Policies

Initial Appointment
I offer a 15 minute no fee consultation, either on the phone, so that we can explore the issues you would like to discuss in therapy and see if it feels like a good fit to work together. At the end of this conversation, I will give you an assessment as to whether I think my practice is a good match for you. You will assess me, too, and decide if you will feel comfortable working with me.

Making an Appointment
Once we decide that we will work together, appointments can be made by email or calling me at 206.800-6516. When we establish a regularly scheduled appointment time, that time is reserved for you. If you have an irregular schedule, we will schedule on a weekly or biweekly basis.

Cancellations
If you need to cancel or reschedule our appointment, please contact me at least 48 hours prior to our session. If you cancel or reschedule an appointment with less than 48 hours notice or do not show up to an appointment, you will be charged for the session. Exceptions may be made, at my discretion, for emergencies. Insurance does not reimburse for missed sessions.

About Your Therapy
If you are new to therapy, or you simply have questions while we are working together, I encourage you to let me know. I aim to create a safe and comfortable space for you. If the therapy is not meeting your needs and you would like the therapy to go in a different direction, I encourage you to speak with me about it.

A Note about Diagnosis
Diagnosis is a process of gathering information to understand a mental health condition and linking that information with knowledge about various cognitive, emotional, and behavioral conditions. The DSM-5, or Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, is the guide used by me and the majority of psychotherapists for diagnosis.

It’s important for you to know that if you are using insurance for your therapy with me, I am required to submit a diagnosis code to your insurer for billing purposes. We will talk about your diagnosis and I will answer any questions you may have. It’s important for you to know that we can update or change this information as needed.

When Therapy is Complete
It might seem unusual to mention the end of therapy now, while you are just getting started. It’s important to have an understanding of the ending process at the beginning of our work together. During therapy, we will discuss how you feel the therapy is going and we will assess your progress toward what you have defined as your treatment goals. No matter what amount of time we have been working together, it’s important to have some time to resolve and have closure around the end of the therapeutic relationship. There is value in a planned process to review the work that you have done, to honor your time and commitment, and to acknowledge our shared relationship.

If you have any questions about the information on this page or about getting started in therapy, please feel free to contact me so that we can talk about it. I’d like to assist you in any way that I can. I look forward to hearing from you.

Fees

Initial Consultation: Free for 15 mins
Initial Individual Intake $170 for 55 mins
Individual Therapy: $170 for 50-53 mins
Couple Intake: $200 for 55 mins
Couple Therapy: $200 for 55 minutes

Payment and Insurance
All fees are due on the day of the session. I accept major credit cards and HSA cards.
I am currently in network with First Choice Health Network(FCH), Lifewise, Premera Blue Cross, and most Kaiser PPO plans. Please verify with your insurance provider that I am a preferred provider and check with your insurance to clarify your coverage, benefits, and deductible before beginning therapy. Please notify me of any insurance changes during therapy.

I am an out-of-network provider for all other insurances. Upon request I can provide a monthly statement (superbill) for you to submit to your insurance for reimbursement to you for out-of-network benefits.

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 health care 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, visit www.cms.gov/nosurprises or call 1-877-696-6775.