Meeting Locations:
In-person sessions are typically held outdoors in the Hot Springs area, at locations like the Rocky Bluff Campground, Lover's Leap Loop Trail, Laurel River Trail, Mill Ridge, Murray Branch River Park. I recommend dressing appropriately for outdoor activities—including footwear for trail-walking—and always packing a rain jacket, a bottle of water, and other outdoor comfort items (bug spray, walking stick, etc.) We can also hold sessions at the llama farm or my home office. Click any of the location links above for directions.
For telehealth meetings, it is helpful if you have a reliable internet connection, gentle lighting, and a set of headphones. You will need to enforce your own privacy in selecting a location and appointment time.
For the best experience, use a laptop or desktop computer. Open your browser and go to meet.davidwynn.eco/telehealth—follow the setup guide and wait in the lobby for your session to start. If you need to join from a phone, I recommend downloading and using the Jitsi Meet app (iOS/Android). Open the app, tap the menu to set your server to "meet.davidwynn.eco", then join the room "telehealth".
Session Lengths and Rates:
I provide sessions in a range of lengths to best support your healing journey:
Hour-long sessions ($100) are helpful for regular check-ins, sustaining progress, and addressing pressing concerns.
Ninety-minute sessions ($150) allow for deeper explorations and more overall space to engage with the therapeutic process. Intake/couples sessions benefit from a 90-minute minimum.
Two-hour sessions ($200) create adequate space for facilitating an effective introduction to healing practices, trauma processing, and immersive experiential therapies through canoeing, bushcraft, and fly-fishing.
Payment Methods (and Insurance):
I accept cash, check, and all credit and debit cards. Payments are due at the beginning of session and auto-billed to a card on file on the day of each session.
This practice is private pay. For some clients that's the right fit.
If insurance access is important to you, I see clients through Blue Ridge Treks as well.
I am able to further adapt costs to your current economic situation if needed through Open Path Psychotherapy Collective.
Cancellation/Reschedule Policy:
Cancellations made within 48 hours of our appointment, as well as no-shows, will incur a missed-session fee equivalent to our agreed-upon session rate. If you need to reschedule, I’m happy to accommodate at no charge, provided you give at least 48 hours' notice, there is availability, and the new session falls within two business days of the original appointment.
Unless we've made prior arrangements, I will not follow up to check in or send reminders. Instead, I will bill the missed-session fee and wait for you to follow up when you're ready to schedule again.
DSM and Diagnosis:
In my practice, I embrace a non-pathologizing approach to care, which means I view emotional and psychological challenges not as fixed disorders but as meaningful experiences; intelligent responses that arise from a person’s unique life context. While the Diagnostic and Statistical Manual of Mental Disorders (DSM) has been a cornerstone of mental health diagnosis, its history is fraught with controversy, including concerns about over-medicalization, cultural bias, and the risk of reducing complex human experiences to simplistic labels. I use the DSM as a lens—a tool to inform understanding and guide treatment—rather than as a definitive label. This approach allows me to honor the individuality of each client, focusing on their strengths, values, and potential for growth.
Privacy and Confidentiality:
Privacy and confidentiality are fundamental to my counseling practice, both in session and in the way I handle technology. Just as therapy provides a secure and protected space for personal exploration, I take intentional steps to safeguard digital and online privacy. In addition to meeting standard HIPAA/ACA requirements, I use end-to-end encrypted messaging and telehealth platforms, turn off my phone completely during sessions, and use pen-and-paper for notes and appointments. With an awareness of data breaches, digital surveillance, and the risks of electronic record-keeping, I integrate these privacy-conscious choices into my practice to ensure that your sensitive information remains secure and our therapeutic space remains truly confidential.