Questions
Questions families ask us
Every family comes to us with questions, and they’re good ones. Here are the answers we give most often. If yours isn’t here, ask us directly. We will respond to all inquiries within 48 hours.
Getting started
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What does a recovery coach do?
They carry out the plan our clinical team sets, every day, at home and in your community: meals and routines, coping tools in the moment, accountability between appointments, and rides to appointments with a debrief afterwards. All of our coaches have their own recovery experience.
Are coaches therapists?
No. Our licensed clinicians lead treatment, and our coaches carry out their plan every day at home. Coaches are trained, supervised and have their own lived recovery experience.
Where do you work?
In your home and out in your community, or virtually, in the US and New Zealand. Somewhere else? Reach out and we’ll see what we can do to work with you where you’re at.
What does the free call cover?
Your situation, whether we are a good fit, and every way to pay for it, including your insurance and HSA/FSA. No pressure.
Do we need a referral?
No. Families can reach out to us directly for a free consult. Clinicians can also refer a client through our page for clinicians.
What if it’s a crisis?
We’re not a crisis service. In a crisis, call or text 988, the Suicide and Crisis Lifeline. In an emergency, call 911.
Our programs
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What if someone has more than one of these?
Many people do. We start with what matters most right now, and our programs work together under one team.
What ages do you work with?
Ages 12 and up, and their families.
How long do families work with you?
Most families work with us for 3 to 12 months, and we aim for about 6. We work to get you better as quickly as possible, and the pace depends on the individual and the severity of their eating disorder.
Do you offer virtual eating disorder coaching?
Yes. For families anywhere we work who live too far for in-home visits, or who need lighter support, our coach Breana works with clients over video: meal support from the dietitian’s plan, check-ins around the hardest moments, and the same updates to your treatment team. We’ll help you decide on your free call whether in-home or virtual fits best. Somewhere else? Reach out and we’ll see what we can do to work with you where you’re at.
Paying for care
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Do you take insurance?
Coaching can be private pay or, for some plans, covered through a single case agreement. Many families also use HSA or FSA funds. Contact us to discuss prices.
Are you in network with my insurance?
We work with insurance through single case agreements: we ask your plan to cover a set block of coaching hours for your family. Our clinicians may also be able to bill your plan.
Is a single case agreement guaranteed?
No. Your plan decides. Many plans exclude in-home support. We’ll still help you ask, and tell you the answer in writing before you pay.
How do we get a letter of medical necessity?
Start with an evaluation, usually with your primary care provider. Your physician (MD or DO) or nurse practitioner, therapist and dietitian can each evaluate you and write one too. The more of your providers who write a letter, the better the chance your insurance will pay.
Can I use my HSA or FSA?
Often yes, for the treatment part of coaching, with a letter of medical necessity. Your administrator makes the final call.
Families
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How does consent work for clients under 18?
Parents sign the support agreement and stay part of the plan. We only talk with your providers with your written permission.
My child doesn’t want help. Can you still work with them?
Yes. We don’t require anyone to be “ready” or to want recovery. We work alongside them wherever they are, which paradoxically often creates more openness to change than forced compliance ever does.
Working with your providers
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Do we need our own treatment team?
No. Our in-house therapist, dietitian and psychiatric nurse practitioner can make up your team, all in one place. If you already have providers you love, we work alongside them.
Questions about OCD support
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Do I need an ERP therapist already?
No. If you don’t have one yet, we’ll help you find one. The therapist designs every exposure, and your coach helps you practice it.
What does a coach do during exposure homework?
They follow the written exposure sheet, stay steady, and gently don’t answer reassurance questions, the way your therapist plans it. If an exposure feels unsafe, they back off and call the therapist.
Can you help with OCD and an eating disorder at the same time?
Yes. Many people live with both. Our programs work together under one team, so one plan covers both.
How long does in-home OCD support last?
Most plans run 3 to 12 months, and we aim for about three, with longer days at first and less as you practice on your own.
