The initial intake session is a 60-to-90-minute conversation designed to go beneath the surface—exploring your history, clarifying what's brought you here, and beginning to map out where you want to go. It is not a checklist. Dr. Cascalheira will listen closely, ask direct questions, and build a picture of you as a whole person, not just a set of symptoms. You'll have space to share what's been heavy, what's felt stuck, and what you're ready to change—and together, you'll identify your goals and take the first steps toward a treatment plan tailored specifically to you. By the end, you'll leave with greater clarity about the work ahead and a felt sense of whether this is the right fit. The intake session is $375.

This is where the real work happens. Rooted in assimilative integration and anchored by relational-cultural therapy and acceptance and commitment therapy, each session draws on a wide range of evidence-based practices—including CBT, CPT, PE, PCT, COPE, ERRT, MBSR, MBRP, MI, and other approaches—tailored to what you actually need. Sessions are goal-focused and directive without losing the depth and relational attunement that makes change last. You'll be challenged to reflect honestly, act consistently, and engage with the discomfort that meaningful growth requires. Dr. Cascalheira monitors progress throughout, adjusting the approach as the treatment picture evolves. Standard sessions are $260.

The 30-minute brief session is designed for busy professionals who want consistent, high-quality care without sacrificing the demands of a full schedule. It is also a good fit for clients in later stages of therapy who benefit from periodic booster sessions to consolidate gains and stay on course. Focused and efficient by design, these sessions maintain the same evidence-based rigor and clinical depth that define the work at Urban Insight, PLLC, distilled into a format that fits your life. Dr. Cascalheira collaborates with each client at the start of therapy and periodically throughout to determine the format that best serves their treatment goals. Brief sessions are $175.

The 60-minute extended session is designed for clients who want to make the largest investment in their growth, and for those whose treatment calls for it. Certain evidence-based protocols, including trauma-focused therapies such as prolonged exposure and cognitive processing therapy, are structured around longer sessions to allow the clinical work to unfold at the depth and pace the research demands. Extended sessions also offer more room for exploration, integration, and the kind of sustained therapeutic momentum that accelerates meaningful change. Like all session formats at Urban Insight, PLLC, length is determined collaboratively based on your treatment plan and goals, and may shift as your needs evolve. Extended sessions are $350.

Sometimes the moment calls for support before the next session arrives. Phone coaching sessions offer brief, focused contact with Dr. Cascalheira between appointments, ideal for reinforcing skills in real time, working through a specific challenge as it unfolds, or rehearsing strategies right before a high-stakes moment. Whether you're stepping into a difficult conversation, navigating a pivotal life event, or simply needing a calibrated check-in to stay on course, these sessions bring the clinical relationship to you when it matters most. Two formats are available: a brief 5-to-10-minute session ($45) for a quick skills refresh or targeted support, and an extended 11-to-15-minute session ($85) for more complex preparation or in-depth coaching. Availability is limited and determined collaboratively as part of your treatment plan.