ANXIETY AND TRAUMA THERAPY IN SEATTLE, WA

No, I do not. All of my sessions are offered via telehealth or in person in parks throughout the Seattle area.

It can be—but it's true that it is not as private as online therapy. We will do our best to stay out of earshot of others, and to most, we'll just look like two friends chatting. If we run into someone you know, I will follow your lead—you can introduce me as your friend, colleague, sister's best friend's aunt...whatever you are most comfortable with so we can get back to our session.

My fees are $180 per 55-minute session and $275 for initial 90-minute intake session.

The short answer is that I am in network with Premera Blue Cross, Regence Blue Cross/Blue Shield, and LifeWise and can bill directly for your sessions. Be sure to check your benefits regarding your copay/coinsurance and deductible; these will be charged to your card on file the evening of the day of your session.

For other insurance companies, I am able to provide you with a "super bill" upon request, which includes all information needed for insurance reimbursement IF your plan offers this. Please check with your insurance policy about your out-of-network mental health benefits if you plan to use this.

The decision to use insurance is personal, and there are several things to consider:

• Cost: Using insurance can lower the per-session cost of therapy, particularly once your deductible is met. Copays or coinsurance may make sessions more affordable than private pay, depending on your plan. However, many insurance plans—especially high-deductible plans—require you to pay the full session fee until that deductible is reached. For those with high-deductible plans or limited mental health coverage, private pay can sometimes be comparable in cost and simpler to manage, especially when factoring in time, flexibility, and clarity. Understanding your specific benefits (deductible, copay, and coinsurance) helps clarify whether insurance will truly reduce your out-of-pocket costs or mainly spread them out over time.

• Diagnosis on Record: Insurance companies require proof of "medical necessity" for payment. This means that you will need to have a diagnosis in your medical record, and paperwork submitted for payment must reflect services provided that address that medical concern. Certain diagnoses, including PTSD and some depressive disorders, can negatively affect eligibility, premiums, and terms for benefits like life insurance.

• Flexibility and Interruptions: Insurance can limit how often and how long we meet, regardless of what you and I may determine is personally or clinically beneficial for you. Sessions may be capped, spaced out, or interrupted by authorization requirements or coverage changes. For some people, especially when therapy isn’t urgent or when a slower pace feels okay, these limits may be manageable. But if you’re hoping to build momentum, work more intensively, or see meaningful change sooner, it’s worth considering how insurance restrictions might affect the pace and continuity of your care.

• Confidentiality: I do all that I can to limit specific disclosures to insurance companies; however, in order for services to be approved, "medical necessity" must be proven in the notes that I am required to submit to insurance companies for payment. Without insurance, those notes are not shared with anyone without explicit legal exceptions (with written permission by you or by subpoena, for example).

• Focus on Your Therapy: When we’re not navigating insurance requirements, our time and energy stay focused on you and your therapy. Sessions aren’t shaped by billing rules, diagnosis requirements, or documentation designed for insurance review. That can mean more flexibility in how we work, more room to follow what’s actually showing up for you, and fewer interruptions or detours driven by paperwork rather than your needs.

This free 20-minute call gives us a chance to see if we're a good fit to work together. It's not therapy, and I won't ask you to go to into the nitty gritty of what you're going through. It is a chance for you to share why you're seeking therapy at this time and hear about the type of work I do, for me to see if what you're dealing with is something I can help address, and for us to ask any questions we might have before starting therapy together. If we both agree to move forward, we can schedule our first session. If not, I can help you find someone who can better meet your needs.

Congratulations on taking a step toward healing! Here are the steps toward working together:

1. First, we'll have a (free) 20 minute consultation call (reach out to schedule below). This allows us to see if we're a good fit to work together before we jump into sessions.

2. If we decide to work together, we'll schedule an intake session. This 90-minute session is a chance for hear more in depth what you're looking to work on and to share more about your history and who you are. I'll send you some paperwork beforehand to make our time as efficient as we can. We'll also talk about types of therapy we can do in this session.

3. At the end of the intake session, we'll schedule our weekly 55-minute sessions.