Questions about depression
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Do we need our own therapist?
No. Our in-house therapist leads the plan. Your psychiatrist or prescriber stays in charge of any medication.
Do coaches give medication?
No. Coaches give reminders and keep a simple log your prescriber can see. Family, a pharmacy or a nurse fills and gives medication.
What does a typical day look like?
Getting up, meals, a little activity from the therapist’s plan, school, work or appointments, and a steady person beside you for the hardest parts of the day.
How long does in-home depression support last?
Most plans run 3 to 12 months, and we aim for about three. Support is highest in the first weeks home and steps down as routines stick.
Questions about bipolar disorder
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What do coaches watch for?
Sleep first. Coaches log sleep every night, and if there are two short nights in a row, they tell your prescriber and Kathryn the same day.
Do coaches manage medication?
No. Coaches give reminders and keep a log your prescriber can see. They never give, fill or manage medication.
Do we need a psychiatrist?
Yes. Your psychiatrist or prescriber manages medication and sets the plan with our in-house therapist.
How long does in-home bipolar support last?
Most plans run 3 to 12 months, and we aim for about three, starting with long days right after a hospital stay and stepping down as routines settle.
Questions about anxiety
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Can you help someone who has stopped going to school?
Yes. Our coaches work through the step-by-step plan our in-house therapist sets, starting at home and building back to school, one step at a time.
Do we need our own therapist?
No. Our in-house therapist leads the plan. If you already have a therapist you trust, we work alongside them.
How is anxiety support different from OCD support?
OCD support follows exposure and response prevention (ERP) homework from an ERP therapist. Anxiety support follows your therapist’s step-by-step goals. Many people have both, and one team covers both.
How long does in-home anxiety support last?
Most plans run 3 to 12 months, and we aim for about three, with more support at first and less as you get back to daily life.
Questions about schizophrenia
Don’t see yours? Ask us directly.
Do we need a psychiatrist?
Yes. Your psychiatrist manages medication and sets the plan with our in-house therapist. If you’re working with an early-psychosis team, we work alongside them.
Do coaches manage medication?
No. Coaches give reminders and keep a log your psychiatrist can see. They never give, fill or manage medication.
What do coaches do if symptoms change?
They stay calm, don’t argue with unusual beliefs, and tell your psychiatrist and Kathryn the same day.
How long does in-home schizophrenia support last?
Most plans run 3 to 12 months, and we aim for about three, starting with long days right after a hospital stay and stepping down as routines settle.
Questions about alcohol recovery
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Do your coaches help with detox or withdrawal?
No. Alcohol withdrawal can be dangerous, so anyone at risk starts only after withdrawal management or written clearance from a medical provider. Our coaching begins once it is safe to be home.
What happens if there’s a relapse?
A relapse is not a discharge. Our psychiatric nurse practitioner reviews the plan the same day, and we meet with the family within 48 hours to adjust support, often stepping back up for a while.
Will a coach go to AA or SMART Recovery meetings with me?
Yes. Going to meetings together, or to the alumni group your program recommends, is part of daily coaching, especially in the first weeks home.
Is this the same as a sober companion?
Sober companionship is part of it. Our coaches also practice the relapse-prevention plan our psychiatric nurse practitioner writes, help rebuild routines, and step down over about three months.
Questions about drug recovery
Don’t see yours? Ask us directly.
Do your coaches help with detox or withdrawal?
No. Anyone at risk of withdrawal starts only after a medical provider clears them. There is no detox at home, ever.
Do you work with clients on medication for opioid use disorder?
Yes. If your prescriber uses medication for opioid use disorder, we help you keep every appointment. Coaches never give, hold or manage the medication.
Do coaches carry naloxone?
Yes. Every coach carries naloxone (Narcan) and is trained to use it.
What happens if there’s a relapse?
A relapse is not a discharge. Our psychiatric nurse practitioner reviews the plan the same day, and we meet with the family within 48 hours to adjust support.
See how it works, paying for care, or support for families.