What does it cost?

55-minute sessions at $140.
Initial intake at $160.

Standard appointments are 55 minutes. Some couples may benefit from extended appointment times, which are available upon request or based on need. Extended appointment fees are prorated at the standard hourly rate.

Do you accept insurance?

We accept the following insurance providers in-network:
Premera Blue Cross
Regence Blue Shield
First Choice Health
Lyra Health

Other insurance providers may reimburse some of the cost of services delivered by an out-of-network provider, so be sure to check your coverage prior to starting therapy.

What is, and is not, covered by insurance?

Insurance companies cover the cost of sessions for mental health diagnoses. This covers a broad spectrum including major depression, anxiety disorders, posttraumatic stress, and adjustment disorders, among others. Your initial assessment will include an evaluation for a potential mental health diagnosis that may be contributing to your current difficulties, which can then be applied to your insurance plan’s mental health benefits. If no mental health diagnosis criteria appear to be met during the initial assessment, you may still benefit from therapy, but payments will need to be made out of pocket.

Medical insurance pays for what they consider to be “medically necessary” for an individual. This means that relationship therapy is typically not covered by insurance unless it's to address problems related to a mental health diagnosis. If one of you has a mental health diagnosis AND therapy is aimed at treating that condition and enhanced by working with your partner, insurance may cover the services. Otherwise, sessions will need to be paid out of pocket.

What are sessions like?

During the first few meetings, we'll evaluate your current goals and struggles, create a plan of action together, and you'll be provided with some recommendations. If you're using insurance benefits, you'll be assessed for a mental health diagnosis that they will need for reimbursement of sessions. If you're not using insurance, a diagnosis is not needed for continuing treatment, although it may still be assessed as a potential contributor to your current difficulties. We also ask for routine feedback measures so that we can review what is working and not working during our time together.

When would extended sessions be useful?

Gridlocked issues, betrayals, and high conflict in relationships may need more time to repair than the standard hour allows. Evidence on effective treatments for couples also seems to indicate that investing more time during sessions at the start of therapy contributes to stronger positive outcomes. After the assessment period, we'll offer feedback on an indicated course of therapy, which may include session duration and frequency. You may also request extended appointment times if desired. As you become more proficient in applying the strategies learned during our sessions, we'll plan for reducing the duration and/or frequency of appointments.

How many sessions will I need?

We want you to be enjoying your life without the need for therapy as soon as possible, but this also depends on what you would like to get from therapy. We'll offer feedback following the assessment period and will work together with you to identify manageable goals and signs that the problem is improving. While each problem may indicate different lengths of therapy, we'll regularly monitor progress to make sure we're on a path that feels right to you.