Fees &
frequently
asked
questions.
Clear answers to practical questions.
Therapy is a significant investment of time, attention, and money. I believe you should be able to understand the practical details before deciding whether to contact me.
Fees
Practical details.
$240
For a 50–55 minute individual psychotherapy session.
Payment is due at the time of service.
Do you accept insurance?
I do not participate with insurance companies and am not an in-network provider.
This is an intentionally private-pay practice. It allows our work to be guided by what is clinically useful to you rather than by an insurer’s requirements regarding diagnosis, treatment, or session limits.
If your insurance plan includes out-of-network mental health benefits, you may be eligible for partial reimbursement. I can provide the documentation typically needed for you to submit a claim to your insurer.
Because plans vary considerably, I recommend contacting your insurance company directly if you would like to understand your out-of-network benefits.
Are reduced-fee appointments available?
I may keep a small number of appointments available at a reduced fee, depending on availability and individual circumstances.
You are welcome to ask.
What is your cancellation policy?
Appointments cancelled with less than 24 hours’ notice are charged the full session fee.
I understand that emergencies and unexpected circumstances happen, and I will use reasonable judgment when they do.
The work
How therapy works.
Questions about frequency, duration, focus, and what beginning therapy may look like.
How often do we meet?
For most people, therapy begins with weekly appointments.
That consistency gives us enough continuity to understand what is happening, notice patterns as they emerge, and begin doing meaningful work together.
Frequency can change over time depending on your needs, progress, and circumstances. We can make those decisions together rather than assuming one schedule will be right throughout therapy.
How long will I be in therapy?
There isn't a single answer.
Some people come to therapy with a relatively focused concern. Others are trying to change patterns that have been part of their lives for many years.
I don't believe in keeping people in therapy simply because therapy has become familiar. Nor do I believe in imposing an arbitrary timetable on work that needs more time.
We will talk openly about how therapy is going, what is changing, what still needs attention, and whether continuing remains useful to you.
Do you work only with anxiety?
Anxiety, chronic worry, overthinking, perfectionism, and self-doubt are particular areas of interest in my practice, especially in thoughtful, conscientious women.
The concerns that bring people to therapy are rarely simple or isolated from the rest of their lives.
Our work may also touch grief, relationships, identity, transitions, loss, trauma, self-criticism, responsibility, or other parts of your life that are connected to what brought you to therapy.
Fit
Who do you work with?
I work with adults of any gender when my experience and approach are a good fit for what brings them to therapy.
My practice has a particular interest in working with women.
I do not provide couples therapy or psychotherapy for children or adolescents.
Telehealth
Is your practice entirely online?
Yes.
All appointments are provided through secure telehealth. You must be physically located in Washington or Oregon at the time of your appointment.
You will need a reasonably private location and a reliable internet connection.
Does telehealth work as well as in-person therapy?
Yes.
Research has found telehealth psychotherapy to be as effective as in-person psychotherapy for many of the concerns treated in outpatient practice.
The experience is different, however, and telehealth is not the right fit for every person or every clinical situation.
Some people strongly prefer meeting in the same physical room. Others find that being in their own environment makes it easier to settle into therapy, speak openly, or incorporate appointments into their lives.
Telehealth also offers practical advantages: no commute, greater geographic access, and the ability to attend therapy from a private place that is already familiar to you.
If I believe telehealth is not an appropriate form of care for what you need, I will tell you.
Beginning
What happens next?
What happens after I contact you?
I will respond by email so we can determine next steps.
That may involve exchanging a little additional information, arranging a brief phone conversation when useful, or scheduling an initial appointment.
You are not committing to ongoing therapy simply by contacting me.
What happens in the first appointment?
The first appointment gives us time to begin understanding what has brought you to therapy, what has been happening in your life, and what you hope might become different.
I will ask questions. You will have an opportunity to ask questions of me.
We will also begin considering whether my approach feels appropriate for what you need.
You don't need to arrive with a polished explanation of yourself.
We begin where you are.
What if I’m not sure therapy will help?
You don't have to be sure.
Certainty is not a requirement for beginning therapy.
Sometimes the first useful step is simply becoming curious about whether something could be different.