Frequently Asked Questions

Yes. I accept all insurances listed below. We would verify your coverage before the initial session.

Blue Cross
Blue Shield
Private Pay
First Choice Health | FCH
BlueCross and BlueShield
Out of Network
Healthcare Management Administrators | HMA

Yes! For out of network and private pay clients I am able to provide you a superbill-an itemized receipt that allows you to submit for out-of-network benefits. Out-of-network services may be reimbursed in full or in part by your health insurance or employee benefit plan. Health Savings Accounts (HSA) are also able to be used as payment, helping offset therapy costs.

Yes! Please check with your insurance company to confirm that you have the ability to see out-of-network clinicians. Clients who have out-of-network benefits generally have to meet some kind of out-of-pocket deductible before they can begin getting reimbursed. The reimbursement rates depend on your insurance.

I’ve seen clients receive reimbursement for anywhere between 30-90% of therapy costs. It’s important to know that even if you’re eligible for reimbursement, working with me as an out-of-pocket client means paying fees up front and waiting for insurance claims to be processed. I do my best to help you navigate this process.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit: or call HHS’s toll free number 1-800-985-3059.

Some of the therapy approaches I use are:

  • Person-centered, which focuses on collaboratively exploring your experiences and offering insight and solutions to your challenges.
  • Family Systems, which focuses on understanding how your childhood family operated, your role in that system, and how that experience has shaped your role in current relationships.
  • Emotion-Focused, which helps you identify emotions, learn to explore and experience them, to understand them, and then to manage them.
  • Cognitive Behavioral, which assists you in identifying, testing the reality of, and correcting dysfunctional beliefs underlying thought processes, before working to modify those thoughts and the behaviors that flow from them.
  • I also regularly incorporate somatic tools and exercises and psychoeducation around the brain and the body to build better awareness.

No, currently all sessions are online via a secure telehealth platform called Simple Practice. Benefits to online therapy include reduced travel time, accessibility from anywhere in the state, being able to meet from the comfort and privacy of your own home, and being able to schedule more easily during or around work hours.

In our first session we will focus on what brings you to therapy, answering any questions that are coming up for you, and exploring any specific goals you have for our sessions. Following sessions will be a combination of exploring patterns, education around the psychology of the mind and body, learning tools to help with increasing introspect and coping strategies, and re-writing the stories you tell yourself. We will work collaboratively to uncover the strengths and resources within you, and discover new possibilities for your life going forward.

Therapy sessions are around 55 minutes and we meet weekly. I require weekly sessions so that we can build the working relationship required to do deep work and meet your goals. Biweekly sessions can become an option further into treatment if determined appropriate for severity of symptoms and/or if significant progress has been made. It is valuable to note however, that biweekly sessions can impact clinical effectiveness and treatment duration due to the longer gaps between sessions and spending increased time on "updating" your therapist rather than processing.

Therapy usually lasts as long as you are still working towards your goals or as long as you still experience a benefit from sessions. We will maintain open communication about progress toward goals and your feelings about the course of our work together.

It depends!

I have worked with some clients for years and some for short periods of time; it all depends on their needs and processing pace.

What someone comes to therapy for, how motivated they are, the frequency of sessions, and an individual’s life circumstances all contribute to the duration of therapy.

I believe what’s important to remember is that for most people, therapy is ongoing over the course of a lifetime. There will be times when life moves smoothly and other times when it does not. In addition, therapy can be valuable even when things are going smoothly in life. I love to be able to hold space for good things, humor, creativity, and even silence is okay and welcome in therapy. Having a consistent, non-judgemental support person in a safe space is really healing for all of us, whether we are seeking support in a rough time or throughout the ebbs and flows of life experiences.

Insurance companies require a Current Procedural Terminology (CPT) code in order to process your claims. The CPT code defines the procedures or services provided during your visit. Below are the codes that I use for individual and couples counseling.

Individual Counseling:

Individual Intake Session - 90791

Individual Therapy Session - 90837

Couples Counseling:

Couples Intake Session - 90791

One-On-One Meeting with Partner Session - 90846

Couples Therapy Session - 90847

Your weekly hour is reserved for you, and therefore your financial responsibility for the duration of our therapeutic agreement. In the event that you need to cancel and/or reschedule our meeting I ask for at least 24 hours notice unless there is an emergency (e.g. death or birth in the family, an accident, serious illness or injuries of yourself or someone you care for). Work, scheduling or travel related conflicts will not be exceptions to this policy. The first late cancellation or no show will be subject to 50% of the full session fee and all following late cancellations and no shows will be subject to full session fee. You are not required to pay for any sessions that I cancel.

It depends. In the United States, each state has different laws and regulations regarding whether a therapist outside of that state can provide online therapy to a client who is traveling to or living in that state. In other countries, the laws and regulations also vary regarding whether a licensed therapist in the U.S. can provide online therapy to a client traveling to or living in that country. I am currently licensed in Washington State. If you are interested in working together while traveling or if you live outside of Washington part-time or full-time, please let me know and I will research whether online therapy across state lines or internationally will be allowed depending on your location.

You can call or email me for a free 15 minute phone consultation to discuss your specific areas of concern and assess if we are a good client/therapist fit. If I am not the right fit for you, I still want to help you connect with someone who is.

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