Frequently Asked Questions

My private practice office is located in Eugene, Oregon. I am in the Miner Building at 132 E Broadway, Suite 320, Eugene, Oregon 97401.

Online therapy allows us to meet virtually through a secure video platform. You can attend sessions from the comfort of your home or another private, quiet space.

All you’ll need is a reliable internet connection, a device with a camera and microphone, and a private location where you feel comfortable talking. Telehealth can be a great option if you have a busy schedule, prefer meeting from home, or simply find virtual appointments more convenient.

Getting started is pretty simple! You can email me at cayla.letasse@gmail.com or message me at (925) 200-1561 to schedule a free 20-minute consultation. We’ll find a time to connect, talk a little about what you’re looking for, and see whether working together feels like a good fit.

Think of it as an opportunity for us to get to know each other a little before committing to therapy. I’ll ask a few questions about what brings you to counseling and what you’re hoping to work on. You’re also welcome to ask me about my approach, experience, scheduling, or anything else that might help you feel more comfortable making a decision.

Booking the call doesn’t commit you to scheduling afterward. Finding a therapist who feels like the right fit matters!

Individual therapy sessions typically last 55 minutes. For couples therapy, I offer two options: a standard 55-minute session or an extended 85-minute session. We’ll work together to determine the frequency and session length that best support your goals.

I reserve a total of four reduced-fee spots for LGBTQ+ individuals, students, or people who have previously experienced domestic violence or intimate partner violence. These spots are limited and may not always be available, but you’re welcome to reach out and ask about current openings.

I currently operate as a private-pay practice, meaning I don’t bill insurance companies directly.

Depending on your insurance plan and provider eligibility requirements, your plan might include out-of-network benefits. However, reimbursement isn’t guaranteed, particularly for services provided by a Professional Counselor Associate. If insurance coverage is an important part of your decision, I encourage you to contact your insurance company to verify your benefits before scheduling.

Life happens! I understand that unexpected situations come up and sometimes plans need to change.

I ask for at least 24 hours’ notice if you need to cancel or reschedule an appointment. Appointments canceled with less than 24 hours’ notice will be charged the full session fee.

I primarily work with young adults and adults. I enjoy supporting people navigating relationships, emotional challenges, and the sometimes complicated process of figuring out who they are and who they want to become.

Clients of all genders and identities are welcome here, and I provide both individual and couples therapy. My practice primarily focuses on young adults and adults, including couples who want to strengthen their connection, navigate conflict, or better understand each other.

I strive to create an inclusive, affirming environment where people feel comfortable showing up authentically. I do not currently specialize in therapy for children or younger adolescents.

You don’t need to be in crisis, have a diagnosis, or know exactly what’s wrong to benefit from therapy. Maybe you’re feeling overwhelmed, struggling in a relationship, or noticing patterns in your life that you’d like to understand better.

Even when things are going relatively well, therapy can be an opportunity to learn more about yourself. If something in your life feels worth exploring, that’s a perfectly valid reason to start.

Our first session is an opportunity for me to learn more about you and what brings you to therapy. We’ll talk about your current concerns, relevant experiences, relationships, and what you’re hoping to get out of our work together. I’ll also ask some questions about your history and overall well-being to better understand the bigger picture.

Great question! And the answer is a little different for everyone. Some sessions might involve talking through something that happened during your week, exploring emotions, or recognizing patterns in your thoughts and relationships.

Other sessions might be more focused on learning and practicing specific strategies, such as communicating boundaries, managing overwhelming feelings, or approaching challenging situations differently. I believe meaningful change comes from both understanding why something is happening and exploring what we can do about it.

Our work will be collaborative, and we’ll regularly check in about what’s helpful, what isn’t, and where you’d like to focus.

I draw from several therapeutic approaches, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), attachment-based perspectives, and parts-informed work. My approach is person-centered, relational, and collaborative. I believe you are the expert on your own experiences, and my role is to help you explore them with curiosity, compassion, and a different perspective.

That might sound like a lot of therapy terminology, but what it means in practice is that I don’t believe there’s one strategy that works for everyone. We’ll explore your experiences and patterns, build emotional awareness, and develop practical ways to navigate the challenges you’re facing.

Sometimes! But don’t worry, I’m not handing out grades. Depending on what we’re working on, I might suggest a reflection exercise, worksheet, communication practice, or something small to experiment with between appointments.

Your life is already busy, so anything I suggest is meant to help you apply what we’re discussing in therapy to the situations that matter to you. We’ll decide together what feels useful and realistic.

Not at all! Some people come into therapy with a whole list of things they want to discuss. Others sit down and realize they have absolutely no idea where to start. Both are completely fine.

I’m happy to help guide our conversations with questions, observations, and reflections. You don’t have to plan the entire session or worry about saying the “right” thing.

I promise there’s more to therapy than that! While understanding your emotions is an important part of our work, I also believe in having real, collaborative conversations. I’ll ask questions, share observations, offer different perspectives, provide education, and help you explore strategies that might be useful.

Therapy doesn’t have to mean talking at someone for an hour while they silently nod.

Not necessarily! Your early experiences can influence how you see yourself, interact with others, and navigate relationships today. Sometimes exploring those experiences can provide meaningful insight into patterns you’re noticing now.

But that doesn’t mean every session needs to involve analyzing your childhood. If your primary goal is learning to manage stress at work or improve communication with your partner, we can absolutely focus on those things.

Generally, no! And that’s intentional. I can help you explore your options, consider different perspectives, and understand what might be influencing your decisions. I might also gently challenge you when I notice a pattern or belief that seems worth examining.

But ultimately, you’re the one who gets to decide what makes sense for your life. My goal is to help you feel more confident making choices that reflect your own needs, values, and priorities, even when those differ from the choices I would make.

Then I’m glad you’re having a good week! Exploring what’s going right can be just as valuable as working through what’s going wrong. We might talk about what contributed to a positive experience, how you handled something differently, or what you’re learning about yourself as things improve.

And if you’re consistently feeling good and making progress toward your goals, that might be an opportunity for us to discuss whether meeting less frequently or wrapping up therapy makes sense.

Of course! You’re welcome to be curious about who I am, my background, and how I approach therapy. Depending on the question, I may share a little about myself or we might explore what feels important about knowing the answer.

Authenticity and transparency are valuable parts of the therapeutic relationship. At the same time, I’ll always be mindful of keeping our sessions focused on you and what will best support your therapeutic experience.

I earned my Master of Arts in Clinical Mental Health Counseling and completed my undergraduate studies in Psychology and General Social Science here in Eugene, Oregon. My clinical training includes experience at Cascade Health, where I work with individuals and couples navigating a wide range of emotional, relational, and mental health concerns.

Currently, I am a Professional Counselor Associate working towards independent licensure as an LPC. My professional pathway is through Oregon’s Professional Counselor Associate registration, which involves providing counseling services under clinical supervision while completing the requirements for independent licensure. My registration number is #R10224, and my supervisor is Stephanie Evans-Wondra, License# C5336.

I certainly hope so! You’ll definitely find pillows and blankets too!

Nope! In my office, you’ll find two chairs and a large couch where you can sit, lie down, or even have session on my fuzzy rug that is on the floor!

Only if you want! Sometimes sessions will involve tears, laughter, or plenty of both! Express whatever emotions come up. There is no expectation that you need to keep it all together, and you definitely don’t need to apologize for crying!

Kleenex, Ultra soft!

Letterloop! I use it to stay in touch with my long-distance friends!

Paper!

Both… However, I currently own a dog. His name is Luigi!