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@ Selah Counseling – Louisville, Kentucky | Lakewood Ranch, Florida
(502) 817-4084 | (941) 390-3601
Online Counseling Available to Florida, Kentucky & Indiana Residents
carmen@carmenscounseling.com

Carmen Frederick

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FAQs

Counseling FAQs

If you are considering counseling in Louisville, Kentucky or online therapy in Kentucky, Florida, or Indiana, you likely have questions about how the process works, what to expect, and whether this approach is the right fit for you. Below are answers to some of the most common questions about individual and couples counseling.

Getting Started

What can I expect in the first session?

Your first session is focused on understanding your concerns, your history, and what you would like to see change. I take a structured, thoughtful approach to assessment so we are not just talking about problems, but beginning to identify patterns and direction for meaningful change.

For couples, I typically begin with a joint session, followed by individual sessions with each partner, which is part of the Gottman Method and helps create a more complete understanding of the relationship.

Do I need a consultation before scheduling?

No. You are welcome to schedule your first appointment directly through my website or through Headway (for insurance clients in Indiana and Florida). A consultation is optional, not required.

How do I schedule an appointment?

You can schedule directly through my website. If you are using insurance in Indiana or Florida, you will schedule through Headway using the link provided on my site. If you have any difficulty finding a time, you are welcome to reach out for assistance.

About My Approach

What makes your approach different from other therapists?

My work is grounded in over 30 years of clinical experience and integrates evidence-based approaches including Cognitive Behavioral Therapy (CBT), the Gottman Method for couples, attachment-based therapy, and somatic and neuroscience-informed interventions.

This is not just insight-based therapy. We focus on identifying and changing the underlying patterns that drive thoughts, emotional responses, and relationship dynamics so that change is not only understood, but experienced and sustained.

Do you use the Gottman Method for couples counseling?

Yes. I utilize the Gottman Method, a research-based approach to couples therapy that provides a clear structure for improving communication, rebuilding trust, and strengthening connection. This includes assessment, targeted interventions, and practical tools that couples can apply in their daily lives.

Do you offer Christian counseling?

Yes, for clients who request it. Faith can be thoughtfully integrated into the counseling process in a way that is respectful, clinically grounded, and aligned with your values. My 17 years of experience in the Counseling Ministry at Southeast Christian Church has equipped me to integrate faith into counseling in a way that is both clinically sound and meaningful. I respect the values and beliefs of each client and tailor the process accordingly.

At the same time, I work with clients from a wide range of backgrounds and beliefs, and counseling is always tailored to each individual.

Common Questions and Concerns

Is therapy only for people in crisis?

No. Many clients seek counseling not because something is “falling apart,” but because they want to improve their relationships, better understand themselves, or create healthier patterns. Therapy can be just as valuable for growth and strengthening what is already working as it is for addressing problems.

What if I’ve tried therapy before and it didn’t help?

This is more common than people think. Often, it is not that therapy doesn’t work, but that the approach did not fully address the underlying patterns driving your thoughts, emotions, or relationship dynamics. A more structured and integrative approach can lead to very different outcomes.

How do I know if you’re the right fit?

My approach tends to be a good fit for individuals and couples who are motivated, thoughtful, and ready to engage in a process that is both supportive and structured. If you are looking for therapy that goes beyond surface-level conversation and leads to meaningful, lasting change, this may be a strong fit.

Couples Counseling

Do you only work with couples in crisis?

No. Many couples seek counseling to improve communication, deepen connection, and strengthen their relationship before problems become severe. Working proactively can be one of the most effective ways to build a strong and lasting relationship.

Can you help with infidelity or trust issues?

Yes. I work with couples navigating infidelity and breaches of trust using a structured, evidence-based approach that focuses on stabilization, understanding what happened, and rebuilding trust over time.

Will we meet together or individually?

Both. The process typically includes joint sessions as well as one individual session with each partner. This is a standard part of the Gottman Method and helps create a more complete and balanced understanding of the relationship.

Fees, Insurance, and Availability

Do you accept insurance?

Insurance is accepted for some Telehealth clients in Indiana and Florida through Headway, depending on the insurance. Insurance is not accepted for services provided in Kentucky, and sessions are private pay.  For more information, go to my Rates and Insurance page here.
Rates and Insurance

What are your session fees?

Session fees are listed on my Rates and Insurance page.

Do you offer online or in-person sessions?

I offer in-person sessions in Louisville, Kentucky. I also provide secure, confidential online therapy for clients in Kentucky, Florida, and Indiana. In-person services in Florida will be available beginning in 2026.

How long does counseling take?

The length of counseling varies based on your goals and the complexity of the concerns you are addressing. Some clients benefit from short-term counseling focused on a specific issue, while others engage in a longer process to support deeper, more lasting change.

I generally encourage clients to plan for at least 3–6 sessions as a starting point, though each situation is unique. The first one to two sessions are focused on a thoughtful assessment of your concerns, clarification of your goals, and development of a plan tailored to your needs.

Next Steps

If you are ready to move forward, you can schedule your first appointment or a complimentary 15-minute consultation. To schedule, visit my Contact page and use the Appointment Calendar if you are self-pay, or use the Headway link to verify your insurance benefits and schedule for Indiana or Florida Telehealth services. (Insurance is accepted only for Telehealth clients in Indiana and Florida due to licensure requirements.)

 

If you have additional questions, feel free to reach out by phone or send me a message via my Contact form. Information is on my Contact page.

I’m happy to help you determine the next best step.

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Carmen Frederick, M.Ed., Ed.S., is a Licensed Psychological Associate in the Commonwealth of Kentucky. All of Carmen's services are provided through Selah Counseling - Louisville, where she is employed. "Carmen's Counseling", as used on social media and www.carmenscounseling.com are used solely as professional marketing, website and social media outlets.