The most fruitful therapy experiences involve the development of a mutually engaged and effortful therapeutic relationship between the therapist and client. You bring the deepest knowledge of yourself, your world view, past experiences and future goals and I bring curiosity, support and validation, gentle challenges, and focus on empowered healing.

I think of therapy sessions as a workout for your emotional self. When you start a new exercise program it may feel really hard and clunky or it may feel refreshing and good, or maybe some of both. The more you do it, the stronger you become, and even if it’s difficult, you usually feel accomplished and refreshed when it’s over.

Therapy is similar. It can be hard or feel awkward at first but with some practice it will feel more natural to get into the challenging stuff. You may similarly experience the after affects of feeling validated in your experiences, develop more emotional clarity and healing, and feel empowered to focus on future desires.

Therapy doesn’t just happen to us, it is a challenge we engage in because we are brave enough to hope for something better for ourselves.

The therapeutic process is very individualized and is completely client-centered. Some clients benefit from a brief, focused series of sessions to support a single goal or issue and other clients prefer to explore multiple avenues in therapy that may require more long-term support. We will continuously discuss effectiveness of therapy and where we feel you are in the process.

Your sessions are confidential under HIPAA, The Health Information Insurance Portability and Accountability Act, and the Colorado Revised Statues 12-43-218. The only exceptions to the HIPPA confidentiality law are:

-A client intends to harm themselves or others

-A client communicates a serious threat of imminent physical violence against someone else

-A client reports a serious threat to national security

-There is reasonable cause to believe or a client has disclosed child/ dependent/ or elder abuse.

-A court of law issues a subpoena

-A court of law has ordered you to participate in therapy

-A client is being evaluated for disability compensation by the Bureau of Workers Compensation

-If you choose to use insurance, I will be required to disclose diagnosis and basic treatment plan information for billing purposes.

I do not provide crises counseling but will ensure that you have access to community supports that do provide 24/7 crisis counseling services. If we anticipate ongoing crises needs, we may discuss whether a different therapist with a more flexible schedule and crisis counseling services may be a better fit. We will discuss this at intake and assess ongoing.

You may reach out to me for non-urgent needs in between sessions. I typically respond in 24-48 business hours. You may always use my scheduling platform to schedule additional sessions. We will review how to do this at the time of intake.

I offer virtual only sessions to residents of Colorado between the hours of 9am and 3pm MST Monday-Friday. I do not offer evening or weekend sessions at this time.

The current laws for LCSW require that my clients are located in Colorado at the time of each session. These laws are changing in the next few years to allow more flexibility for continuity of care while traveling and for moving. I will keep clients appraised when this changes.

My standard session approximately 60 minutes. I also offer 45 minute sessions and 30 minute brief sessions. All sessions typically end a few minutes prior to allow for adequate transition time between sessions.

Some clients like to schedule regular weekly sessions while others feel like their needs are met by meeting every 2 or more weeks. I do not typically see individuals less frequently than every 4 weeks to keep therapeutic momentum; however, every circumstance is different and we will choose what feels right to you and this may ebb and flow with time. We will discuss in sessions about what frequency feels best for you and what I would recommend for your therapy goals. Ultimately, it is your choice how often we connect.

I work with many busy clients who sometimes require schedule shifts based on what comes up for the week. That is why I offer self scheduling and rescheduling in the client portal. Clients may cancel and request alternative appointment times 24 hours or more before their scheduled appointment.

I offer all clients one free late cancelation or no show session. Additional late cancelations (within 24 hours) come with an out of pocket charge of $100 for 60 minute sessions, $75 for 45 minute sessions and $50 for 30 minute sessions.

I can bill insurance in-network for some insurance plans for individual therapy only. I am unable to bill insurance for couples therapy. For individual therapy, I am In-Network for United (Optum), Aetna, and Blue Cross Blue Shield of Massachusetts (not including other BCBS plans). For those with different plans, I encourage all clients to look into your plan for out-of-network benefits. Many insurance plans reimburse for out-of-network providers. I provide monthly super bills for any self-pay clients who wish to pursue out-of-network reimbursement; however, the responsibility for following up on reimbursement is on each client.

It is important that you are aware if you choose to use your health insurance coverage for in-or out-of-network benefits to assist with payment for therapy services I will be required to provide a diagnosis, proof of ongoing service need, and basic treatment plan progress to your insurance company.

For self-pay clients, in an effort to provide more accessible out-of-network services, I have a limited number of sliding scale spots available. Please reach out if you would like to discuss if a sliding scale slot is available.

My out of pocket fees for individual therapy sessions are:

60 minute session 175

45 minute session 150

30 minute session 125

90 minute extended session 250