We do not accept insurance for any of our services. Why? There are several reasons. Here are a few:

1. Confidentiality & Treatment Dictatorship. Insurance companies engage in audits and non-clinical staff review treatment plans, diagnoses and session notes. Those staff can then determine if/when treatment continues, for how long, and can choose to take back any payments if they deem treatment was not medically necessary. I want your sessions to be fully confidential.

2. Medical Model/Assumption of Illness. Insurance companies also utilize a medical model that requires a diagnosis. Sometimes, people are comfortable with the diagnosing process and a diagnosis fits their experience. Other times, people don't want a diagnosis or don't fit neatly into a diagnostic category. I want your sessions to be on your terms.

3. Low Reimbursement, High Demand. Finally, insurance companies reimbursement rates are often very low and do not reasonably account for things like extensive training and years of experience. Lower rates combined with the high demands related to documentation, billing, prior-authorization, etc. mean that therapists spend a lot of time managing administrative tasks and have to take on more clients to make ends meet. I want to be fully present for you.

To provide you full agency over your care, some of our Clinicians can & will participate with insurance companies who offer Out-of-Network Benefits. Usually these are PPO plans. To do this, you pay for your session in full and we provide you with a special receipt called a "Superbill" that has all of the information an insurance company needs from us. You submit that bill and they may provide all or a portion of the cost of therapy back to you directly. You may utilize a program such as Mentaya or Reimbursify to check your benefits, however it's always best to call your insurance company directly. Then, you may choose to utilize Mentaya or Reimbursify (or similar OON reimbursement program) to help with the reimbursement process or you may do it independently. Please not I do not endorse these programs or provide support in navigating the reimbursement process.

All of our Privacy Policies (including practices, terms of service and social media policies) can be found here.

The short answer is: anywhere that works best for you! Our clinical services are only available in Vermont and can be in our office in South Burlington, via secure telehealth, or in your home. 

Our Coaching services are all offered via secure telehealth or in person depending on the type of coaching, your budget and the need. For example, 1:1 parent coaching is typically held virtually only where coaching for equity, leadership or restorative practices is typically held in person as part of a larger contract with an organization. 

Our courses and community offerings are all virtual. 

Our drop-in groups are offered to members of the Through to THRIVE community. They are not clinical or therapy of any kind, but rather a live drop-in space for community members to come together to learn from one of our clinicians or coaches about a specific topic, ask questions about our courses, or talk together in a small group about a specific topic. 

Currently, we do not have any groups running, but we are always open to it! If there is a topic you'd like us to create and host a group for, please let us know by emailing us at [email protected]

We'd love to utilize our online or in-person Community Spaces to bring folks together!

This is pretty radical, but we don't have one for our Clinical or Coaching services. Cancellation Policies fall outside of our belief systems. For the most part, we encourage us all to hold the humanity of each other and remember that mistakes happen, illness happens, and we are all doing the best we can with the resources we have available to us. That said, if cancellations, regardless of how much notice we receive, become a pattern (usually 2 in a row or more than 25% of the time barring chronic illness or circumstances that are disclosed when you begin services), we will have a compassionate and exploratory conversation about how services can be altered to better suit your needs.

We do invite and encourage folks to pay their clinician or coach all or some of their fee if you miss a session, even if you reschedule within the same week. 

For Clinical and Coaching services: If after your initial intake session for counseling or coaching, you do not wish to continue with our services, you are welcome to let us know and seek alternative care. Our hope is that we will have a clear understanding of your needs and our ability to meet those needs after your initial intake session. We strive to keep your treatment plan or coaching goals a live and working document with clear paths to achieve those goals. We find that frustrations in treatment or coaching for both the clinician, coach, and the client arise when there is lack of clarity around what we are working on and/or how we will get there. 

All of that said, a goal we have for ourselves at Through to THRIVE is to create an environment where you feel safe to communicate openly and honestly with us. A goal we have for everyone we work with is for you to have the confidence and belief in your own worth, strength and vision to openly discuss challenges with us so that we can work together to make it right.

For Courses: Because we price our courses in a way that promotes access to everyone, we do not offer refunds for purchased courses. That said, we definitely want to know if you aren't happy so that we can improve our offerings and find another way to make it right with you! Please reach out to us if you are unhappy with your course by emailing [email protected] 

For Community: If you aren't happy with your subscription to our Community Space, you are welcome to cancel your subscription at any time. If there is anything we can do to make the space more meaningful to you, please let us know by emailing [email protected] 

BetterHelp is a business that is in the business of making money. Therefore, they operate in ways that are highly unethical by clinical practice standards, but are perfectly legal in the business world (though there are a number of legal challenges they have been facing). For example, you subscribe to the service but if you don't use it, you pay anyway and BetterHelp keeps the money. Many people subscribe and don't utilize the service and forget about the auto-pay set up and continue to be billed for services they are not using. In addition, my anecdotal experience is that highly skilled clinicians don't utilize platforms like BetterHelp both because they are aware of the profound ethical issues or because they are well-enough established in their local community with a strong reputation that they don't need support with referrals through a company like BetterHelp.

Kate has lived and worked in the Vermont community her entire career. Everyone at Through to THRIVE believes in the power of community and we want to do right by you. Our reputation is everything so we are highly motivated to do our best work. If we aren't the right match for you, we want to get you connected to someone who is. 

Therapy services at Through to THRIVE are currently only available to Vermont residents.

Our clinicians set their own fees. As of August 2024, our clinicians fee structure is as follows:

Kate Littlefield:

• Individual Therapy (50 minutes, 8:30am-5:30pm, office or virtual) $200/hr
• Couples/Family Therapy (50 minutes, 8:30am-4:30pm, office or virtual) $250/hr
• Therapy Intensives (includes 4 hour intensive therapy session, plus intake and follow up meetings, office or virtual) $2500*
• After hours and home or community-based sessions are $100 more per hour than the base rates listed above. Additional travel fees apply outside of the Greater Burlington area.

Erin Baker-Meno:

• Individual Therapy (50 minutes) $150/hour + limited sliding scale
• Couples/Family Therapy (50 minutes) $200/hour + limited sliding scale

Benji Soll:

• All sessions (50 min, office or virtual) $125/hr
• Home and community-based sessions may incur additional travel fees

*Intensive therapy session payments are due in full at the time of booking and are non-refundable. Cancelled intensives must be re-booked within 1 month of cancellation.