Frequently Asked Questions

Frequently Asked Questions

Below are some frequently asked questions from people looking to start counseling. If you have a specific question that is not listed here, please contact us for more info!

What are sessions like?

During the first few meetings, we will evaluate your current goals and struggles, create a plan of action together, and I will provide you with some recommendations. If you are wanting to use insurance benefits, I will be assessing for a mental health diagnosis that they will need for reimbursement of sessions. If you are 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. I also ask clients to routinely complete feedback measures for me so that I can review what is working and not working during our time together and you can be assured that I am working with the most up-to-date information about how you are feeling about the counseling experience.

How do I get started?

I offer a free 15-minute phone consultation where I can help you determine if I am the right fit for your needs and what you can expect from me. At that point, we will schedule a time for you to come in. You may contact me by phone at (425) 298-6471 or email using the form in the Schedule a Session tab.

Do you accept insurance?

I am an in-network provider for the following networks:

  • Premera Blue Cross
  • Regence Blue Shield
  • First Choice Health (in process)

Other insurance companies 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 counseling.

What is, and is not, covered by insurance?

What IS covered:

Insurance companies cover the cost of sessions for mental health diagnoses only. This covers a broad spectrum including major depression, anxiety disorders, posttraumatic stress, and adjustment disorders, among others. Your initial assessment with me 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.

For an individual who meets criteria for a mental health diagnosis, family or couples therapy may be covered to support improvement for the individual. For example, if you are seeking help for your child or adolescent, our course of action might reasonably include some family therapy, unless contraindicated.

If you are seeking reimbursement from your insurance provider, please call them ahead of time to check your coverage.

What is NOT covered:

Insurance companies will not cover the cost of sessions if no mental health diagnosis criteria appear to be met during the initial assessment. You may still be able to benefit from therapy, but payments will be made out of pocket.

Couples therapy is not covered by insurance. Your medical insurance pays for what they consider to be “medically necessary” for an individual, which does not include services for relationship problems like conflict management and communication skills. A couple may still benefit from therapy, but in the absence of and identifiable mental health diagnosis and rationale for both partners participating in therapy to see symptom reduction, fees will need to be paid out of pocket.

You may choose NOT to bill your insurance for our sessions.

Some people prefer working with a therapist outside of their insurance plan because of the added level of confidentiality, as I am not required to share a great deal of your personal information with insurance providers, such as a diagnosis. Working directly and privately with me allows us greater freedom to collaborate together on the specific methods used and length of time we work together.

What are the counseling rates and payment types?

Current fees for services are:

  • 55-minute individual sessions: $140
  • 85-minute couples sessions: $210

Payment may be made using cash, check, or card. Longer sessions may be made by request and the base hourly fee will be prorated.

Do you offer reduced rates?

I keep a limited number of reduced fee slots for low-income clients. Please inquire if you need accommodations.

What if I need to cancel or reschedule my appointment?

In the event that you need to cancel or reschedule an appointment, please provide a minimum of 24 hours advanced notice to avoid paying the full session fee. You will be responsible for the full fee when cancellations are received less than 24 hours in advance. I cannot bill your insurance for missed sessions.

How many sessions will I need?

I 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. I start with strategies that are time-efficient and cost-effective, and am active in helping clients meet their goals within a timeframe that feels reasonable to them. While each presenting problem may require different lengths of therapy, you may also tell me how long you would like to spend working with me and I will tell you how much we can expect to cover within that time.

What are your hours?

We have lots of options for session times. I try to accommodate work and school schedules to make appointments manageable. Contact us and we’ll figure something out.

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