Frequently Asked Questions

I work with adults from their twenties into their nineties, individually, as couples, and as families. My practice focuses on adults, and family sessions are for adult family members.

I help with anxiety, depression, trauma, grief and loss, relationship conflict, self-esteem and the inner critic, life transitions, divorce and separation, and the challenges of later life. You do not need to choose a label before contacting me. We can talk about your experience and what you want to change.

Send a request through the contact form or call 206.601.8992. I will get back to you to set up a free 20 to 30 minute consultation. Please keep private health details out of the form and email; a short request is enough to begin.

Yes, by secure video. Telehealth is available to Washington State residents, including while you are traveling out of state. For couples and family video sessions, each participant should be a Washington State resident. I share the secure video link when we schedule, and you will need a private space and a steady connection.

My Madison Valley office is at 2331 East Madison Street, Seattle, WA 98112, and my Capitol Hill office is at 601 Belmont Ave East #C2, Seattle, WA 98102. You can tell me which location you prefer when you reach out. We can also discuss combining office meetings with telehealth.

Individual sessions are usually 50 minutes, weekly, and a 30-minute session is also available. We can discuss the pace and frequency of meetings as we consider your goals. Couples and family sessions cost the same as individual sessions.

It depends on your goals, and I do not promise a timeline for change. We set goals in the first session and revisit them as we go, so you know what we are working toward. Your experience of what is helping, and what is not, is part of that conversation.

Individual therapy is $190 for a 50-minute session and $110 for 30 minutes. The 20 to 30 minute consultation is free, and couples and family sessions cost the same as individual sessions. You have the right to a Good Faith Estimate of expected charges to help you plan.

I am private pay and not in network with insurance plans. I can provide a superbill on request if you want to seek out-of-network reimbursement. Check your plan's benefits directly with your insurer, since I cannot promise whether or how much your plan will reimburse.

Please give 24 hours' notice of cancellations. I am flexible in finding rescheduling solutions. Otherwise, I charge the full fee.

What you share in therapy is kept confidential, with the legal exceptions that apply to every therapist, such as a serious risk of harm. Please do not send private health details through this website or by email. Contact messages are for scheduling and general questions, while therapy records follow separate legal and professional rules.

Call or text 988, the Suicide and Crisis Lifeline, or call 911. For an emergency, go to your nearest emergency room. This practice is not a crisis service, so a website request is not a way to get immediate help.

Yes, I see adults into their nineties for concerns such as loss, changing roles, relationships and meaning. Growth remains part of the conversation in later life, alongside the experiences you want help carrying. My later-life therapy page describes this work in more detail.

Yes, I work with couples and families as well as individual adults. We look at how people relate now, how each wants to relate, and ways to practice clearer communication. The couples and family therapy pages explain those formats, including family sessions with parents and their adult children.

Yes, the Guides section has practical pieces about replaying the past, worry about the future, repeated arguments and grief later in life. Reading can help you think about what you want to discuss, but you do not need to prepare before a consultation. Bring your questions in your own words.