-being and effectiveness of their workforce.
Organizational & Department Support
We partner with first responder agencies and related organizations to address culture, burnout, communication, and critical incident response. Our approach is practical, informed by real-world experience, and designed to create systems that work in high-pressure environments.
We believe access to quality mental health care should not be limited by financial circumstances. If cost is a concern, please reach out — we are open to discussing options and working with you to find an approach that is both manageable and supportive.