We offer a wide range of group treatments including but not limited to: teen interpersonal groups, Dialectical Behavior Therapy (DBT) Skills Groups for teens and adults, adult psychotherapy groups, and Stepping Stones Social IQ Development groups for kids. We take special care to match individuals up with the appropriate group chronologically, developmentally, and emotionally. See our full list of group descriptions below.

For more information about our group therapy services or to schedule an initial appointment, please schedule a free consultation or call 703-876-8480.

Pre Kindergarten/Elementary

Middle School/High School

Young Adult/Adults

How To Get Started

Please click here to schedule a free consultation. Contact us at or 703-876-8480. 

We strive to return your inquiry within 24 hours if you do not schedule directly. Our caring Associate Director, Dr. Jennifer Case, and her knowledgeable assistant, Isabel Villarroel, will ask you a few questions to determine which of our clinicians might be a good fit for your first appointment. If you have a particular therapist in mind when you call, Jennifer or Isabel will schedule you for a first appointment with your chosen therapist (if their schedule allows).

Before your first appointment, download, fill out, and return the following forms:

Please provide us with any collaborative reports (i.e., psycho-educational testing reports, psychiatric reports, IEP reports, and/or educational reports). These will help us get to know you or your child more holistically.

The clinician who sees you for your appointment will be a therapist who is familiar with all aspects of therapy offered at In Step. Our clinicians are comfortable and familiar with treatment services for individuals, couples, and families, as well as the full range of group therapy services offered at the practice. Your therapist will answer any questions you may have about therapy and/or the services at In Step. 

The initial evaluation session provides In Step with the information we need to formulate a thoughtful, clinically sound treatment plan and determine which of our services are the best fit for you and/or your family.

If you seek services for your child, you will bring your child to this first session so that the therapist can spend time with you and your child. During the first session, your clinician will gather information about your history, present concerns, and discuss therapy goals and expectations. Most initial evaluation sessions last between 60 and 90 minutes. Some clients may require additional assessment sessions to determine the best next steps.


The length of therapy depends on the nature of your symptoms, your treatment goals, and your commitment to the process. Evidence-based groups such as our DBT (Dialectical Behavioral Therapy), Skills groups, Stepping Stones Social IQ groups, and Lego Social Development groups, for example, are designed for participants to learn, practice, and implement specific essential skills over time for significant change to take place. Immediate symptom relief may occur in relatively few sessions using CBT (Cognitive Behavioral Therapy) methods. At the same time, deeper, ongoing issues in your relationships, mood, or self-worth will require a more long-term psychotherapy approach.

Yes. Parents play a very active role in our group therapy programs. Our parent groups are vital in helping your children and teens acquire the skills they need. As your child learns and practices new skills such as reciprocity, managing emotions more effectively, and coping skills, it is vital that you learn these skills to help.

The families who come to In Step may have different issues, but they all have one thing in common: they want to improve their quality of life.

As a mental health practice, we follow strict guidelines of confidentiality. Thus in our therapy groups, we make sure that all the participants agree to complete confidentiality. We make every effort to place kids and teens from the same school in different groups. But when this isn’t possible because we don’t have a group that is a good fit for a prospective member, we will refer out to another practice.

In Step is committed to providing the best clinical care to all clients without the limitations imposed upon us by insurance companies (i.e., number, length, and modality of sessions required). For this reason, we are out-of-network and do not participate in any insurance plans. Many of our clients can get reimbursed from their insurance carrier for out-of-network benefits. We are happy to help our clients access their insurance benefits. We also do our best to work with families when they reach out to us with certain financial restrictions, but we recognize that our program is just not possible for everyone. In those cases, we make referrals and act as a resource for other programs available in the community.

If you are interested in being reimbursed by your insurance company, contact the customer service number on the back of your insurance card and ask the customer service representative about your out-of-network provider benefits. We will provide you with a monthly receipt that includes all of the necessary documentation you need to submit to your insurance carrier If your employer provides you with a Health Savings Accounts (HAS) or Flexible Spending Accounts (FSA), you are eligible to use these for mental health treatment as well.

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking about the following procedure (CPT) codes: 90791 (initial evaluation); 90834 (individual therapy), 90853 (group therapy), and 90847 (family therapy)

Yes, all therapists are willing to fill out treatment plans as needed for clients at the practice.

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?

Teletherapy fees are determined by our clinicians’ credentials, level of training, and experience in the field. Our fees are commensurate with other mental health practitioners in the Washington, D.C., metro area.

Family Therapy

If you are coming in for your first intake appointment with your child, please print and fill out these forms:

  • Client Information and Financial Agreement
  • HIPAA – We only need the signed page. Please keep the notice for your own records.
  • Child History – Please take the time to fill out this form thoroughly so your clinician can get up to speed quickly and best use your appointment time. If desired, each guardian may fill out his/her own copy to provide different perspectives.
  • Adult History – If you are an adult coming in for your first appointment or instructed to, please fill out this form instead of the Child History form.
  • Authorization of Release – If you would like our clinicians to be able to speak with any other professionals who care for your child (e.g. school counselor, psychiatrist, pediatrician), please fill out this consent form.
  • Group Participation – If you are interested in your child joining one of our groups, please review and complete this Group Agreement form. If you have any questions or are unsure, you may complete it at a later time.
  • Credit Card Authorization – If you would like to have a credit card on file to save time at the reception window, please fill this out.
  • Joint Custody – If there is a joint custody agreement in place for your child, please have all parties fill out and sign this form. The signatures do not have to be on a single sheet.

Meet Your In Step Team

Cathi Cohen

LCSW, CGP – In Step Founder and Clinical Director

Jennifer Case

PhD – Associate Director

Dale Bostwick

M.A., Ed.S

James A. Sebben


Allie Farris

Ed.S., LSP

Isabel Villarroel

Administrative Assistant

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