The Southern Utah Team Answers Your Therapy Questions


Guided Wellness Counseling is known for helping the ambitious women of southern Utah overcome anxiety, depression and trauma / PTSD. We are also the premier provider of EMDR therapy for women in our community. But what is it really like to do therapy with one of our staff? And how do you know if therapy is your next step?

We’ve compiled this list of frequently asked questions to answer those questions and many more. But if you are still wondering whether or not to begin please call or text us at any time so we can assist you. We enjoy being a small team of providers capable of providing individualized attention. Let’s get started!

How do I get started or make my first appointment?

A great first step is to begin with a complimentary phone consultation! During this time we’ll take about 15 minutes to explore what brings you in and what your goals might be. Knowing this, we can match you to the best therapist at our St. George, UT office for your needs and explore scheduling, pricing and answer questions you might have.

You can start your consultation simply by texting or calling (435) 767-1424 or you can use the button below to schedule at a day or time that works better for you.

What does a first therapy session look like?

Great question! Your first therapy session is all about getting to know each other. After arriving at our St.George UT office (and grabbing a chocolate or a drink if you like) we’ll chat about your background, current situation, and what brings you to therapy. It’s a safe space for you to share your thoughts and feelings. Don’t worry if it feels a bit like a friendly conversation – that’s the idea! The better we get to know you up front the better we can make recommendations and plan for your growth. By the end, we’ll discuss your goals and how we can work together to achieve them.

How can therapy help me?

Therapy is a space to explore your thoughts and feelings, gain new perspectives, and develop coping strategies. Whether you’re dealing with stress, navigating life transitions, overcoming trauma from your past or just seeking personal growth, therapy provides support and guidance. It’s a partnership where we work together to help you lead a more fulfilling and balanced life.

At Guided Wellness Counseling we want you to start feeling better as soon as possible and we’re pretty sure you don’t want to waste time either. Considering this, while coping skills are important to help you manage stress, we also want to get to the root of your pain. Because

really, if you have to stop 20x a day to use a coping skill, you won’t have much time to enjoy life! So let’s learn how to cope, but let’s also work together so you have less need to use coping skills in the first place.

Do I really need therapy?

Unfortunately, many people ask this because of the assumption that therapy is a last-resort intervention. But you don’t have to read a dozen self-help books before you call. Do you even have time for that? Therapy is your next step if you know you’d benefit from an outside perspective and meaningful change. 

Also, you don’t have to be in crisis to benefit from therapy. If you’re feeling stuck, anxious / overwhelmed, “blue” or just wanting a space to explore your thoughts, therapy can be incredibly valuable. It’s not about having a problem – it’s about investing in your well-being and personal growth. Our St.George UT office is ready to help you.

How much therapy do I need?

Therapy isn’t one-size-fits-all, and the frequency depends on your unique pain-points and goals. We do, however, highly recommend you engage in weekly sessions. Research shows that the first 6 weeks of therapy sessions are an especially impactful period of growth. 

With this in mind, some people find relief and growth in just a few sessions, while others benefit from longer-term support. We’ll regularly check in on your progress, and together we’ll decide what feels right for you. It’s all about finding a rhythm that works with your schedule and goals.

Do I need couples counseling or individual therapy?

Choosing between couples counseling and individual therapy depends on your goals and how you want to reach them. If you’re working through personal challenges or self-discovery, individual therapy might be the way to go. If you and your partner want to improve communication, resolve conflicts, or strengthen your relationship, couples counseling is a great option. 

Having said that, we often see women (and men!) who know they have personal struggles that negatively affect their partnership. For example: insecurities, low self worth, sexual trauma, wonky boundaries, people pleasing, avoidance, etc. 

Working on these issues in individual therapy can put you in a much better space for couples therapy later, or can maximize the couples therapy you are already doing. In fact, many local Southern Utah couples therapists send us clients for individual therapy work! When you arrive at counseling we can discuss your specific needs and decide together what type or combination of sessions will be most beneficial for you.

Where in St. George UT are you located?

The Guided Wellness Counseling therapy office is located across the street from Harmons Grocery in St. George, Utah. We can be found within the Sun River Professional Plaza on the first floor of building E (the building located directly at the intersection of River Road and 700 South). 

Our address is: 720 South River Road, Suite E 103, St. George UT 84790

How much does therapy cost?

