Pathways Tele-Health Counseling 

TELE-HEALTH Illinois and Tennessee Clients: High Profile/Descrete, LGBTQ+, Religions or lack of, PTSD 

Life Coaching and Therapy


YOUR Place


YOUR Time.

Serving Illinois and Tennessee Residents

Life coaching and mental health counseling  can markedly improve a person's emotional well-being and overall daily personal and social functioning. Through a strong and trustful therapeutic relationship, healing and personal growth are made possible. My MISSION is to provide encouragement and practical feedback to help clients address current life challenges and/or long-standing problems. I will help you find resolutions to a wide range of personal concerns. I offer quality life coaching and therapy with discretion, sensitivity, care, and integrity.  I will work with you to improve your sense well-being, stability and quality of life, as well as develop strengths and achieve life goals. You will feel VALUED, VALIDATED and SUPPORTED.  Although our work together can be hard work that requires the commitment of time, financial resources, the rewards can be life-changing. 

The Pros and Cons of Video/Tele-health.

Pros for Clinicians

  1. You aren’t tied down to an office, more availability to clients.
  2. There is a greater ability to expand your reach and help more clients in out of area situations.
  3. You can work just about anywhere, as long as you have a computer and WiFi.
  4. Many clients are seeking the convenience of Tele-Health.
  5. You can practice wherever you want as long as you are licensed in the state the client resides.

Cons for Clinicians

  1. Sometimes technology is, well, not always cooperative. Like losing WiFi for 3 hours when it just worked earlier in the day.
  2. You can lose some of the vital aspects of therapy by reduced ability to see and hear all the verbal and non-verbal communication of your        client.
  3. Although you can assure your clients confidentiality on your end you can’t assure that your client is doing the best job to maintain their             confidentiality.  You must educate them to ensure their own confidentiality.  This is part of having a conversation prior to starting Tele-               Health services to see if you client is well suited for TAC.
  4. Since the client isn’t in your office you can’t control the environment.  Your client might have interruptions during your session like dogs           barking or kids running around in the background.

Pros for Clients

  1. The ability to have therapy in a place you are most comfortable.
  2. If you are home-bound, don’t drive, or can’t make it to an office for a variety of reasons, this provides an excellent alternative.
  3. Reduces drive time, creating more convenience for you, saves time and on gas.
  4. It creates more opportunities to schedule with your therapist. If you can’t make it back and forth to the office for a 1-hour appointment               with/including drive time, this is a great alternative to make that appointment happen because simple Tele-Health will save you time.
  5. Many insurances are starting to pay for online counseling services, so clients can use insurance benefits.  It is recommended that you             check with each individual insurance provider to see what the insurance covers.
  6. If you travel out of the area they can still attend sessions.

Cons for Clients

  1. Issues with technology can interrupt valuable session time.  You can lose connectivity right in the middle of something important you               are saying.
  2. The cable company can be working down the street and the internet goes completely out.  This is why it is important to have alternate             options, like hopping on a phone to complete the session.
  3. Things occurring in their environment can distract you.
  4. When it comes to phone sessions the therapist can’t see certain important non-verbal cues.  The therapist might have to ask you to                 describe your feelings, thoughts and actions in more detail than in a face to face session.
  5. You may not always be the best at noticing or protecting their own confidentiality.

What Clinicians Need to Have in Their Consents Regarding Tele-Health

  1. Logistics – You will want to layout the logistics of your session from HIPAA compliant platforms, how the client should get into the session,       what time the session will be, and what to do in the case of a technology glitch.
  2. Confidentiality – Since clients aren’t seeing you in your office, you cannot protect confidentiality on their end.  You need to assist them to         find ways they can increase their own confidentiality.  It is recommended that the client be in a quiet place with a locked door if others are       around.  It is also recommended that clients use headphones.
  3. Practicing – Clinicians must be licensed in the state where the client resides.
  4. Connectivity – There should be a protocol if connectivity is lost during session time. There should be alternate ways to complete the                 session.
  5. Payment – You want to assure you discuss payment for sessions and how payment will be taken for Tele-Health.
  6. Cancellation Policy – Assure your cancellation policy is written out and also verbally stated to the client. This is a proactive measure that         can avoid a lot of headache when a cancellation does occur
  7. Emergencies – What is your policy in case of client emergencies? Remember, if you are doing Tele-Health with a client out of area and           you call 911 that will do neither you nor the client any good.   It is important to get the number of the local police department where you           client is EVERY time.  It is also recommended to have an emergency contact.
  8. Consent – assure you review the Tele-Health specific consent with the client and have them sign it.Cash Clients

NOT everyone should use insurance. I often get clients who know that if their insurance company or human resources department leaked that they were in counseling, that it could cause a problem. There have been people who lost the trust of boards, boss's, peers and clients when they caught wind that they were seeing a therapist. If this sounds like it is the case for you, you can and perhaps should, use a cash or credit card to cover the cost of your sessions.

Check-in sessions/Individual Relaxation/Meditation refresher/training (up to 25-minutes) CASH $55.00
Full session: up to 55 minutes CASH 95.00

Fees are due at the beginning of each session using the SQUARE.


I do not double-book or over book. The scheduled time is reserved for you. If you do not show or fail to cancel within 24 hours, you will be charged $50.00 for the time. For chronic no-shows that are still committed to coaching/therapy, I will accept a credit card information and permission to charge your account for missed appointments.

We accept these insurance companies: Anthem, BCBS of TN, Chestnut EAP, CIGNA, ComPsych, Magellan, TRIWEST-VCP, Aetna, HNFS , United Health Care-Live & Work Well, HealthAlliance, HealthLink, TRICARE/HUMANA, Wellpoint, Military Care, Military One Source, VA

Please call the 1-800 number on the back of your card for more information.  Services may be covered in full or in part or not at all by your health insurance or employee benefit plan. Co-pays and deductibles are paid before the session begins. When you call them, Ask:

  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?
  • Does my company have an EAP that will offer free sessions? How many?

April Brobston-McWhirter MA, LPC, IRCADC, Life Coach    931-338-3160    120 Center Pointe Drive, Suite 1, Clarksville, TN. 37040