How Does Therapy Work?

We will meet for an initial consultation. During this session, I will gather a detailed history so that I can understand your experiences and help you set goals for treatment. If we decide that I am not the best fit for your needs, I will provide you with referrals for other, more suitable, providers.

Initially, weekly 55-minute sessions are recommended.

During therapy, I will help you recognize behaviors, thoughts, and feelings that have been holding you back and limiting your potential. I will provide you with effective techniques and skills, while empowering you to move towards growth.


I currently provide all services exclusively via teletherapy and do not provide in-office face-to-face appointments.

Rescheduling Policy

I have a 48-hour rescheduling policy, with the exception of emergency situations. I ask that you please notify me 48 hours in advance of your scheduled appointment if you need to reschedule or cancel. In the event of a no-show or late cancellation, the full session fee ($150) applies. I understand sometimes life happens and things need to be rescheduled and I am happy to help find a new time for your appointments. With sufficient notice, I can often find a new time within the same day or week. If you need clarification or have questions about my scheduling policy, please do not hesitate to contact me.


I am an in-network provider with BCBS. Please contact your insurance provider prior to our initial session to verify your insurance coverage, co-pay, deductible, etc.

I also see clients as an out-of-network provider. The majority of my clients receive some form of reimbursement from their insurance. Please call your insurance provider to determine your out-of-network coverage.

Cost of therapy

My fee per individual psychotherapy session is $150. Payment is due at time of service. A credit card will be kept on file to cover session fees, copays, etc.


I offer day-time appointments (9 AM-3 PM) during the week. My services are provided exclusively via teletherapy.

What is therapy like?

In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.

It is important to understand that you will get more results from therapy if you actively participate in the process. The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.

I am a doctoral-level licensed psychologist in North Carolina; I have expertise in various evidence-based treatments for adults and am committed to providing scientifically validated interventions. I work with a diverse population, including trauma, insomnia, mood disorders, anxiety, and relationship problems. I take my work and clinical specializations seriously and continue to devote a considerable amount of time and effort to advance my training and professional development. For your convenience, my services are provided via telehealth.

Dr. Sara Michelson
Licensed Psychologist Chapel Hill N.C.