Frequently Asked Questions
Do you see clients online?
Yes, we offer telehealth services.
What is Integration Therapy?
Integration therapy supports individuals navigating non-ordinary states of consciousness, such as those induced by psychedelic medicines, breathwork, or meditation. Operating from a framework of harm reduction and benefit maximization, we assist with:
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Preparation: Helping you plan for an experience in a way that minimizes risk and maximizes potential benefits.
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Integration: Helping you process the experience afterward to translate your insights into everyday life.
What is Harm Reduction?
Harm Reduction is a public health principle acknowledging that people sometimes engage in behaviors not recommended by medical or mental health professionals. We believe that when people make these choices, they still deserve access to professional support to minimize potential risks.
How we apply this: While we do not recommend, endorse, or condone the use of illegal substances, we also do not condemn those who choose to use them. Our approach is strictly non-judgmental.
We provide a confidential space to discuss your plans beforehand (to mitigate risk) and process your experiences afterward (to integrate insights), helping to ensure your safety and well-being regardless of the choices you make.
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Medical Disclaimer: Individuals considering the use of psychedelic medicines should always consult with their physician regarding medical risks.
What is Benefit Maximization?
Benefit maximization is the process of ensuring that your experience leads to actual, lasting change, rather than just being a fleeting moment.
People engage with non-ordinary states for deep reasons—including personal growth, healing past trauma, spiritual development, or enhancing creativity. Consulting with a Licensed Professional Counselor helps you achieve these goals by providing:
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Education: Understanding the history and effects of the medicine or practice.
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Preparation: Helping you set clear intentions and a healthy mindset.
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Environment: Guiding you on how to create a physical setting that supports your specific goals.
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Medical Disclaimer: Any individual considering the use of psychedelic medicines should consult with their physician regarding applicable medical risks.
How does confidentiality work in therapy?
What you say in therapy is confidential. It is between you and your therapist, and this is protected health information under HIPAA.
There are limited circumstances, such as active child abuse that a therapist is aware of, where notification to the appropriate authority is required.
One question we often get is, "will you inform law enforcement of my drug use?" The adult use of an illegal substance, in and of itself, is not one of the circumstances where notification to an authority is required.
For specific information on confidentiality and your situation, we encourage you to speak with your therapist directly.
You can find our Notice of Privacy Practices here.
How much does therapy cost?
The cost of therapy depends on a number of factors.
For clients with insurance that covers individual psychotherapy seeing an in-network provider, the cost at the point of service is often a copay as required by their insurance policy.
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Clients with insurance that covers individual psychotherapy seeing an out-of-network provider should contact their insurance carrier with specific questions about claims, costs, and coverage. We do offer "Superbills" for you to file an out-of-network insurance claim.
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For patients who are not using insurance, the rate for a 50-minute individual psychotherapy session is $150.
Potential clients who feel that payment may be a barrier to accessing therapy are encouraged to email us at admin@downstreamcounseling.com and we will do our best to connect you to available resources.
Do you see clients outside of Texas, Colorado, and Virginia?
At present, we only see clients in the states of Texas, Colorado, and Virginia; however, we are always looking to expand to new states.
If you are a resident in another state who is interested in therapy, we encourage you to join our wait list.
Can you help me locate or source psychedelic medicines?
We are not able to assist any person in locating or sourcing illegal medicines. We do not endorse or recommend engaging in illegal behaviors, and we operate in full compliance with state and federal laws.
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However, for legal Ketamine-Assisted Psychotherapy, we can refer you to medical providers who can determine if you are a candidate for treatment. These providers are independent of our practice and handle all medical decisions, including prescriptions.
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Note: Most substances understood as "psychedelic" are currently illegal or scheduled at the federal level in the United States. Please consult your physician regarding the medical risks of any substance use.
What about clinical supervision?
We offer clinical supervision for LPC Associates in Texas.
Maddie provides supervision for select individuals whose experience and/or professional goals align with her own expertise and areas of focus.
Interested LPC Associates, recent graduates, and graduate students in their final semester of study are encouraged to submit preliminary information here.
Are you hiring?
While we are not actively recruiting, we are always open to connecting with the right professionals. We understand that finding the right clinical "home" is difficult, and we believe that alignment is everything.
If you are a licensed Counselor, Psychologist, Social Worker, or LMFT practicing in the United States and believe you would be a strong fit for Downstream Counseling & Integration, we invite you to reach out.
To propose a partnership: Please email your contact information and a brief introduction to admin@downstreamcounseling.com