Answers to Common Questions

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.

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.

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.

Yes, we accept Medicaid. We also accept Medicare and most major commercial insurance. Call (812) 580-9285 and we can verify your benefits before your first visit.

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.

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.

Life happens, and we try to be flexible. 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, and we understand that circumstances sometimes don't allow for that.

That said, consistent no-shows make it harder for us to serve everyone who needs care. Missed appointments without notice may be subject to a no-show fee, and patients who no-show three times may be discharged from the practice. If your schedule keeps causing conflicts, talk to us — we'd rather work with you to find a solution than lose you as a patient.

Yes — Lighthouse is a telehealth-only practice. Every appointment, from your first intake assessment to ongoing therapy or medication management, takes place by secure video call. We do not offer in-person visits.

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.

All Lighthouse appointments are conducted by secure video call. You'll receive a link before your appointment — just join from a device with a camera, microphone, and internet connection, in a private space where you can speak openly. See our What to Expect page for full details.

We provide telehealth services to patients located in Indiana and Kentucky. You must be physically present in one of these two states at the time of each appointment, including follow-up visits.

Possibly — a thorough evaluation is required before any prescribing decision is made. Our providers follow all applicable federal and state regulations governing controlled substances, and prescribing decisions are based on clinical judgment, not patient request. We cannot guarantee that any specific medication will be prescribed.

Refills are handled at scheduled follow-up appointments. Controlled substances cannot be refilled by phone or online request — an appointment with your provider is required. Please schedule your follow-up before you run low to avoid a gap in your medication.

Call us or submit a request through our contact form and we'll schedule your intake assessment. Visit our What to Expect page for a full walkthrough of the process, including what to have ready for your first appointment.