Because each person has different issues and goals, therapy will be different depending on the individual. I meet clients where they are at. Some people like to come in and just talk. There doesn’t have to be a specific topic, but there can be. Therapy sessions don’t always have to be intense. Don’t worry if you don’t know what to talk about!

Sessions are offered by telehealth to people living in California, Colorado and Hawaii.

Typical sessions are 55 minutes. Some clients prefer longer sessions especially when focusing on EMDR. Ketamine sessions are 3 hours.

Each person needs a different amount of therapy sessions based on their needs and goals. Some clients will only need to attend for a few sessions and others will benefit from ongoing therapy process with a longer duration. Therapy is voluntary and you are welcome to end services at any time should you accomplish your treatment goals or want to pursue a different form of treatment. Good therapy really does change how your brain works. It is a great investment in your mental health and life.

Medication can be effective but most of the time it cannot solve all issues. Sometimes medication is needed in conjunction with counseling. Our work together is designed to explore and unpack the problems you are experiencing and expand on your strengths that can help you accomplish your personal goals. Medication can support the progress you make in your life by allowing you to feel more stable, but the amount of ease it brings cannot replace the new skills and awareness that come from therapy.

Yes. Your privacy is an important part of making your process feel safe and supportive. None of your information will be shared without your written permission (or if under the age of 12, with permission from the guardian), except when it is required by law or to ensure safety. As a mandated reporter, I am required to report child abuse, elder abuse, dependent adult abuse, or intent to harm oneself or others.

The age of consent for counseling in the state of California and Colorado is age 12. This means that individuals 12+ in Colorado will need to consent for their own counseling services and will be able to make decisions about their therapy process/confidentiality themselves. However, in most cases, guardian involvement in the therapy process of a minor is strongly encouraged to support treatment goals.  Additionally, if a minor expresses concern regarding harm to self or others, a guardian will be notified to create opportunity for safety planning.   

In Hawaii, the age of consent for counseling is 14.  This means that individuals 14+in Hawaii will need to consent for their own counseling services and will be able to make decisions about their therapy process/confidentiality. However, inmost cases, guardian involvement in the therapy process of a minor is stronglyencouraged to support treatment goals.  Additionally, if a minor expresses concern regarding harm to self or others, a guardian will be notified to create opportunity for safety planning.  

Individuals under age 12 in California and Colorado and under age 14 in Hawaii will need a legal guardian to consent for counseling services. Please note that it is our general policy to notify all legal guardians of the initiation of the therapy process.  In cases of custody disputes, a copy of the custody agreement will be required.  

Please reach out for more information regarding cost. I do offer a limited amout of sliding scale options that you can inquire about. Billing is conducted through a HIPAA compliant online portal where credit cards are stored on file. After your session, your card will be charged the amount due. I do not take insurance but do offer super bills (a detailed invoice) for clients to submit to their insurance company for reimbursement.
Please check with your insurance company regarding their reimbursement policies. Some questions to ask are:
-      What are my out-of-network benefits
-      What percentage ofpayment is covered?
-      How many sessions are covered as part of my policy each year?
-      Is telehealth covered?
-      Have I met my deductible and/or out-of-pocket max?
-      What is needed for reimbursement?