Melissa Spaulding, CMHC:
$250: 50-minute individual session
$300: 80-minute individual session
$850: Package of four 50-minute sessions ($150 savings) 

DeLayna Stout, CMCH:
$150: 50-minute individual session
$190: 80-minute individual session
$500: Package of four 50-minute sessions ($100 savings) 

Cass Waldo, LCSW:
$150: 50-minute individual session
$190: 80-minute individual session
$500: Package of four 50-minute sessions ($100 savings) 

Can I use my insurance to pay for therapy?

Insurance is an agreement between you and your insurance company as to how counseling will be paid for. We will assist you in any way possible. Call us to see if we directly participate with your insurance. 

Even if we do not participate with your insurance, you may have “out of network” benefits and we can assist you by providing documentation required to seek reimbursement from your insurance; this document is commonly called a superbill. 

To find out if you have out of network benefits simply call the customer service number on your insurance card and tell them, “I found a therapist who is out of network. Do I have out of network benefits? What will happen when I send you a superbill?” 

We also offer private pay services if you do not have insurance or choose not to use your insurance for mental health services. 

What is EMDR Therapy?

EMDR stands for Eye Movement Desensitization and Reprocessing – it’s a bit of a mouthful! Essentially, it’s a specialized therapy that helps process distressing memories by using bilateral stimulation, like side-to-side eye movements. It might sound a bit unconventional, but many people have found it incredibly effective, especially for trauma and anxiety. If you’re curious about EMDR, we can discuss whether it might be a good fit for your therapeutic journey. It’s just one of many tools we offer to help you reach your goals.

Why do people go to therapy and how do I know if it is right for me?

People come to therapy for various reasons – from managing stress and anxiety, reducing depression, to working through past traumas and PTSD. If you’re feeling like life’s challenges are a bit too much to handle alone, therapy can offer support. 

Wondering if it’s right for you? If you’re curious about self-discovery, seeking personal growth, or just needing someone to talk to, therapy could be a great fit. We offer a complimentary 15-minute phone consultation to explore your needs and see if therapy feels like a good next step for you and to match you to one of our counselors.

What about medication vs. psychotherapy?

The choice between medication and psychotherapy, or a combination of both, depends on individual needs and preferences. Medication can be helpful in managing symptoms, especially for conditions like depression or anxiety. On the other hand, psychotherapy (talk therapy) is a process of exploring thoughts, emotions, and behaviors with a trained therapist. 

It’s not an “either-or” situation – sometimes, a combination of both approaches is the most effective. We can discuss your unique situation, preferences, and any concerns you might have. Ultimately, the goal is to find the approach that best supports your well-being, aligns with your healthcare values and helps you achieve your therapeutic goals. It’s about tailoring the treatment to fit your individual needs and comfort level. We will not pressure you either way. 

If you decide you’d like to explore medication we can recommend you to a local provider we know and trust.

Does what we talk about in therapy remain confidential?

Yes. We often joke that going to therapy is a little like going to Las Vegas – what happens in therapy stays in therapy! All joking aside, licensed mental health providers are required by law to protect your personal health information as outlined in HIPAA. There are a few exceptions as to when our office is required by law to share information, most commonly in these instances:

  • Suspected past or present abuse or neglect of children, vulnerable adults, disabled adults, and elders
  • Domestic abuse that children are being exposed to
  • If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person
  • Court order
  • Information requested by FBI
  • A client signing a Release of Information (ROI) to coordinate care between providers or outside parties
What if I don’t like my therapist?

In our opinion, it’s critical that you feel respected and safe with your therapist. And we’re not alone in this! Longstanding research shows that feeling like your therapist “gets you” is a predictor of your success in therapy. Keep in mind, your therapist is human and may make mistakes. They may also have to say things to you that are hard for you to hear. But you should always, always feel respected and safe with your therapist. If you don’t feel like your therapist is a good fit please call the office and we can arrange for you to be seen by another member of the team. 

Will you read my mind in therapy sessions?

No mind-reading abilities here! Therapists are not mind readers; instead, we’re here to listen, support, and help you explore your thoughts and feelings to create lasting change such as better boundaries, reduced people pleasing, improved self worth and fewer triggers. Your therapy sessions are a safe space for you to share what you’re comfortable with. The magic happens in the conversation and collaboration between you and your therapist, working together to understand and address the depression, anxiety / overwhelm or pain that you are experiencing.

What’s the difference between a counselor and a therapist?

The terms “counselor” and “therapist” are often used interchangeably, and their meanings can vary depending on the context. In some instances the term counselor refers to someone with a Master’s degree in counseling (although many social workers and psychologists also refer to themselves as ‘counselors” or state they provide “counseling”). On our website, we use these terms interchangeably.