What to Expect

Therapy works best when we meet frequently and consistently. Weekly sessions allow us to develop a consistent time and space to dig deeply into your experience. Setting aside this time for yourself is a gift of focus and attention on what matters most. 


We typically begin with a brief phone consultation, to discuss what you’re looking for and what I can offer. From there, we schedule an initial face to face session (in person or online) to get a sense of one another. Research shows that the most important factor in lasting therapeutic change is the quality of the relationship between client and therapist, not the particular type of therapy. Our first session gives us both the opportunity to discern if we can work well together.


I meet with individuals for 50 minutes, and couples for 70 minutes. For individual psychotherapy, I can be considered an out-of-network provider for most insurance companies, and can provide you with a receipt for reimbursement purposes. I am not able to work with any insurance for couples counseling.


Using insurance requires a mental health diagnosis. Diagnosis can be a useful tool in identifying what is going on, and help direct the course of our work. However, diagnosis is not comprehensive, and I do not treat diagnoses as much as I work with you - the unique and complex person that you are. Sometimes a diagnosis is not present, in which case we will not be able to use insurance. However, we will still be able to do deep and transformative work together.


On a case-by-case basis, I may be able to offer reduced-fee (aka sliding scale) counseling. This is limited by availability, and is for those experiencing financial need.


If you’re ready to take the next step, send me an email or call 206-395-3899 to schedule a free initial consultation.


No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers are required to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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, visit www.cms.gov/nosurprises.