For individual/group/couples therapy, I am currently licensed only to work with clients who are physically located in Texas, Colorado, Hawaii, Florida, Idaho, or South Carolina at the time of our appointment.

In 2026, this could expand to 29+ states due to the social work licensure compact which is slated to start issuing multistate licenses within the next year. However, as of this writing there is no more specific timeline for multistate licenses being issued.

For support groups, as these are different from the clinical work of therapy, I can include participants from anywhere in the US.

Like most specialty providers, I do not accept insurance & am not in network with any insurance provider.

This allows my clients the most confidential & flexible experience in therapy. Paying out-of-pocket means that your health insurance provider is not involved with your care at all & has no access to your records.

It depends (frustrating, I know).

Based on your individual health insurance plan you may be eligible to use out-of-network insurance benefits to reimburse you for mental health services. Please note that in order to file any claim with your insurance provider, you will need a diagnosis & some other information that I will be able to provide.

To see if you qualify for reimbursement, you can check your benefits below the FAQs, right on this webpage, or else follow the link here. I always recommend calling your insurance provider directly, as well, to confirm your plan’s benefits, the allowed amount for OON therapy services, & your reimbursement rate.

Note: I work with a third-party service called Thrizer that can help clients file for OON reimbursement, if they qualify. The goal of this service is to save you time, effort, & money. It's completely optional, there is no additional cost to you, & as your therapist I do not benefit in any way from your participation.

Every insurance provider handles this a little differently, but if your plan offers reimbursement for out-of-network (OON) services, basically you will need to file claims directly with your insurance provider. Most offer this through an online portal or by mail.

If you’d like to file claims, there are two ways we can handle it:

• I provide you with monthly superbills that you may submit yourself directly to your insurance provider.

• You sign up with Thrizer, a platform I work with that can file those claims & handle the insurance paperwork on your behalf to make sure you get reimbursed. I cover the charges for these services so this is available at no additional cost to you.

Whether you choose to file OON claims yourself or use Thrizer will mostly depend on your capacity for extra steps. If the process is easy & simple enough for you to comfortably file for yourself, then great! More power to you. If the idea of interacting with your insurance company for even one second longer than you must utterly exhausts you, let Thrizer do the heavy lifting & know that I’ll cover the associated fees.

Note: I work with a service called Thrizer that can help clients file for OON reimbursement, if they qualify. The goal of theis service is to save you time, effort, & money. It's completely optional, there is no additional cost to you, & as your therapist I do not benefit in any way from your participation.

Yes, I maintain a limited number of reduced rate spots for therapy clients on my caseload through Open Path Psychotherapy Collective. Open Path clients cannot afford market rates for therapy, are uninsured or underinsured, & have an annual household income below $100,000. These appointments are available at a rate of $70 for a 50-minute individual session or $35 for a 90-minute group session (longer sessions for an increased fee available upon request).

If you would like to request a sliding scale spot, you may begin either with your Open Path membership eligibility or with contacting me to confirm a sliding scale spot is available. Before your first appointment or during your intro call, I will confirm your Open Path membership number.

For more information about Open Path’s eligibility, membership, & directory, see their client FAQ.

If I do not have a reduced rate spot available, I am happy to make referrals to other clinicians who may accept your insurance or offer sliding scale or reduced rates.

As for my TFMR support groups, the entire pricing structure is on a sliding scale based on your personal financial circumstances. There are 4 tiers, ranging from $25/session ($150 total) for those who struggle to meet basic needs, to $100/session ($600 total) for those with ample means who would like to subsidize the participation of those in lower tiers to be able to participate in the group. For more information on these tiers & to help you determine which one best fits you & your circumstances, see my Sliding Scale Guide. My support group offers the most flexibility on pricing & I am always happy to work with you to find a rate that will be affordable & allow for you to participate, including if the lowest rate does not remove barriers to participation!

I offer a free 30-minute intro call with all potential new therapy clients & support group participants. This gives us the chance to get to know each other, answer any questions, & see if we might be a good fit to work together before making any commitment.

Here’s what you can expect on that call:

• I’ll ask you about yourself & for what you are seeking support.

• I’ll tell you a bit about myself, my services, & my approach.

• I will answer any questions you may have.

• If it seems like a mutually good fit, we’ll talk about rates, insurance, scheduling availability, etc.

If we both decide we're a good fit after our intro call, we'll schedule our first therapy appointment &/or hold your place in my next support group. I'll follow up by sending you some intake paperwork to complete electronically.

Our first therapy session will begin with some housekeeping. We will start out by reviewing the intake paperwork you completed, including discussing my practice policies you’ve agreed to & answering any questions that you may have. This is helpful in getting us both on the same page & easing into our session, especially if you are coming in with any (natural & understandable) nerves.

From there, I typically offer clients options about how to proceed, including letting you tell your story or moving into me asking you some questions about your experiences, history, & current circumstances. I really value collaborating with my clients & want to support you to feel comfortable & focus on what needs our attention in the moment. There’s no rush & we will build on whatever we learn in each session we spend together.

After the first few sessions, once we’ve got to know each other & established some trust, we will work together to identify some goals for our time together. Goals help to guide our work, mark your progress, & stay focused on your highest-priority needs. No need for you to come into our work being able to articulate what you want to accomplish. I’ll take whatever you bring to session & help you figure it out.

I meet with most of my clients on a weekly basis. I ask that all new clients commit to meeting weekly for at-least the first 3 months so that we can focus on your most immediate needs, build momentum, & get you feeling better as quickly as possible.

Every few months I review progress, goals, & feedback with each client. This can be a valuable opportunity to review frequency of appointments, though clients are always welcome & encouraged to bring up such issues at any time.

Everyone is different & I can confidently say that I’ve never before worked with someone “forever.” The majority of my clients work with me for 6-18 months.

I also have clients who choose to remain in therapy for much longer. They have made great progress already & may still appreciate ongoing support as their lives, needs, & goals change.