Frequently Asked Questions About Premarital Counseling
You might benefit from depression therapy if you’re experiencing some of the following:
- Persistent sadness or low mood that doesn’t seem to lift
- Loss of interest or pleasure in activities you once enjoyed
- Fatigue or low energy, even after rest
- Feelings of hopelessness, worthlessness, or guilt
- Changes in sleep or appetite—sleeping too much or too little, eating more or less than usual
- Difficulty concentrating or making decisions
- Withdrawing from friends, family, or responsibilities
- Thoughts of self-harm or feeling like life is overwhelming
Everyone experiences these feelings differently. If you’ve noticed these signs lasting more than a couple of weeks or interfering with your daily life, therapy can offer relief, support, and a path forward.
The length of premarital counseling naturally varies from couple to couple. For most, dedicating 2 to 4 months of weekly sessions provides a meaningful opportunity to strengthen connection, deepen understanding, and thoughtfully prepare for the journey ahead.
The fee for depression therapy varies depending on qualifications, experience and expertise of the provider. In our clinic the fees range from $200-250 for a 50 minute session
Personal results may vary, however, on average, most clients see improvement within first 5 sessions and are able to successfully complete depression therapy within 2-3 months of weekly work.
Your first session is dedicated to gaining a thoughtful understanding of your current experience and personal history. Together, we’ll explore the factors that may be contributing to your depression and symptoms, laying the foundation for a therapy process that’s tailored to your unique story.
All therapy sessions are confidential, and what you share stays between you and your therapist. However, there are important legal and ethical limits to that confidentiality. If you disclose that you are at risk of harming yourself or someone else, or report abuse or neglect involving a child or vulnerable adult, your therapist is required to take steps to ensure everyone’s safety. In such cases, protecting life and well-being takes precedence.
That’s a thoughtful and common question. For many people, therapy alone can be highly effective in treating depression—especially when it provides tools to understand the root causes, shift unhelpful patterns, and build emotional resilience.
However, in some cases—particularly when symptoms are severe or persistent—medication may be a helpful complement to therapy. The decision is highly personal, and there’s no one-size-fits-all approach. In therapy, we can explore your specific experience and, if needed, collaborate with a psychiatrist to ensure you receive the support that best fits your needs and goals.
Insurance coverage for depression therapy varies depending on your specific plan and provider. Many insurance plans do offer benefits for mental health services, including therapy, but coverage levels, copays, and session limits can differ widely. It’s always a good idea to check directly with your insurance company to understand your benefits.
Dr. Harel’s clinic operates on a private-pay basis and does not bill insurance companies directly. Payment is due at the time of each session. If your insurance plan covers out-of-network providers, we will provide the documentation needed for you to submit a claim for partial reimbursement.
Yes, online video therapy can be just as effective as in-person sessions for treating depression. Many clients find the convenience and comfort of connecting from home helps them engage more openly and consistently in therapy. With secure video platforms, therapists can provide personalized, compassionate care that supports healing and growth—no matter where you are. Ultimately, the success of therapy depends on the therapeutic relationship and your commitment, both of which can thrive in a virtual setting.