Therapy with me is a judgement-free place to start recognizing patterns in your ways of being, feeling, and relating. Together we can navigate the challenges of growing and evolving: decision making, creating and maintaining healthy relationships, exploring identity, living in line with personal values, setting healthy boundaries, building self-esteem and shame-resilience, and finding helpful skills to support improved well-being.
I can offer support in areas of anxiety, depression, grief, family and relationship challenges, identity formation, sexuality, gender identity, and personal growth. I take a Client-Centered and Eclectic approach to therapy, drawing upon insights from Narrative Therapy, Internal Family Systems, Attachment Theory, broader Family Systems, Mindfulness, and Cognitive and Dialectical Behavioral Therapies.
I see therapy as a healing relationship, not a quick fix. Because of this, I focus on trust and connection as a tool for helping you make practical changes, at your pace, and in a way that feels right to you. When working with teens, if appropriate and possible, parents and caregivers are in the loop with sessions and calls.
I came to this work through my own reproductive story. Having experienced the challenges of infertility, I know how emotionally, physically, and financially taxing the path to parenthood can be. Without the right support, the experiences of trying to start a family, and becoming a parent, can take a tremendous toll on us and our relationships. Often anxiety, depression, self-worth challenges, loneliness, and trouble managing daily life become part of our reproductive stories. For some, this extends into pregnancy and parenthood in the form of Perinatal Mood and Anxiety Disorders. I can offer support as you navigate these, explore fears, grieve, find hope, and celebrate. I provide knowledge and skills to help you navigate the use of Assisted Reproductive Technology and fertility clinics, loss and miscarriage, family planning decisions, navigating pregnancy, choosing life without children, or the entrance into parenthood. I'm currently pursing my certification in Perinatal Mental Health.
Whether you've struggling with an eating disorder in the past, difficult patterns in your relationship with food or exercise, or long standing body image concerns, I can help. My clients in recovery are often people who've been to higher levels of care in the past, have left (most) behaviors behind, and are ready to dive in and explore the roots of the eating disorder. I can offer knowledgeable support, help shoring up skills, accountability in your recovery, and guidance in maintaining a treatment team. I provide a space to continue healing your relationship with food, your body, and movement, so you can live a fuller and more connected life.
I am weight inclusive, fat-positive, anti-diet, and operate from a Health at Every Size ® perspective. Each person's experience with disordered eating or exercise is different, and can often exist on a spectrum. Individual therapy on an outpatient basis may be appropriate, or I may recommend looking into a higher level of care. My goal is to help you find the support you need, even if that's not with me initially. The National Eating Disorders Association can provide more information about eating disorders and levels of care.
Every family experiences seasons where a little extra support may be needed. During big or small life changes, growing children, blending families, or managing the impact of individual struggles - family therapy can help. Each member of your family has a unique temperament, experiencing different challenges and strengths. In my work with families, I draw on principles from Symbolic-Experiential and Structural Family Therapy. I'd love to come alongside your family to assist in your journey toward improved communication, and more sustainable and supportive dynamics. I also offer parent coaching sessions as a standalone support or supplement to family therapy.
TEACHING, & COACHING
Beyond therapy, I have a passion for learning, the sharing of knowledge, and education. I've taught courses in Psychology and Child & Adolescent Interventions at both Bachelor's and Master's levels; I offer coaching nationally and internationally; and I am available for speaking events on the topics of Eating Disorders and Perinatal Mental Health in groups of health-care providers, at schools to students or educators, or within other organizations. Please contact me for more information and my rates.
*An important note: coaching is not a substitute for psychotherapy, and my coaching services are offered separate from my therapy services. Please reach out to me to learn more about the key differences and limitations, and to find out if coaching could be a good fit for your goals.*
FEES & INSURANCE INFORMATION
Updated January 2023
Discounted cash rates for therapy services are as follows:
Individual Therapy - $160 per 45-55 minute session
Family/Conjoint Therapy, or Parent Coaching - $175 per 55-minute session
Insurance rates for therapy services are as follows:
Individual Therapy, Family/Conjoint Therapy, or Parent Coaching sessions are billed at $185 per 45-55 minute session
National & International Coaching Services - $185/60-minute meeting, out of pocket only, coaching services are not covered by insurance
Extended 90-minute sessions are available upon request and discussion. Please note, extended sessions are not covered by all insurance plans.
The session fee is due at the time of service via cash or credit card. I reserve a number of sliding scale appointments and offer equity pricing on an individualized basis, please reach out to me to talk more about this. Credit cards may be entered in the client portal and will be kept on file for billing.
I am currently an in-network insurance provider with Aetna, Cigna/Evernorth, Kaiser, Lyra Health, and PacificSource. Before we set up an appointment, please reach out to me to talk more about your insurance coverage, I can help check benefits to determine your out-of-pocket cost for sessions. Your out of pocket cost will depend on your individual plan's co-pay, co-insurance, and/or deductible.
If am not in-network with your insurance provider, you may have out-of-network benefits that can reimburse a portion of therapeutic services. When using out-of-network benefits, you are responsible for the full session fee at the time of your appointment. I can provide a monthly super-bill for potential reimbursement at your individual plan's rates.
Good Faith Estimate
If paying out of pocket for services, you have the right to receive a Good Faith Estimate. This Good Faith Estimate gives an expectation of the total expected cost of any non-emergency psychotherapy services, before you schedule a session. If you receive a bill that is $400+ more than your Good Faith Estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
I require 24-hour notice of cancellation or reschedule. A $120 fee will be charged to the credit card on file if you do not show up for our scheduled appointment, or cancel with less than 24 hours notice. Insurance does not cover this fee. Thank you for your understanding.
As an independent private-practitioner, I do not provide continuous or on-call crisis management services, or offer significant support between sessions.
If you're ever experiencing an urgent mental health crisis:
Call the Multnomah County Crisis Line at 503-988-4888
Call the Clackamas County Crisis Line at 503-655-8585
Call the Washington County Crisis Line 503-291-9111
Call the 24/7 Maternal Mental Health Helpline at 833-943-5746
Call 911 or go to your nearest emergency room.