I offer both!

Sessions can be in person in Spokane or online for anyone in Washington, Idaho, and Vermont.

Many people prefer to meet online from the comfort of their own homes. Others enjoy the connection of being in the same room with the therapist. It depends on your comfort level and what works best for you.

I offer therapy sessions Mon-Thurs 9:30-4:30.

I do not accept insurance. All of my services are private pay - with a credit card, FSA, or HSA.

I am an Out of Network provider. I would be happy to provide you with monthly paperwork (Superbill), which you can use to submit to your insurance for a possible partial or full reimbursement.

Please know not all insurance plans offer reimbursement for out-of-network providers, and some plans may have a deductible or an allowable amount. I recommend calling the customer service number on the back of your card and speak to a representative for details about your specific plan.

Questions to ask your insurance provider about out-of-network benefits:

• Do I have out-of-network (OON) outpatient mental health benefits?

• If I have out-of-network outpatient mental health benefits, what percentage or dollar amount will I be reimbursed for psychotherapy?

• Is online therapy (aka telehealth, telemental health, or teletherapy) covered by out-of-network benefits?

• Do I have an annual deductible? If so, how much is it, and how much of my deductible has been met for this year?

• If I have a deductible, will I need to pay out of pocket for OON psychotherapy until that deductible has been met? After the deductible has been met, what percentage or dollar amount will I be reimbursed for OON psychotherapy?

• What documentation do I need to submit to receive out-of-network psychotherapy reimbursements?

• Do I need a referral from an in-network provider to see an out-of-network provider?

If you have questions or are unsure about this process, we can discuss further details in your phone consultation.

Individual sessions: $220 initial intake; $200 per session thereafter

Couples sessions: $255 initial intake; $235 per session thereafter

All sessions are 55 minutes.

I accept all major debit and credit cards, Health Savings Accounts, and Flexible Savings Accounts cards.

You will enter this information in a secure client portal before our first session and will be billed automatically at the completion of each session.

When you schedule an appointment, that time is reserved just for you.

In the event you need to reschedule your session, please give me 48 hours’ notice, or you will be charged the full session fee. In the case of an unavoidable conflict or emergency, we can discuss possible options to avoid the cancellation fee.

The first step is finding the right therapist. I offer a free phone or video consultation so you can decide if I would be a good fit, and we can explore how I might be able to help you. Click HERE for the consultation guide.

During the first few sessions, we will talk about the struggles that bring you to therapy and define your goals. We will then work together to help you achieve those goals. Sometimes things can seem worse before they get better as you try new ways of approaching problems. Being open to new ideas and trying new things will likely improve the outcome.

How long therapy will take is influenced by many factors including your schedule; therapist availability; ongoing life challenges; specific nature and acuity of your specific challenges; and engagement in the therapy process between sessions.

The research suggests most therapy clients feel clinically significant improvement in 12 - 15 sessions, and I would expect the same for us. Some clients progress quickly and graduate within that time. Others find they enjoy the process of therapy and want to continue.

My goal is to help you meet your goals as soon as possible.

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

If you receive a bill 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 more information about your right to a Good Faith Estimate, click HERE.