Question 1

Do you take insurance?

Accepted Answer

Care is provided out-of-network, as the practice is not paneled with insurance plans. Superbills are provided for clients to submit to their insurance for potential out-of-network reimbursement. To estimate coverage, contact your insurance provider and ask about reimbursement rates for billing codes 90834 or 90837. Telehealth services are also available for clients utilizing Concern or Lyra EAPs.

Question 2

What are your fees?

Accepted Answer

I currently charge $180 for a 45-50 minute session.

Question 3

What are signs I should seek therapy?

Accepted Answer

Therapy helps with everything from managing daily challenges to personal growth. Common signs it may be beneficial include:Persistent sleep disruptions or fatigueEmotional distress interfering with work, school, or home lifeFrequent feelings of dread, emptiness, or excessive worryDifficulty coping with a recent trauma or major life changeSpending hours a day fixated on problems or concernsOngoing relationship strugglesLoss of interest in activities you usually enjoy

Question 4

What are signs I should seek therapy for my child?

Accepted Answer

Children don’t always express their emotions the same way adults do.  Sometimes it is hard to tell if your child is going through a “phase” or needs professional support.  Some signs your child might benefit from therapy are:Sleep issues – either sleeping too much, difficulty getting to sleep, or frequent waking during the nightA sudden change in behavior such as withdrawing from activities, becoming fearful or worried, or an increase in irritabilityTearfulness for no known reason or a sudden increase in cryingIrritability for little or no known reasonAggression at home or schoolOther adults are communicating that they have noticed a change in your child such as poor performance at school, and increase in anger or sadness, or withdrawing from othersA recent trauma or life changeDifficulty making or sustaining friendships

Question 5

How do I know you are the right therapist for me?

Accepted Answer

Time and again studies have shown that one of the strongest indicators of early success in therapy is based on a strong therapeutic alliance.  A study that reflects this was conducted by Hovarth in 2001.  So what does a strong therapeutic alliance look like?Agreement on treatment goalsMutual engagementRespect for and confidence in your therapistAbility for both parties to give one another feedback and the ability to correct problems as they arise in a therapeutic relationship.Beyond this there is a more intangible quality where you just feel you “like” your therapist.  That doesn’t mean you and your therapist are going to be best friends – but that you are comfortable with them enough to want to work with them on a continual basis.  If when you talk to me you just don’t feel a connection, I’m probably not right for you.  That’s okay, there are many other great therapists out there that you will likely feel a connection with.  If you do feel engaged and like you’d like to spend more time with me when we talk then that is a good starting point.

Question 6

Do you record sessions and use AI transcription?

Accepted Answer

At this time I do not record sessions and use AI transcription.

Question 7

I saw you do DBT.  Do you have an adherent DBT program?

Accepted Answer

I use elements of Dialectical Behavioral Therapy (DBT) in my work with clients, amongst other theories.  I do not have DBT groups nor do I practice adherent DBT, but rather integrate DBT skills work into sessions.

Question 8

I'm not sure my child or teen will participate in therapy.  What should I do?

Accepted Answer

I find most children and teens like participating in therapy.  They like having their space and time and appreciate having an adult they can talk to confidentially.  In the beginning I ask reluctant teens to participate in 3 sessions to see if they would like to continue participating.  The vast majority choose to continue working with me.  In cases where children and teens will not participate, Parenting Coaching, where I work with parents on how to deal with behaviors at home, may be a good option.

Question 9

How long will therapy take?

Accepted Answer

No therapist can tell you how long therapy will take unless you are participating in a prescriptive therapeutic program.  Some clients participate in therapy for a few months, others participate in therapy for years.  Length of treatment depends on symptoms, goals, and life-style changes outside of session.

Contact Caroline Rains,
Dual License Therapist

Reach out to schedule a free 30-minute phone consultation.

carolinesrains@gmail.com

Call me at (916) 829-7677

Contact

Our Locations & Communities Served

I provide dedicated, in-person therapy services for children, teens, and individuals at my main office in Auburn, CA. This location is easily accessible for families and individuals living throughout Placer County and the Sierra Foothills, proudly serving the communities of:

Auburn, Rocklin, Roseville, Loomis, Newcastle, Grass Valley, Meadow Vista, Nevada City, Forest Hill, and Colfax

In-Person Therapy in Auburn & Placer County

Convenient Telehealth Across California & Washington

To accommodate busy schedules or those living outside the local area, I provide secure, HIPAA-compliant online therapy. Telehealth allows me to bring specialized care—including individual counseling and teen DBT skills training—directly to you.

Silicon Valley / South Bay: Dedicated online support for clients in San Jose, Campbell, Santa Clara, Cupertino, Saratoga, Los Gatos, and Sunnyvale.

Washington State: Virtual therapy sessions available for individuals and families throughout Seattle and surrounding communities like Bellevue, Redmond, Kirkland, and Renton.

Do you take insurance?

What are your fees?

What are signs I should seek therapy?

What are signs I should seek therapy for my child?

How do I know you are the right therapist for me?

Do you record sessions and use AI transcription?

I saw you do DBT. Do you have an adherent DBT program?

I'm not sure my child or teen will participate in therapy. What should I do?

How long will therapy take?

Contact

Contact Caroline Rains, Dual License Therapist

Reach out to schedule a free 30-minute phone consultation. carolinesrains@gmail.com Call me at (916) 829-7677

Contact

Our Locations & Communities Served

I provide dedicated, in-person therapy services for children, teens, and individuals at my main office in Auburn, CA. This location is easily accessible for families and individuals living throughout Placer County and the Sierra Foothills, proudly serving the communities of:

Auburn, Rocklin, Roseville, Loomis, Newcastle, Grass Valley, Meadow Vista, Nevada City, Forest Hill, and Colfax

In-Person Therapy in Auburn & Placer County

Convenient Telehealth Across California & Washington

To accommodate busy schedules or those living outside the local area, I provide secure, HIPAA-compliant online therapy. Telehealth allows me to bring specialized care—including individual counseling and teen DBT skills training—directly to you.

Silicon Valley / South Bay: Dedicated online support for clients in San Jose, Campbell, Santa Clara, Cupertino, Saratoga, Los Gatos, and Sunnyvale.

Washington State: Virtual therapy sessions available for individuals and families throughout Seattle and surrounding communities like Bellevue, Redmond, Kirkland, and Renton.

Do you take insurance?

What are your fees?

What are signs I should seek therapy?

What are signs I should seek therapy for my child?

How do I know you are the right therapist for me?

Do you record sessions and use AI transcription?

I saw you do DBT. Do you have an adherent DBT program?

I'm not sure my child or teen will participate in therapy. What should I do?

How long will therapy take?

Contact

Contact Caroline Rains,
Dual License Therapist

Reach out to schedule a free 30-minute phone consultation.

carolinesrains@gmail.com

Call me at (916) 829-7677