Child & teen therapy
Neuro-affirming therapy for children and adolescents ages 3–18 in Lexington, KY. CBT, ACT, and play-based approaches for ADHD, autism, anxiety, trauma, and school challenges.
View child & teen therapyNeuro-Affirming Therapy
Therapy at Twilight Psychology
Neuro-affirming therapy in Kentucky for ages 3-99, including support for neurodivergence, ADHD, anxiety, substance use, relationships, and life transitions.
Therapy that meets you where you are
Twilight Psychology offers therapy in Kentucky for ages 3-99, including children, teens, adults, couples, and families who want care that is thoughtful, affirming, and practical. Clients come to us for support with anxiety, burnout, identity, masking, neurodivergence, relationship strain, family stress, school pressure, work stress, substance use disorders, domestic violence recovery, PTSD, and faith-integrated counseling.
Individual therapy is one of the clearest insurance-supported services we offer. Many clients use commercial insurance, Kentucky Medicaid, or Medicare for covered care. Couples counseling is a self-pay service, since most insurers handle relationship-focused care separately from individual mental health treatment. Each clinician brings a different specialty emphasis — from child therapy for ages 3-18 to adult neurodivergence support, substance use recovery, domestic violence recovery, faith-integrated counseling, and relationship work — so reviewing the therapy clinicians page is the fastest way to find the right fit before booking.
How we approach therapy
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Evidence-based, assessment-informed care
Our clinicians are trained in evidence-based modalities and draw on neurodevelopmental insights to deliver therapy grounded in clinical depth. Individual sessions can often be billed to accepted insurance plans for covered mental health diagnoses.
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Specialized clinical expertise
Our therapy team now supports neurodivergent care across ages 3-99, including ADHD and autism support, high-masking experiences, PDA, substance use disorders, domestic violence recovery, PTSD, faith-integrated counseling, and identity work.
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Couples and relationship counseling
Couples counseling is a self-pay service offered in 75-minute sessions, with options for weekly therapy, focused problem-solving, or longer intensives.
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Flexible weekday and weekend scheduling
Our Lexington office offers weekday appointments plus Saturday and Sunday appointments by request. Contact our intake team to ask about a specific clinician's current openings — availability varies and some clinicians fill quickly.
Therapy options
Explore the therapy path that fits your needs
Whether you are looking for therapy for a young child, a teen, yourself, your relationship, or the next step after an evaluation, these pages can help you find the right place to start.
Cognitive Behavioral Therapy (CBT)
Evidence-based CBT in Lexington, KY for anxiety, ADHD, depression, and trauma across all ages. Neuro-affirming CBT adapted for neurodivergent clients.
View CBT therapyTherapy clinicians
Compare therapists by expertise, age range, insurance participation, specialty focus, and current availability across child, teen, adult, and couples care.
Meet therapy cliniciansCouples counseling
Learn more about couples counseling, communication work, betrayal recovery, trust repair, and relationship intensives.
View couples counselingTherapy after ADHD or ASD evaluation
See how counseling can support next steps after psychological testing, diagnostic clarification, or medication planning.
See therapy after evaluationInsurance and self-pay
Therapy coverage depends on the kind of care you need
Individual therapy tied to a covered mental health diagnosis can often be billed to accepted insurance plans across child, adolescent, and adult care. Couples counseling and ADHD coaching are typically self-pay, since insurers handle these differently from standard mental health treatment.
Review fees and insuranceScheduling flexibility
Flexible timing can make therapy easier to start
Our Lexington office has weekday and weekend appointments, though timing varies by clinician and age group. Reviewing current waitlist information and clinician-specific availability is the best next step.
Check waitlist timesReady to get started with therapy?
Start with the new client guide if you are ready to request therapy for ages 3-99. If you want more detail first, use the therapy pages above to compare clinicians, couples counseling, and next steps after evaluation.