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Frequently asked questions

The practical questions people ask before reaching out.

Honest answers to the questions I get most often. If yours isn't here, send it over.

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Starting therapy

Starting therapy with me.

  • How does the first conversation work?
    We start with a free 15-minute phone consult. The point of it isn't to do therapy. It's to figure out whether I'm the right fit for what you're working on. We'll talk briefly about what brought you here, what you've tried before, and what you're hoping for. If it feels like a fit, we schedule. If not, I'll point you toward someone who'd be a better match.
  • How quickly can we start?
    Usually within a week or two of the consult, depending on schedules. If you're in acute crisis or have a specific window, say so during the consult and we'll work to fit that.
  • What if I'm not sure what I'm coming in for?
    That's a normal place to start. Sorting out what's actually here is part of the early work. You don't have to arrive with a clear diagnosis or even a clear question. Bringing the vague sense that something needs attention is enough.
  • Do you take new clients?
    Most of the time, yes. The practice ebbs and flows. If I don't have capacity when you reach out, I'll say so and try to give you useful referrals. The consult call is the right place to find out.
Insurance and fees

Insurance and fees.

  • What insurance do you take?
    I'm in-network with most major Oregon carriers including Regence, PacificSource, Moda, Providence, Aetna, BCBS, Cigna, and UnitedHealthcare. The full carrier list is on the insurance page. I bill insurance directly for in-network plans.
  • What if my plan isn't in-network?
    I can provide a superbill (a receipt with the codes your insurance needs) that you submit for out-of-network reimbursement. Many plans cover a portion of out-of-network therapy. Your benefits department can give you the exact rate.
  • What's the self-pay fee?
    $250 per fifty-minute session. Some clients prefer self-pay even with coverage, to keep the work entirely outside the insurance record.
  • Do you offer sliding-scale fees?
    Not on a regular basis. If insurance and self-pay both feel out of reach, I'd refer you to lower-cost options including community mental health centers and clinics with training therapists.
Sessions and format

Sessions and format.

  • Are sessions in person or online?
    Online. I'm a Portland-based, online-only practice. Sessions are on a HIPAA-compliant video platform. You get a private link a few minutes before each session.
  • How long are sessions?
    Fifty minutes. Same for individuals and couples.
  • How often will we meet?
    Weekly is the standard. Some clients move to every other week as the work settles. During particularly intense stretches, twice-weekly can be useful. We figure out what's right based on what you're working on.
  • Can I do online therapy from anywhere in Oregon?
    Yes. I'm licensed in Oregon, so you can be located anywhere in the state. The practice covers Portland metro, Eugene, Bend, Salem, Hood River, Corvallis, and the smaller cities in between.
The therapy itself

The therapy itself.

  • What approaches do you use?
    I work from cognitive behavioral therapy, psychodynamic work, and an attachment-informed lens. For couples I work from Gottman and attachment frameworks. The approach gets matched to what you're bringing, not the other way around.
  • Do you prescribe medication?
    No. I'm an LMFT, not a prescriber. If medication is part of what you need, I work alongside your prescriber or help you find one.
  • Do you do EMDR?
    No. If EMDR is specifically what you're looking for, I'd point you to a colleague who specializes in it. The work I do for trauma uses cognitive behavioral therapy and trauma-informed pacing.
  • What's the difference between LMFT, LCSW, and a psychologist?
    LMFT (Licensed Marriage and Family Therapist) trains specifically in systems thinking and relational work, with a strong foundation in individual work. LCSW (Licensed Clinical Social Worker) trains broadly with attention to systemic and social factors. Psychologists (PhD or PsyD) have more research training and can do psychological testing. All three can do effective therapy. The credentials matter less than fit with the specific clinician.
Next step

Have a question that's not here?

Send it over. I'll get back to you within two business days. You can email, call, or text — whichever works best for you.