Answers to Common Questions
We know you might have questions before reaching out. Here are the ones we hear most often.
Do I have to be in crisis to come to Lighthouse?
Absolutely not. Many of our clients come to us before things reach a crisis point — and that's actually the ideal time to reach out. You don't need to be at rock bottom to deserve support. If something in your mental health or your relationship with substances feels off, that's reason enough to talk to someone.
How do I know if I need mental health care?
If your emotional wellbeing is affecting your relationships, your work, your sleep, or your ability to enjoy life — it's worth talking to a professional. Some people come to us knowing exactly what they need. Others just know something feels wrong. Either way, we can help you figure out the next step.
Is my information private?
Yes. Everything you share with our clinical team is protected by federal and state privacy law (HIPAA). We do not share your information with employers, insurance companies (beyond billing information), or family members without your written consent. There are narrow legal exceptions — such as situations involving immediate risk of harm to yourself or others — which your clinician will explain during your intake.
What if I can't afford treatment?
No one is turned away from Lighthouse due to inability to pay. We offer a sliding-fee discount schedule based on family size and income. Call us and we'll walk you through it — no paperwork required before your first conversation.
Do you accept Medicaid?
Yes, we accept Medicaid. We also accept Medicare and most major commercial insurance. Call (502) 430-2041 and we can verify your benefits before your first visit.
What should I expect at my first appointment?
Your first appointment is an intake assessment — a conversation with a member of our clinical team to understand your history, your needs, and what you're hoping to get out of care. It typically takes 45–60 minutes. There's nothing to prepare ahead of time. Just come as you are.
Can I bring a family member or support person?
Yes, in most cases you're welcome to bring someone with you for support. Please mention it when you schedule so we can plan accordingly. Family involvement can be a valuable part of the recovery process, and we'll talk with you about how that might look for your specific situation.
What if I want to reschedule or cancel an appointment?
Life happens. If you need to reschedule, please call us as soon as you're able so we can offer your slot to another client. We ask for at least 24 hours' notice when possible, but we understand that circumstances sometimes don't allow for that. We won't penalize you for honest communication — we just ask that you stay in touch.
Do you offer telehealth?
Yes. We offer remote appointments for eligible services. Ask about telehealth availability when you call or schedule.
I've tried treatment before and it didn't work. Is it worth trying again?
Yes. Recovery is rarely a straight line, and the fact that a previous attempt didn't lead to lasting change doesn't mean you're beyond help — it may mean the approach wasn't the right fit, or the timing wasn't right, or circumstances have shifted. What matters is that you're still here and still considering it. We'd be glad to talk with you about what's been tried before and what might be different this time.
Still have questions? We're happy to talk.