FAQ & Policies

Getting started is simple. Schedule a free 15-minute phone conversation to see if we are a good fit.

You can reach us anytime via our contact page or email. We aim to respond quickly, usually within one business day. If you call, please leave a voicemail on our HIPAA-compliant phone system.

Dr. Cascalheira works with adults presenting with a wide range of clinical concerns, including:

• anxiety and worry

• panic attacks

• depression and mood difficulties

• trauma and PTSD

• grief and loss

• obsessive-compulsive disorder

• suicidal thoughts

• substance use

• social and relationship functioning

• compulsive sexual behavior

• self-esteem and self-worth

• coping with stressful or disorienting life events

His practice also addresses the following:

• LGBTQ+ therapy

• identity exploration

• career and performance concerns

• work-life balance

• executive mental health

• existential questions about meaning and purpose

Urban Insight, PLLC is designed for adults with a genuine desire for growth. If your needs fall outside his scope of practice, he will work with you to identify a provider or program better suited to your care.

Most clients meet with Dr. Cascalheira once per week, particularly in the earlier and more intensive phases of treatment. Session frequency is always determined collaboratively based on your treatment plan, clinical needs, and life circumstances, and may be adjusted as therapy progresses. Some clients shift to biweekly sessions as they move toward their goals, while others benefit from a consistent weekly rhythm throughout.

Dr. Cascalheira brings together a rare combination of clinical depth, research expertise, and genuine cultural responsiveness that is difficult to find in a single provider. He is a licensed psychologist with a PhD in counseling psychology, a research portfolio spanning 50+ peer-reviewed publications, and nearly a decade of clinical experience across diverse treatment settings. His approach is not a single modality applied to everyone — it is a thoughtful, individualized integration of evidence-based practices, anchored in relational-cultural therapy and acceptance and commitment therapy, and tailored to who you are and what you need. He attends to the full person: your history, your relationships, your values, your body, your culture, and your ambitions. He is also deeply committed to serving people who have historically been underserved or unseen by mainstream mental health care, including LGBTQ+ individuals, people of color, and high-achieving adults carrying invisible burdens. At Urban Insight, PLLC, you will not be managed. You will be met.

The length of treatment varies depending on your goals, the nature of your concerns, and the progress you make along the way. Some clients achieve meaningful change in a focused, short-term course of therapy. Others engage in longer-term work as they pursue deeper exploration or more complex goals. Dr. Cascalheira monitors progress throughout and will work with you to develop a plan for ending treatment when the time is right. There is no predetermined endpoint; the work moves at the pace that serves you best.

Urban Insight, PLLC offers several session formats to fit your needs and goals. The initial intake session is $375. Standard 45-minute individual therapy sessions are $260. Brief 30-minute sessions are $175, and extended 60-minute sessions are $350. Phone coaching sessions are available at $45 for 5 to 10 minutes and $85 for 11 to 15 minutes. A free 15-minute phone consultation is available for prospective clients. All fees are discussed openly, and session format is always determined collaboratively.

Urban Insight, PLLC is a cash-pay practice and does not accept health insurance at this time. This allows Dr. Cascalheira to remain fully focused on your care, free from the limits that insurance authorization and session restrictions can place on the therapeutic process. For clients who wish to seek reimbursement through their health plan, a Superbill can be provided upon request. We encourage you to contact your insurer in advance to learn about your out-of-network benefits.

Urban Insight, PLLC offers appointments on Monday, Thursday, and Friday evenings after 5 PM, as well as Saturday mornings. Daytime availability on Fridays may be possible for clients scheduled on a biweekly basis. All sessions are conducted via telehealth, so there is no commute required. If you are unsure whether our availability aligns with your schedule, reach out and we will do our best to find a time that works.

Urban Insight, PLLC is a fully telehealth practice. All services are delivered securely online via a HIPAA-compliant video platform, allowing you to engage in high-quality psychological care from the comfort and privacy of your own space. Telehealth has been shown to be just as effective as in-person therapy for a wide range of concerns, and many clients find the flexibility it offers to be one of its greatest strengths.

Urban Insight, PLLC serves adults only, ages 18 and older. Dr. Cascalheira's training, clinical expertise, and practice model are specifically designed for adult populations. If you are seeking care for a child or adolescent, he is happy to provide referrals to qualified providers who specialize in working with younger clients.