Frequently Asked Questions
Getting Started
How do I know if therapy is the right fit for me?
Many people begin therapy when they feel overwhelmed, emotionally exhausted, stuck in repeating patterns, or disconnected from themselves or their relationships. You do not need to be in crisis for therapy to be helpful. Therapy can be a space to slow down, reflect, and create meaningful change.
What issues do you help with?
I work with adults and couples navigating burnout, prolonged stress, trauma, grief, ADHD, relationship challenges, life transitions, and the emotional impact of carrying high levels of responsibility. I often work with healthcare professionals and other high-responsibility adults who are used to being the ones others rely on.
What is your approach to therapy?
My work is relational, collaborative, and insight-oriented. I integrate relational psychodynamic therapy, mindfulness, iRest-informed practices, ACT, and exposure-based approaches depending on your needs. I believe therapy works best when there is a strong therapeutic relationship and enough space to explore both present challenges and the deeper patterns beneath them.
Telehealth Therapy
Do you offer in-person therapy?
No. My practice is fully telehealth-based.
What states do you serve?
I provide telehealth therapy to clients located in Washington, Oregon, Illinois, New Mexico, and Florida. I am also PSYPACT credentialed, which allows me to provide telepsychology services in participating PSYPACT states.
Because telehealth laws vary, your physical location during session matters.
Is online therapy effective?
Yes. Telehealth therapy can be highly effective when there is privacy, consistency, and a strong therapeutic relationship. Many clients find online therapy allows them to stay engaged in treatment more consistently because it reduces travel time and scheduling barriers.
What do I need for telehealth sessions?
You will need a private space, stable internet connection, and a device with a camera and microphone. Headphones are often helpful for privacy, especially if others are nearby.
Fees & Insurance
Do you accept insurance?
I am a private-pay practice and do not bill insurance directly.
I can provide a superbill for individual therapy sessions if you would like to seek possible out-of-network reimbursement from your insurance provider.
Why don’t you bill insurance for couples therapy?
Most insurance plans do not reimburse for couples therapy unless one partner receives a mental health diagnosis and treatment is framed as medically necessary for that individual. I prefer to keep the focus on the relationship itself rather than forcing one person into the role of the identified problem.
Private pay allows couples therapy to stay centered on communication, connection, conflict patterns, and shared goals rather than insurance limitations.
What are your session fees?
Session fees vary depending on the type and length of service.
Individual Therapy (50 minutes): $240
Couples Therapy (50–60 minutes): $275
Extended Couples Sessions: discussed based on length and treatment needs
Professional Consultation / Supervision: $250
Please visit the Fees page for full details.
What is your cancellation policy?
I ask for at least 24 hours’ notice for cancellations or rescheduling. Appointments canceled with less than 24 hours’ notice, as well as missed appointments, are charged the full session fee.
Couples Therapy
Do you work with high-conflict couples?
Yes. I work with couples experiencing recurring conflict, emotional disconnection, trust concerns, communication breakdowns, and long-standing relationship patterns that feel difficult to shift.
The goal is not to determine who is right or wrong, but to understand the pattern both partners are caught in and create more clarity, safety, and movement forward.
Can we attend couples therapy from separate locations?
Yes. Partners may join from the same home or from separate private locations depending on what works best clinically and practically.
Consultation & Professional Support
Do you offer consultation or supervision for other therapists?
Yes. I offer professional consultation and supervision for psychologists, therapists, and helping professionals. This may include case consultation, reflective supervision, burnout prevention, boundary work, and support with private practice development or professional transitions.
These services are private pay and are not billable to insurance.
Frequently Asked Questions About Urgent Support
Are you available for emergencies or crisis situations?
No. My practice is not a crisis service, and I am not available for urgent, emergency, or after-hours mental health support.
I do not provide 24/7 coverage, emergency response, or immediate crisis intervention through phone, email, portal messaging, or telehealth sessions.
If you are experiencing a mental health emergency, feel unsafe, or need immediate support, please use immediate crisis resources rather than waiting for a response from me.
What should I do if I am in immediate danger?
If you are in immediate danger, concerned for your safety, or experiencing a life-threatening emergency, call 911 or go to your nearest emergency room right away.
What is 988 and when should I use it?
988 Suicide & Crisis Lifeline is available 24/7 for immediate support for emotional distress, suicidal thoughts, mental health crises, or urgent emotional safety concerns.
You can call or text 988 anytime for immediate support.
What if I need urgent psychiatric support but it is not a 911 emergency?
If you are unable to stay safe or need urgent psychiatric evaluation, please go to your nearest emergency department for immediate support.
You can also use crisis services such as 988 for guidance and connection to additional local resources.
Is there a text-based crisis resource available?
Yes. You can text HOME to 741741 to connect with the Crisis Text Line for immediate support.
How should I contact you between sessions for non-urgent matters?
For non-urgent communication and administrative needs, I use Spruce Health for secure messaging.
Spruce may be used for:
Scheduling changes or appointment questions
Brief administrative communication
Billing questions
Coordination related to paperwork or forms
General non-urgent updates relevant to care
Messaging through Spruce is intended for brief, practical communication and not for ongoing therapy between sessions.
Because thoughtful clinical work is best done during scheduled appointments, messages should remain focused on non-urgent logistical matters rather than processing complex emotional concerns.
Can I use Spruce or the client portal for urgent emotional concerns?
No. The secure client portal should only be used for scheduling needs and brief administrative communication.
Portal messages should not be used for urgent emotional crises, emergencies, safety concerns, or situations requiring immediate clinical response.
If you need urgent help, please use crisis resources rather than waiting for a response.
What if I need more support between sessions?
Therapy can bring up difficult emotions, and there may be times when things feel more intense between appointments.
Part of treatment may include building a plan for support outside of session, including coping strategies, personal support systems, and additional resources to help you stay grounded.
If a higher level of care becomes clinically necessary, we will discuss appropriate referrals and additional support options.
Your safety matters, and getting immediate help when needed is an important part of care.
Next Steps
How do I get started?
You are welcome to schedule a complimentary 15-minute consultation. This gives us a chance to briefly discuss what you are looking for, whether the practice feels like a good fit, and next steps for beginning therapy.
What if I’m not sure where to start?
That is very common. Beginning therapy can feel like a big step. A consultation can help clarify what support you are looking for and whether working together feels like the right next step.