Got questions? You’re not alone.
Here are answers to what folks often ask before starting therapy.

Let’s clear some things up.

Therapy can bring up a lot of questions — especially if you’ve had mixed experiences before. These are here to help you feel more grounded in the process.

  • Do you offer in-person or telehealth sessions?

    Yes to both!

    I offer secure telehealth therapy for adults anywhere in Washington State, and I also see clients in person at my cozy Blaine, WA office (just minutes from the border). You can choose what feels best — or even switch between the two.

    What if I’m exploring ADHD or am curious about neurodivergence — but don’t have a diagnosis?

    You don’t need any kind of formal diagnosis to begin therapy with me. Whether you’ve been officially diagnosed, self-diagnosed, are actively exploring your neurodivergence, or don’t identify that way at all — you are welcome here.

    I work with many clients who are curious about ADHD or autism but aren’t sure where they fit yet. And I also work with folks who simply feel anxious, overwhelmed, perfectionistic, people-pleasing, or stuck — without needing to name that experience in diagnostic terms.

    My job isn’t to label you. It’s to meet you where you are and support you in reconnecting with yourself — whatever that journey looks like.

  • What are your fees?

    I offer an equity-based sliding scale, inspired by the Green Bottle Method:

    • $175 – Full Rate

    • $150 – Middle Rate

    • $125 – Reduced Rate

    • $100 – Sliding Scale (limited space)

    You’re invited to choose the tier that best fits your current financial situation — no proof required. This model is grounded in trust, sustainability, and the belief that mental health care should be more accessible.

    Can I change my rate later?

    Yes — life changes, and your rate can too.
    If your circumstances shift, just let me know and we’ll revisit your fee together, no judgment, no proof required. This scale is built on trust.

    Do I need to explain my rate choice?

    Nope. You are the expert on your own circumstances.
    You don’t need to justify or explain your choice — that’s the whole point of an equity-based model. I trust you to know what’s sustainable for you.

    What if my financial situation changes unexpectedly?

    If you’re experiencing a temporary financial crisis or shift in income, let me know — we can talk through options like pausing sessions, adjusting frequency, or short-term rate modifications if available. I want care to be flexible, not punishing.

    What’s included in the session rate?

    Your session fee includes:

    • Weekly or biweekly therapy sessions

    • Access to secure messaging for limited between-session check-ins

    • Time I spend outside of session (notes, prep, occasional resources)

    It does not include:

    • Additional session time beyond our agreed duration

    • Letters or documentation requests (these are discussed and billed separately if needed)

    What if the $100 sliding scale still isn’t accessible?

    If none of these rates are accessible to you right now, please know I see how hard that is — and it doesn't make your need for support any less valid.

    I recommend checking out Open Path Collective, a nonprofit network offering therapy sessions between $40–$70. It's a resource I truly value, created to bridge the gap for folks who are often left out of traditional care systems.

    Everyone deserves support. If I’m not the right financial fit, I’ll always do my best to help you find someone who is.

  • Are you in-network with my insurance?

    It’s highly possible — I’m in-network with several major insurance providers, including:

    Premera, Lifewise, Regence, Aetna, Moda, United Healthcare, HMA, and Anthem.

    If I’m in-network with your plan, I’ll bill your insurance directly. You’re only responsible for any copay, coinsurance, or deductible your plan requires.

    Not sure what your benefits cover? No worries — I’m happy to help you understand your options before we begin. Just reach out.

    If you don’t take my insurance, can I use out-of-network benefits?

    If I’m not in-network with your insurance plan, yes, you may still be eligible for out-of-network reimbursement. That means you pay me directly for sessions, and your insurance company may reimburse you for a portion of the cost.

    To support that, I provide monthly superbills — these are special receipts with all the necessary information (like CPT codes, session dates, and fees) for you to submit to your insurance.

    Just let me know you’ll need one, and I’ve got you. There’s no extra charge and no hassle — I’ll make sure it’s formatted correctly and sent to you at the end of each month.

    If you're not sure whether your plan includes out-of-network benefits, I recommend calling the number on your insurance card and asking:

    • Do I have out-of-network mental health coverage?

    • What is the reimbursement rate for CPT code 90837 (individual therapy)?

    • Do I need to meet a deductible first?

    Insurance can be confusing (you’re not alone in that), and I’m always happy to help walk you through the process or clarify anything you need along the way.

  • What’s your therapy style like?

    I bring warmth, real talk, and curiosity — never pressure to “fix” yourself.

    I pull from Acceptance and Commitment Therapy (ACT), Compassion-Focused Therapy (CFT), inner child work, and IFS-informed parts work.

    Expect a mix of reflection, emotional depth, and co-created strategies that honor your nervous system.

    How long does therapy take?

    There’s no one-size-fits-all timeline — and honestly, I’d be skeptical of any therapist who promises one.

    In my practice, I like to go deep. That means we’re not just addressing surface-level coping, but gently untangling the roots: beliefs, patterns, and protective wiring your brain has developed over time.

    Because real change takes repetition, safety, and spaciousness, most of my clients begin to feel a meaningful internal shift between 18 months and 2 years of consistent work.

    I typically recommend starting with weekly sessions to build momentum and trust — especially early on. That said, I’m always open to working collaboratively around your capacity, needs, and nervous system.

    What do we actually do in therapy?

    Some days we dive into your history. Other days we name what’s overwhelming in the moment.

    We might explore your inner parts, practice new boundaries, unpack shame, or build real-world systems that support your actual brain.

    It’s not one-size-fits-all — we go at your pace, together.

    Who is your practice not the best fit for?

    I work primarily with adults who are navigating things like anxiety, burnout, people-pleasing, complex trauma, identity exploration, and patterns that no longer serve them — with or without a formal diagnosis. Many of my clients are neurodivergent (ADHD, autistic, or questioning), but you do not need to identify that way to work with me. If you're thoughtful, reflective, and looking for deeper, values-based work — you're in the right place.

    That said, my practice is best suited for those with low support needs and the capacity for weekly or biweekly outpatient therapy. My style is relational, depth-oriented, and paced intentionally — built for clients who are ready to go inward and explore long-term change.

    At this time, I’m not able to provide care for:

    • High-acuity situations where there’s significant or ongoing risk of harm to self or others

    • Clients needing multiple sessions per week or emergency/crisis care

    • Court-mandated or highly structured therapeutic requirements

    I work independently and am not part of a larger care team or 24/7 support system, so I can’t offer the level of monitoring or intervention that higher-risk cases may require.

    *If that’s where you’re at — you still deserve care. I’d be happy to refer you to trusted colleagues in group practices or higher-acuity settings that are better equipped to support your needs.

    Do you work with fat liberation and eating/body issues?

    Yes — and I take a non-pathologizing, anti-diet, HAES®-aligned approach that centers body trust and autonomy over control or compliance.

    I'm a Certified Intuitive Eating Counselor, which means I help clients rebuild their relationship with food and body from the ground up — without shame, restriction, or performative “wellness.”

    I support folks unpacking:

    • Body image struggles and weight stigma

    • Diet culture harm and chronic dieting

    • Medical trauma and ableism in healthcare

    • The grief and tenderness that often comes with body liberation work