Welcome

I’m a licensed professional counselor offering remote outpatient therapy for individuals and couples.

My personal belief is that all people have the healing within and my practice is to be with you as you find your own inner wisdom and healing.

My Approach

We can often feel distant from others, lonely and disconnected, even when we are surrounded by people. Sometimes the hard and vulnerable parts of life feel too overwhelming and difficult to share and lean into. My approach is to listen and be with you in the stuck and hard places.

My style is engaging, inquisitive, and interpersonal. I draw from what shows up in the room between us while exploring family of origin dynamics and attachment experiences in childhood and early adulthood that play out in other relationships and dynamics today.

I am fully trained in EMDR for those interested in utilizing this psychotherapy approach with past trauma or stuck experiences stored in their body. Learn more about EMDR

With couples I focus on looking at creating new ways of experiencing and communicating with each other in the here and now.

Services and Prices

Individual Intake: $65

Individual 60 minute appointment: $65

Individual 45 minute appointment: $60

Couples Intake: $120

Couples 75 minute appointment: $120

Couples 60 minute appointment: $100

Sliding scale is available if needed. Payment is due at the time of the session.

Individual Sessions

COUPLES SESSIONS

FAQ

  • I will provide a detailed receipt (superbill), which can be submitted to your insurance carrier for potential out-of-network reimbursement. Out-of-network benefits vary by plan and provider and may be dependent on diagnosis. Please check with your insurance carrier to see what they will reimburse for out-of-network services.

    There are many reasons why I am not paneled at this time with insurance carriers.

    • Insurance carriers require a diagnosis and treatment plan that becomes a part of your permanent medical record.

    • Insurance carriers often ask for additional clinical information after therapy has begun, asking for copies of treatment plans and session notes.

    • Often people have a deductible they need to meet prior to insurance carriers being able to cover any cost of sessions.

    Benefits of not taking insurance include: keeping your information confidential, insurance carriers not limiting the amount of sessions, and having a clear payment. I do want counseling to feel accessible and sustainable, so please reach out for a sliding scale if needed.

  • Individual Intake: $65

    Individual 60 minute appointment: $65

    Individual 45 minute appointment: $60

    Couples Intake: $120

    Couples 75 minute appointment: $120

    Couples 60 minute appointment: $100

    Sliding scale is available if needed.

    Payment is due at the time of the session.

  • Join your session via ClientSecure:

    https://melissagnageylpc.clientsecure.me

  • I work remotely. All sessions are telehealth and clients must be located in Virginia during their session. All clients must be 18 or over.

  • If for any reason a session is canceled less than 24 hours prior or this appointment is missed without notice, a fee of $75 will be charged to your account.

  • If you are in crisis, call the National Suicide Prevention Lifeline, a free, 24 hour hotline at 988 or Crisis Text Line: Text START to 741-741.

    If you are having an emergency, call 911 or go to your nearest emergency room. I am not able to provide crisis counseling.

  • Melissa Gnagey

    melissagnagey@tremblinggiantllc.com

    (540) 466-1394

About the Trembling Giant

Trembling Giant is an aspen forest in Utah. The forest is the largest living organism on earth today, sharing one connected root system. When one visits the forest one can hear the leaves moving creating a quaking or trembling sound. The trees echo our human experience, each of us living separate lives, but needing the support from each other to grow and thrive.

The name also symbolizes two seemingly contradictory ideas living side by side, which is how I view life experiences. Beautiful and cruel. Strong and vulnerable. Trembling and grounded. Connected and alone.

Still have questions? Send me a message.

1520 Hillcrest Drive, Harrisonburg, VA 22802
(540) 466-1394 • melissagnagey@tremblinggiantllc.com

If you are in crisis, call the National Suicide Prevention Lifeline, a free, 24 hour hotline at 988 or Crisis Text Line: Text START to 741-741. If you are having an emergency, call 911 or go to your nearest emergency room. I am not able to provide crisis counseling.