Frequently Asked Questions

What does therapy involve?

  • Healthy therapy involves a strong relationship between client and therapist, one which is built upon trust and empathy. A major part of my job is to create and maintain an environment in which my clients feel safe, accepted, supported and understood.
  • Because every person is different, the approach I take to each client is unique to both their needs and their personality. I believe our past is always at work in the present, and understanding our past is key in gaining awareness into why we do things the way we do today. This approach is called psychodynamic therapy. At the same time, we live in the present, and may have unwanted/unhelpful behaviors which need to be processed, in the present. To address this I will utilize a variety of cognitive behavioral therapy tools, CBT, to help the client manage their present, even while we explore their past.

How long does therapy take?

  • A few weeks to a few years? Unfortunately, there is no one answer for all clients. You may find after a few sessions that life is far more manageable. On the other hand, some clients stay in therapy for years. Ideally we will fully explore your reasons for seeking therapy and regularly monitor those areas during sessions.
  • It is important to note that clients who are in therapy for extended periods are not "worse" or "less healthy" than other clients who seek out therapy short-term. Many individuals simply find the support that therapy offers to be beneficial enough to continue long-term. As a mentor once told me, "Our journey never ends."

Are sessions confidential?

If you are the parent of a child under 13 years of age, information shared in session may be shared with you. However, all clients 13 years and older have privileged rights in the state of Washington, meaning that I am unable to share any information presented in session with anyone not in session. There are two exceptions to this:

  • If the client signs a Release of Information, ROI, I am able to share information with the party specified in the ROI.
  • If the client discloses intent to harm self, harm others, or if a child being harmed. In these situations I am a mandated reporter by law and must report this information to the appropriate parties.

Insurance Questions

  • Out of Network Provider
    • I am an out of network provider and most insurance companies will reimburse for services based upon your insurance plan's out of network benefits.
    • I provide these superbills on the 10th of each month. If you require more frequent documentation please consult with me.
  • Why don't I work with insurance companies directly?
    • Insurance companies often require a written diagnosis, as well as limit the number of sessions a client can claim per year. I have found that many clients do not want their working diagnosis to be known.
    • Additionally, I believe therapy is completed when client and therapist agree it is, not when insurance benefits have been maxed.
  • What if I can't afford therapy without insurance?
    • I highly encourage you to discuss this issue with me for two reasons:
      • First, your insurance may allow for Out of Network providers, let us explore your benefits together.
      • Second, I hold a select number of hours each week to sliding scale clients. These clients are seen on an adjustible fee basis due to their financial status. The cost per session is determined and agreed upon prior to intake. Please inquire if you would benefit from a sliding scale fee and we can discuss this option for you.

Prices and Session Information

  • Individual Therapy: $150 for standard 50 minute session
  • Individual Intensive: $500
    • Includes: 30 minute consult session, 3 hour intensive and 30 minute follow-up session
  • Do I see Couples?
    • I do not see couples as primary clients. When appropriate I may bring a partner/spouse in for a session with my client. These are an exception and discussed prior to happening.
  • Do I see Families?
    • I do not see families as primary clients. I have found, however, that most adolescent clients I work with benefit from having the parents in at least one session. This allows adolescent clients to communicate needs to their parents within the support of the therapeutic hour.
    • Additionally, I do, at times, see parents individually to engage in adolescent development education to aid in the communication with their adolescent son. These sessions are discussed at length with any adoelscent client I have, prior to occuring.

I've Never Done This Before, What's the First Session Like?

  • Your first session may feel scary, exciting, anxiety provoking, mysterious, awkward, vulnerable and more. You are, afterall, beginning a new relationship. It is my hope that the below information can make this process as safe and informed as possible for you.
    • Before starting work with me, we will have a 20 minute consultation. This may be in person, or via phone. The purpose of this consultation is for you, the client, to gain a sense of who I am, how I work, and my personality. These elements are all vital to help you gain a sense of if our personalities can work well together. We do not go into great depth and detail as to why you are seeking therapy during the consultation. On a scale of 1-10, 10 being your deepest secrets, you will share in the range of 3-4, just enough information to help me understand your goals and the context of our work together.
    • If you would like to proceed, you will register for your HIPAA compliant online portal with Unbound Living. Here you will fill out intake forms and sign a disclosure form. The intake form is where you will give more detail into the context of your life and the areas that you want to work in. These forms are to be filled out prior to our first session.
    • Our first few sessions will be spent getting to know one another, going over your intake, and discussing the process and goals of therapy. Trust is vital to the therapeutic process. Safety/Security + Consitency + Time = Trust. In time you will gain confidence and courage to share more about yourself, at your own pace. It is my job to create an environment where this process can happen for you. I look forward to starting our work together!