Lindsey Miller

The first session is an opportunity for us to get to know one another and begin building a comfortable therapeutic relationship. I strive to create a welcoming and supportive environment where clients feel safe sharing their experiences. We'll discuss what brings you to counseling, review your goals, talk about what to expect from the counseling process, and answer any questions you may have. This is also your opportunity to determine whether I feel like a good fit for your needs.  

Therapy doesn’t always feel like you’re making progress right away, and progress can look different for everyone. Sometimes progress is subtle. You may not feel happy all the time, but you might notice that difficult moments feel more manageable, you recover more quickly, or you have a greater sense of self-awareness and choice.

Therapy is a collaborative process, and we can regularly check in about your goals and how you feel therapy is helping. If something isn't working, that is important to discuss, too—your feedback helps us adjust the approach to better meet your needs.

I explain confidentiality and its limits clearly at the beginning of therapy so teens and parents/guardians understand what to expect. Teens have a private, supportive space to speak openly, and I generally do not share session details. When appropriate, I may provide general updates about progress, treatment goals, and ways caregivers can offer support. Confidentiality has important exceptions, including serious concerns about safety, suspected abuse or neglect, or when disclosure is required by law. My goal is to build trust while prioritizing safety.