​Frequently Asked Questions

I think therapy might be helpful, but I can't afford it. What should I do? 

  • Consider the long-term costs of not prioritizing therapy. Some of these costs may be related to health, legal, job/work, school, or relationships. 
  • Therapy is an investment of time and money. Consider where you may be able to cut back, even temporarily, in order to invest in yourself and your relationships. 
  • Consider resources available to reduce the financial burden 
    • Health Spending Account or other tax deduction
    • Insurance reimbursement: even if I do not participate with your plan, you may be eligible for out-of-network benefits, which means you would receive a portion of the payment
  • Reducing frequency, if clinically appropriate. When finances are a barrier, we might discuss meeting less frequently, such as every other week or once per month. 

Why don't you take my insurance? 

  • Unfortunately, I am not able to participate with all insurance plans. However, even if I am not a participating provider, I will work with you to achieve the maximum benefits you are entitled to. 
  • Consider further benefits of self-paying for treatment such as greater flexibility and control over privacy 

If I have to cancel, will I be charged? 

  • Your time is reserved specifically for you. Cancellation policies are not meant to be punitive but to respect our time and maintain clear boundaries relating to matters of business in therapy. 
  • Once you make an appointment, you are expected to pay for the session. As a courtesy I allow for cancellations with 24 hour notice without any fee. However, please consider when scheduling that I maintain a small practice in order to give high quality care to each of my clients, which means I am not easily able to absorb last minute scheduling changes. 
  • In cases of true emergency, where we both agree that canceling a session at the last minute was unavoidable and necessary, I will allow for reduced or waived session fee. 
  • ​I understand that sometimes business policies can be complicated in a therapeutic setting. I will do my best to work with you when these unexpected situations arise and ask for your cooperation and understanding as well.  

How often will we meet? 

  • Typically, I will recommend we begin with weekly appointments. Weekly appointments allow us to quickly get into a working relationship and help you begin making progress. 
  • ​As you make progress, we will continue to review frequency of appointments and adjust to best suit your needs. Typically we will transition in small chunks, such as from weekly to bi-weekly. If progress is maintained during longer periods of time, we will continue to decrease frequency. 
  • Maintaining "prevention" and "maintenance" sessions, such as meeting monthly or quarterly, can be helpful in fine tuning skills and maintaining support as new events, stressors, or transitions may trigger relapse of symptoms. 

Are the things we talk about during therapy private?

  • Things that we discuss in the context of therapy are confidential. I do not release information about our therapy sessions without your written permission, and even in those instances, often what is discussed is limited in scope. 
  • There are, however, some legal exceptions where I am required to break confidentiality:
    • I am required to report if I suspect serious threat of harm to self or others
    • I am required to notify the authorities if I have cause to suspect that a juvenile under age 18 or a frail or vulnerable adult has been abused or neglected
    • If you are involved in a legal proceeding, a judge may order me to disclose information related to your treatment.
    • I will make an attempt to discuss my concerns and obligations with you should any of these situations occur
  • Your privacy is my priority. Sometimes situations occur where we may run into each other in social settings outside of the therapy office. To respect your privacy, I will not greet or acknowledge you unless you first indicate that it’s okay​