

Christina Casavant-Towers M.Ed, LMHC

Frequently Asked Questions
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How do I know if therapy is right for me?
Therapy may be helpful if you are feeling overwhelmed, experiencing emotional distress, noticing changes in mood or functioning, or seeking support for personal growth. You do not need to be in crisis to benefit from therapy. Many clients start therapy to better understand themselves, strengthen coping skills, or navigate life transitions.
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What if I don’t know how to explain what I’m feeling?
You do not need to have the right words to begin therapy. Therapy is a collaborative process that helps you explore and understand your thoughts and emotions at your own pace, even when things feel unclear or difficult to describe.
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What concerns do you treat?
We provide therapy across the lifespan, from adolescents through geriatrics. Areas of focus include anxiety, depression, trauma and PTSD, ADHD and executive functioning challenges, substance use counseling, emotional regulation, and life stressors. Treatment is individualized and strengths-based.
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Do you offer telehealth therapy?
Yes. We offer secure, HIPAA-compliant telehealth therapy for clients located in Massachusetts and Maine. Telehealth allows for flexible, accessible care while maintaining the same clinical standards as in-person therapy.
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Do you offer in-person therapy?
Yes. In-person sessions are available at:
945 Concord Street, Suite 114, Framingham, MA.
We provide a welcoming, private, and professional space for therapy while maintaining all safety and confidentiality standards. Clients may choose in-person or telehealth based on their preferences and needs.
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Is telehealth effective?
Yes. Telehealth therapy has been shown to be effective for many concerns, including anxiety, depression, trauma-related symptoms, ADHD, and substance use counseling. Telehealth may be especially helpful for individuals seeking flexibility, accessibility, or comfort in their own environment.
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How does therapy differ for adolescents and adults?
Therapy is tailored to developmental needs:
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Adolescent therapy focuses on emotional regulation, coping skills, identity development, school stress, peer relationships, and family dynamics. Parental involvement is incorporated when clinically appropriate.
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Adult therapy focuses on individual goals such as mental health symptoms, relationships, work or caregiver stress, trauma recovery, and personal growth.
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How do I know if my child needs therapy?
Therapy may be helpful if your child is experiencing emotional or behavioral changes, difficulty managing emotions, challenges at school, or difficulty coping with stress or transitions. Therapy can also support skill-building and emotional growth, even when concerns are not severe.
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Will I be involved in my child’s therapy?
Parental involvement is determined collaboratively and based on clinical needs, the child’s age, and treatment goals. Caregivers may receive general guidance and recommendations while respecting the adolescent’s privacy.
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Is my child’s therapy confidential?
Yes. Adolescent therapy is confidential. Parents or guardians are informed if there are safety concerns, risk of harm, or other situations required by law. Limits to confidentiality are reviewed during intake.
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What happens during the first therapy session?
The first session focuses on understanding current concerns, reviewing confidentiality and consent, discussing goals for therapy, and determining whether the therapeutic relationship feels like a good fit.
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Do I need to prepare anything for my first session?
Prior to your first appointment, you will complete intake paperwork. No additional preparation is required—coming as you are is enough.
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How long are therapy sessions?
Session length and frequency are discussed during intake and tailored to clinical needs and treatment goals.
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Do you accept insurance?
We accept many major insurance plans. Coverage varies by provider and policy. Clients are encouraged to verify benefits prior to beginning services. Assistance with general insurance questions is available.
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What if my insurance does not cover therapy?
If insurance coverage is limited or unavailable, alternative payment options may be discussed. Fees and billing expectations are reviewed clearly before services begin.
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Is therapy confidential?
Yes. Therapy services are confidential and protected by state and federal privacy laws. Information is only shared without written consent in legally required situations, such as immediate safety concerns or mandated reporting.
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How long are people typically in therapy?
The length of therapy varies depending on each individual’s needs, goals, and life circumstances. Some clients attend for a short-term period to work on specific concerns, while others engage in longer-term or ongoing therapy for deeper growth and support. It’s also common for clients to take breaks and return to therapy later as new challenges or goals arise. Therapy is flexible and designed to meet you where you are in your life.