FAQs

Learn more about EFT, the research behind it, and what it looks like in session on our dedicated EFT page: What is EFT?

Before scheduling your first session I like to begin with a brief 20-minute phone consultation. This gives us a chance to connect, ask questions, and make sure we're a good fit before diving in.

For couples I ask to speak with both of you — either together in the same location or via a three-way call — so we can all be on the same page from the start.

You'll share what's bringing you in and what you're hoping to work on. I'll explain how I structure therapy and what the first few sessions look like. If it feels like a good fit on both sides, we'll schedule your first appointment.

Our first session is about laying the foundation. We'll review your intake paperwork and begin exploring what brings you to therapy, what's been feeling stuck, and what you're hoping to shift.

For couples: we'll start together in the first session, then I'll meet with each of you individually for one session to get a fuller picture of your relationship dynamics and individual experiences.

Sessions are 50 minutes, though many couples find that extended sessions offer more room to do deeper work without feeling rushed. If you'd prefer longer appointments, 80 and 110-minute formats are available.

It depends on what you're carrying. Couples with a strong foundation who are feeling stuck may see real shifts in 3–6 months of consistent work. Couples navigating trauma, infidelity, betrayal, or deeper attachment wounds may work together longer. In my practice I've seen couples for anywhere from a few months to a few years. The pace is always determined by what keeps the work safe and effective — not by a predetermined timeline.

For a fuller answer on what affects the length of treatment, visit the EFT page.

Most clients choose to meet weekly at the start — especially in the first few months. Weekly sessions build momentum and support deeper progress. As therapy unfolds we'll check in regularly to determine the right cadence. Many couples eventually shift to biweekly or monthly sessions as they near the end of their work.

For clients with full schedules or who travel often, extended session formats offer more flexibility without sacrificing depth.

I use a reschedule-only policy to support consistency and protect your progress.

Once a session is booked, you are financially responsible for it whether or not you attend. However, you're always welcome to reschedule as long as you notify me before the session start time and the rescheduled session takes place within one week of the original appointment. I offer one waived missed session fee per calendar year - no questions asked.

Life happens — a sick kid, a last-minute conflict, a travel hiccup. We can find a new time. If you're unable or choose not to reschedule, the full session fee applies.

Monday through Thursday, 6am to 1pm PST. Early morning and lunchtime appointments are available — designed with busy schedules in mind.

Yes — all sessions are conducted remotely via secure, HIPAA-compliant video conferencing. You can join from anywhere in Washington State. Detailed instructions for accessing the platform are provided during your initial consultation.

To learn more about online therapy appointments visit “Why Remote Couples Therapy?” page.

Not at this time.

All therapy sessions are currently conducted via secure, HIPAA-compliant video conferencing.

This fully virtual model allows you to access high-quality, relationship-focused care from the comfort of your home—without the stress of traffic, parking, or rearranging your day. Many clients appreciate the added flexibility and privacy remote therapy provides.

Payment is due at the time of each session by credit card, debit card, or HSA/FSA card. A card is securely stored on file and charged after each appointment unless you request an alternative method in advance.

For a full breakdown of session fees, extended session options, and couples assessment structure, visit the Fees page.

I am not in-network with any insurance providers. Some of my clients pay out-of-pocket and pursue reimbursement through their out-of-network benefits independently.

If you'd like to use out-of-network benefits: you pay at time of service, I provide a monthly superbill, and you submit it to your insurance company for direct reimbursement.

Individual therapy is more commonly reimbursed if you have out-of-network mental health benefits and meet diagnostic criteria.

Couples therapy may be partially reimbursed, but requires one partner to carry a diagnosis. I use the Z63.0 code — relationship distress with spouse or partner — which not all insurance companies reimburse.

Coverage varies widely. I strongly recommend calling your insurance company before we begin.

Click here for a list of questions to ask your insurance provider.

As part of the No Surprises Act, all healthcare providers are required to provide a written estimate of expected costs to clients not using insurance. I'll provide your Good Faith Estimate before we begin services — at least one business day before your first appointment.

My standard session rates are $375, $520, and $715 as outlined on the Fees page. If your actual bill is $400 or more above the estimate, you have the right to dispute it.

This document doesn't lock you into services — it's part of informed consent and ensures you're clear on the financial side of care.

Learn more at www.cms.gov/nosurprises or email [email protected]

Consent and Policies

HIPAA Privacy Policies

No Surprises Act