FAQs
Counseling, Coaching & Therapy In New Haven, CTYou’ve got questions. We’ve got answers.Â
Who is James Killian?
James Killian, LPC is a Licensed Professional Counselor with 18 years of experience in private practice. He works primarily with professional men, typically ages 30 to 60, who are navigating high-stress careers. His office is located at 1 Bradley Rd, #106, Woodbridge, CT 06525.
Who does James Killian work with?
James provides therapy for men in Woodbridge, CT and the greater New Haven area, typically ages 30 to 60, though he works with younger and older men as well. Most clients are professionals in high-stress careers looking for help with:
- Work stress and burnout
- Anxiety
- Depression
- Grief
- ADHD
- Feeling emotionally disconnected in their marriage or relationship
- Divorce
- Anger management
- Substance use and abuse
- Problematic or compulsive pornography use
- Problematic or compulsive phone and screen use
- Life transitions (career changes, becoming a father, aging parents)
- Difficulty managing the pressure of high-responsibility roles
Do you work with women, teens, or couples?
James specializes in working with men. He also has extensive experience with teens, couples, and women, and continues to see these clients selectively, when it’s clinically appropriate and a strong fit.
What therapy modalities does James Killian use?
James is extensively trained in Acceptance and Commitment Therapy (ACT), which is his primary modality. He also draws from Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Solution Focused Brief Therapy (SFBT), depending on what the client needs.
What actually happens in a session?
Expect a lot of questions early on, since the fastest way to help you is to understand how you actually experience your world. Once James has that picture, expect to be challenged, not just listened to. This isn’t a space to vent and have someone agree with everything you say. Real change happens when you’re pushed outside your comfort zone, and that’s the work.
Do you only work with anxiety?
No. Anxiety and work stress are common reasons men come in, but the underlying issues are usually broader: relationship strain, parenting, grief, life transitions, past trauma, or self-confidence. The goal is to build awareness of what isn’t working so you can change it, not just manage symptoms.
Is there anyone you don't work with?
Yes. James does not treat borderline personality disorder, other personality disorders, schizophrenia, or bipolar disorder. These conditions require a higher level of specialized care than this practice provides, and clients presenting with these concerns are better served by a provider or treatment team equipped for them.
Do you work with clients who are actively suicidal or have a history of suicide attempts or psychiatric hospitalization?
No. Outpatient private practice therapy is not equipped to provide the level of care and monitoring these situations require. Clients who are currently suicidal, or have a history of suicide attempts or psychiatric hospitalization, need a higher level of care, such as an intensive outpatient program, partial hospitalization, or inpatient treatment, before starting outpatient work like this.
How long does therapy take?
Most clients work with James for 8 to 12 sessions. The exact timeline depends on your goals, your commitment to the process, and what brought you in to begin with. This isn’t open-ended talk therapy with no destination.
Does James Killian accept insurance?
No. This is a cash-pay practice. Insurance is not billed directly. Payment is due at the time of each session. Accepted payment methods are cash, check, and credit card. Superbills are provided upon request so clients can submit them to their insurance company for possible out-of-network reimbursement.
Paying privately also protects your confidentiality. When insurance is billed, a mental health diagnosis becomes part of your permanent medical record and can be shared with third parties. Paying out of pocket keeps what’s discussed in session between you and James.
How does out-of-network reimbursement work?
Many insurance plans offer out-of-network benefits for mental health, meaning they’ll reimburse you directly even though James isn’t in-network. Call your insurance provider and ask two things: whether your plan has out-of-network mental health coverage, and what percentage they reimburse after your deductible is met. After each session, James provides an invoice (a superbill) that you submit to your insurance company for reimbursement.
Why shouldn't I just take medication instead?
Medication can help, and sometimes it’s a useful complement to therapy, but it doesn’t address the underlying problem on its own. It tends to manage symptoms rather than resolve what’s driving them. Therapy is aimed at the root issue so the change actually holds.
Are sessions in person or virtual?
Sessions are primarily in person at the Woodbridge, CT office. Virtual sessions are available when clinically appropriate, as well as for weather or illness related circumstances.
How long is a session and how often will I need to come in?
Sessions are 50 minutes long. Frequency is determined collaboratively between James and the client. Most clients start with weekly sessions for the first 3 to 4 sessions, then move to every other week as therapy progresses.
How do I get started?
The first step is a free 15-minute phone consultation. This call is required before scheduling a first session and gives both James and the prospective client a chance to determine if it’s a good fit.
How do I get the most out of therapy?
Show up on time, show up consistently, and be willing to do the work outside of session. A 50-minute conversation once a week or every other week only moves the needle if you’re applying what comes out of it to your actual life in between sessions. The clients who get the most out of this are the ones who want change, are already taking steps toward it, and are reliable about showing up.
Where is the office located?
1 Bradley Rd, #106, Woodbridge, CT 06525.
How can I contact the office?
Phone: (203) 405-8066
Email: info@arcadiancounseling.com