Frequently Asked Questions

My current rate is $250 for all 50-minute individual sessions (therapy, coaching and healing) and $295 for 50-minute couples/relationship therapy or coaching. Initial couples therapy sessions are 75 minutes long and are prorated at $440. Longer sessions or couples therapy intensives are all prorated based off my standard fee.

Discernment Counseling (a highly structured, short-term process for married couples on the brink only) is $650 for the initial two hour session and $500 for subsequent 90 minute sessions.

Reduced fees: While I have limited spots for reduced fee sessions, you’re welcome to inquire about them. If you need a reduced fee, please provide information about your financial situation when you first reach out. Please note that due to the short-term nature of Discernment Counseling, I don’t offer reduced fees for that service.

Bear in mind that solo sessions in the context of couples therapy are charged at the same rate as couples therapy. This is because the “treatment unit” is still the couple. Essentially, solo sessions are catered toward helping our couples therapy work be as useful as possible.

Note about the financial investment: My fee isn’t solely for our session time together, but also for the time and money I spend thinking about our work, taking professional development trainings and receiving paid mentorship from highly experienced sex + relationship therapists. As your therapist, I invest a great deal in my professional growth so that I can offer you the most effective and efficient services I can.

I see clients Mondays-Thursdays afternoons and evenings.

Additionally, I offer couples intensives Monday-Thursday as well as some Fridays + Saturdays throughout the month. If you would like to meet for couples intensives vs. weekly couples therapy, please make that explicit in your inquiry.

For couples and sex therapy (not discernment counseling) I see folks on a weekly or biweekly basis. We choose an appointment time and meet at that time either every week or every other week until our work together is complete.  I like to meet with clients on a weekly basis for the first few months of therapy, at minimum. In my professional experience, doing so engenders the best possibility for a helpful therapeutic relationship to be built and allows for momentum and accountability in our work together. Meeting on a less frequent cadence early on can delay progress.

Once you are making progress and maintaining progress between sessions, switching to bimonthly meetings can be appropriate. Given the constraints of my schedule, I don’t tend to schedule appointments more than a few weeks in advance for clients who wish to see me less often than bimonthly.

It’s also rare that I’m able to offer evening spots bimonthly. Bimonthly spots can also require some flexibility from the client as I may need to shift times with you if a client you’re alternating time slots with ends therapy or changes times, for example.

If you’ve been a client of mine for a while and would like to do a “drop-in” session monthly for example, we can discuss that in session together.

For couples who have demanding travel schedules and/or have urgency around making real change in their relationship, I offer COUPLES INTENSIVES— concentrated couples therapy that happens in longer sessions several times a week or month. If you’re interested in that option, please inquire for more information and specify that you’re interested in an intensive.

While a valid question, psychotherapy isn’t an exact science and I genuinely can’t know how long it will take to achieve your goals in therapy. Some folks get what they need from therapy in a few months of weekly sessions. For others, it takes a year or longer.

The length of time it will take to resolve your difficulties is often determined by these factors: 1) the complexity of the issues you’re bringing (for example, do you and your partner get along great but only struggle with sex? Or are there years of broken trust and disconnect on top of sex issues?) 2) The level of motivation and openness to change each client brings. If you show up to therapy with humility and honesty, ready to take a look in the mirror and reveal what’s going on inside, you’re likely to make change faster.

I welcome and encourage conversations about how the therapy is going throughout our work together. If you feel stuck, I’m probably feeling it, too. In my experience, it’s best for us to talk openly about your concerns and see if we can collaborate as a team in support of your goals.

Another note about length of therapy: I give 100% of myself to my work with clients. One of the ways that manifests is that I regularly receive paid professional consultation to safeguard against a lack of progress in the therapy. I’m a therapist who cares about you reaching your goals as efficiently as possible. I do everything within my power to ensure we’re moving in the right direction at all times.

I have a 48 business-hour cancellation policy. If you have a Monday session, please cancel by the previous Thursday. If we’re able to reschedule within the same work week (Mon-Thur), the cancellation fee will be waived. Please keep in mind that, barring life-threatening emergencies, the cancellation policy is enforced without exception. In order to keep it fair to everyone, I charge for late cancellations across the board and it isn’t at all personal.

I don’t accept insurance directly, but I’m happy to provide you with a “superbill” at the end of each month for your therapy sessions. The superbill is something you submit to your insurance company to receive full or partial reimbursement. You’ll need to check with your insurance to make sure they reimburse for out-of-network providers, require a diagnosis and whether or not they cover couples/marriage counseling (CPT code: 90847). Please note that insurance generally covers psychotherapy only (not coaching or healing sessions). Please let me know in advance if you’d like monthly superbills.

I have a select number of spots for reduced fee clients— based on financial need. These spots are often full. If you require a reduced fee, please say so when you initially reach out and be prepared to share information about your financial situation. Please note that I’m currently unable to offer fee reductions beyond 20% off my current rate.

Here are resources for Bay Area, California-based low-fee therapy services. Oregon services are at the bottom of the list:

• Grateful Heart Therapy

• Marina Counseling Center

• Pacific Center

• CIIS Integral Psychology Counseling Center- Pierce Street

• CIIS Center for Somatic Psychology

• Queer Life Space

• Center for Mindful Psychotherapy

• Open Path Collective (nationwide)

• Portland, Oregon low-fee therapy services

• Oregon residents: sliding scale sex + relationship therapy with Demir Crone

You can pay for your sessions using a credit card, debit card and/or HSA/FSA card.

I use a HIPAA-compliant, secure payment program called IvyPay that keeps credit cards on file without me ever seeing your credit card information. Once we agree to working together, I’ll have IvyPay send a text link to your cell phone number for you to put in your card info yourself.

All of my sessions are held online via a HIPAA compliant, secure, Zoom videoconferencing platform.

I’ve been working online since the COVID pandemic and have found online therapy to be very effective while offering the added benefit of convenience and flexibility.

Although studies have shown online therapy to have similar outcomes to in-person therapy, I understand if you’d prefer to find a therapist to see in-office.

Short answer: plan to be in the same location for all sessions unless we are doing Discernment Counseling. It’s fine to be in separate locations for all DC sessions.

For couples therapy: I work with couples experientially— helping partners have productive, connecting interactions with each other in real time. If you’re not in the same room, it’s a lot harder to achieve this goal.

If you and your partner occasionally need to meet from separate locations, please let me know in advance and we can see what makes the most sense to do.