Cindy Gullo, LCPC - Therapist & Counselor


Have questions on my services? Please find answers to some frequently asked questions.

  • How long do I need to come counseling?

    Clients commit to at least four weekly sessions if we decide we’re a good fit following that initial meeting.

    We’ll check in on progress weekly, and after 12 weeks, we’ll evaluate if we’re reaching goals. The clients I work with make marked improvements when committed to at least 12 weeks of therapy. 

  • How do I find a therapist in O’Fallon?

    I recommend talking to any therapist you consider working with over the phone to ask questions and get a feel for their personality. The connection you feel to your therapist is CRUCIAL. Before you come to a therapy session, we book an initial complimentary 15-minute phone call so that we can find out if we are a good fit to work together. You can book your initial consultation call now by clicking here.

    After the initial phone call, we schedule your initial appointment. I am sending you the intake paperwork via email. You must submit your forms 48 hours (2 business days) of receiving them to confirm your appointment. If your documents are received, you’ll receive an appointment confirmation email. If I do not receive them in 48 hours, you’ll receive an email notifying you your appointment is canceled. 

  • What happens during the first therapy session?

    The first session lasts 60 minutes, and I learn more about your therapy goals, your background and relevant history, and how you want to grow and change. I will have read through your intake forms and ask follow-up questions from the intake form. If necessary, I’ll do more talking during the first session to help you feel more comfortable. We’ll review the Informed Consent document.

  • How often will I need to come to counseling?

    Weekly sessions are the most effective investment, both in time and money. Each session lasts for 50 minutes, and we will pick a time that is the same every week.

  • How much do sessions cost?

    Individual Session (50 min) - $175

  • Are sessions covered by my insurance?

    I am an out-of-network provider for most PPOs. However, many clients make the decision to not use their insurance benefits because of the following advantages:

    Your information remains private. Your insurance company doesn’t have access to treatment records or notes. You don’t have a diagnosis permanently attached to your medical record.

    We get to decide the course and length of treatment based on you need and my professional recommendations instead of what the insurance 'allows'.

  • Do you have evening and weekend appointments?

    I offer appointments Monday through Thursday at various times to best accommodate busy schedules. I save session slots for each client; you may have to start sessions at a less than ideal time to get started.

    Your readiness, my schedule availability, and the star patterns lining up can be tricky. Starting counseling on your terms is ideal. If you’re unable to commit to a weekly session at times I have available, let me know so I can help you find someone who can better accommodate your availability. Established clients get first shot appointment time slots as they become available. “I call shotgun!" 

  • What’s your cancellation policy, especially if I’m sick?

    If you start to feel sick more than 48 hours before our appointment, let me know, and I’m happy to take you off my schedule! It’s easier for me to fit in with another client who needs to meet when you give us enough advanced notice.

    If your appointment is on Monday, you must cancel by Wednesday at 5;00 PM to avoid paying for your session,

    If I am sick or cancel, you are not expected to pay for the missed session.

  • What populations do you work with?

    My expertise is with teen girls (15+) and twenty and thirty-something women ready and willing to invest in themselves.

    I do not work with men or anyone under 15 years old.

  • What if I want to start counseling, but I don’t want to meet weekly?

    I support my clients in their journey. It is vital to advocate for what works best for you. What data, science, and my years of experience have shown me that clients who meet weekly for at least the first 12 weeks have clinically significant improvements in their outcomes. If weekly doesn’t work for you, I am happy to help you find a therapist who can accommodate your schedule.

    Meeting weekly allows us to keep moving forward and pick up speed. Meeting every two weeks is less productive, as most of the session time is spent catching up on the past rather than moving forward.

  • What if I need more than 50 minutes a week?

    I got you! A great option is to tack on some additional time so that we can meet for 70 minutes!

    Sometimes there’s a big event coming up, or one of us has been out of town for two weeks. If you feel there’s more going on than we can comfortably cover during a 10-minute parent check-in, or your session feels too rushed to cover everything that happened, we might benefit from doing an additional 30 minutes now and then.

  • Can we meet after school?

    After-school hours are the most in-demand. Once I have an afternoon session time become available, I give first dibs to current clients. If you’re able to at least start with a non-preferred session time, I may be able to provide you with dibs when your ideal time opens up. Let’s set up a phone consultation to see if we’re a good fit, and then we can talk about scheduling options.

    Suppose you can only make it after schoolwork and I have no afternoon slots available. In that case, I am happy to provide referrals to other therapists or counselors in the St. Louis area who may have a more flexible schedule.

    And, sometimes of the year, our schedule opens up, and we’re easily able to accommodate.

  • How do we let you know that we’re ready to finish?

    While we usually notice a clinical improvement by session two or session 3, it takes time to sustain that positive growth. That’s the goal - that you or your teen can handle challenges and stressors long term - not just feel better once the crisis has passed.

  • I'm 35, will you see me?
    • I have specialized training to work with clients 15-30 years old

    • I do not work with anyone under 15 years old except on a case-by-case basis.

  • How involved will I be in my daughter’s therapy?

    That's a common question from parents. Yes, you may be involved. Parent participation can be one of those critical factors in teen counseling. I generally like to keep parents in the loop on the issues we're addressing, progress, and attendance, and I imagine these are many things you probably want to know. Also, it's essential to hear your side of what is going on since you may have unique views regarding your teen's challenges.

    I keep confidentiality regarding specific details discussed in counseling as long as they don't put your teen or someone else at risk of harm. I will discuss this with your teen before talking to you when there is specific information that I feel would benefit your teen for you to know. I will attempt to get their consent and inform you of this information so that everyone is comfortable with it. If I share many details with you without their permission, it can damage the counseling relationship and cause them to stop sharing and being open. It sometimes ruins counseling for them, and these effects may last a lifetime. I do everything I can to keep parents in the loop, which is usually not an issue.