Frequently Asked Questions

Big Earth Counseling works with adults navigating trauma, complex PTSD, anxiety, nervous system dysregulation, and major life transitions. We welcome clients from all walks of life and honor each person’s lived experience with respect and care.

Yes. We provide secure online therapy for clients throughout Pennsylvania. Virtual therapy allows you to access care from the comfort of your home while maintaining the same depth, safety, and connection as in-person sessions.

Big Earth Counseling serves clients across Pennsylvania through virtual therapy.

* In-person sessions may be available as the practice continues to grow. Please contact us for current availability.

Standard individual therapy sessions are typically 50 minutes.

Frequency is individualized and may begin weekly, biweekly, or as clinically appropriate based on your goals and nervous system needs.

We currently accept Aetna, CIGNA, Independence Blue Cross, Blue Cross-Blue Shield, Ameri health, Optum, United, Horizon and Keystone Health Plan East. We also offer self-pay options. If you have questions about coverage, superbills, or out-of-network reimbursement, we’re happy to help guide you.

You can schedule a free consultation through our website or contact us directly. We’ll guide you through next steps and answer any questions you may have.

Feeling nervous is completely normal. Therapy can bring up vulnerability, especially if you’ve had to be strong or independent for a long time. We move at your pace and prioritize emotional safety, consent, and collaboration at every step.

You are always in control of what you share and when.