Lexington Counseling

Practice Policies

Length and frequency of treatment


Psychotherapy involves regular sessions 50 minutes in length. Duration and frequency of psychotherapy varies depending on the issues that are presented and your individual needs.  Typically therapy starts with once a week frequency. The objective of the treatment is to feel well enough to reduce and ultimately end treatment. Many clients find that having established a therapeutic relationship they can check-in periodically or return to do brief therapy aimed at specific problem solving or during a crisis.


With new clients, consecutive sessions are scheduled for purposes of assessment. At the end of this assessment period, recommendations for therapy are discussed with you and at that time we will begin to create a treatment plan that will become the focus of your therapy. However, if at the completion of the assessment there are issues outside the areas of expertise of the Lexington Counseling practice, a more appropriate practitioner will be identified for you and a referral will be made.




The information that you share with your therapist will be kept strictly confidential and will not be disclosed without your written consent.


By law, there are some circumstances which will require confidentiality to be broken by the therapist. These circumstances include any or all of the following:


·         Disclosure of intent to harm yourself

·         Disclosure of intent to harm another

·         Disclosure that minor children are being placed at risk e.g., sexual or physical abuse and /or neglect

·         Disclosure that elderly and /or handicapped people are being placed at risk e.g., sexual, physical or economic abuse and /or neglect


At Lexington Counseling we occasionally consult with each other on treatment of our clients, and the rules of confidentiality for one therapist in the practice extend to all therapists in the practice and all clients. 


Fee Policies


The fee for therapy sessions is $175.00 per 50 minute session. 

Payment is expected at the end of each session. 

Lexington Counseling offers a reasonable sliding scale fee as well, for those for whom paying the full fee is a hardship. 

Bounced checks will result in a $25 processing fee.


Missed Sessions


If you need to cancel an appointment, please provide our office with at least 24 hours notice; otherwise, you will be charged the full fee of $175.00 for the missed session. 

Please be aware that your insurance company will not reimburse for a missed session. 

Re-scheduling sessions also requires at least 24 hours notice. 


No Show Policy


Lexington Counseling knows that you are struggling with life issues, and we want to support you in getting help.  However, we can't help you if you don't show up. After 2 consecutive no show sessions, you will not be allowed to make further appointments until payment is received for the missed sessions.


Phone and Emergency Contact


If you need to contact your therapist by phone,call the number below:


·         Beth Baldwin, LMHC                                   781-405-4431


If your therapist is unavailable, leave a confidential message.  Your therapist is usually able to return phone calls the day they are made. You will not be charged for a brief phone call.  

Calls longer than 15 minutes or frequent calls will be charged at a rate of $175 per hour in 15 minute increments.


Freedom to Terminate Therapy


If at any time you feel that the treatment is not progressing as you want, please do not hesitate to inform your therapist of this. We will do our best to accommodate your needs and resolve any issues that you feel need to be addressed. You have the right to end therapy at any time. If you wish, we will give you the names of other qualified psychotherapists.