Questions about what it’s like to work together?

I’m physically located in Tacoma, Washington but can provide online therapy to anyone in Washington or Utah.

Yes, I see clients for weekly and biweekly therapy appointments in person at my office in Tacoma at 4041 Ruston Way Suite 202, Tacoma, WA 98407. I also see couples for therapy intensives at my office on the weekends.

My hourly rate is $400/50 minutes. I see individuals and couples for 75 minutes biweekly at a minimum. Your session fee will be $600/75 minutes, unless we agree to a longer session.

Intake sessions are 100 minutes long, $800.

My practice is designed both for my benefit and yours—I have considered what facilitates the deepest, most profound change the most quickly, and a lot of therapy frequently is the answer. I notice a significant difference in the impact of therapy with a longer session length and prefer to work with clients for a longer amount of time to help achieve more depth and more immediate character change.

Weekend hourly rates are higher. Please see my Intensives specialty page.

Payments will be collected at the start of the session. You can pay by credit or HSA.

I am not an In Network provider with any insurance. You will need to check with your insurance about your Out of Network benefits. You are responsible for payment at the time of service.

I do not diagnose individuals when I see them for couples therapy. You need to ask your insurance if they will cover treatment for the diagnosis of Z63.0 relationship distress and the service code of 90847, family therapy with the patient present.

For individual therapy, you must be prepared to pay for the first few sessions out of pocket. Your therapy will only be covered if you meet criteria for a mental health diagnosis. I do not diagnose in the first session. It will take us a few sessions. If you do not meet criteria for a DSM diagnosis, all of your therapy will be out of pocket.

Contact me to schedule an intake appointment. I do not offer introductory/consultation calls.

Your first appointment will be longer (100 minutes) so that we can discuss what you would like help with in therapy and you can get a feel for what therapy feels like with me. The best way to determine fit is to do trial therapy. You will get help immediately and be able to decide if it's right for you.

For weekly therapy clients, I have a limited cancellation policy of 4 “free” cancellations per 12 months (from when you start therapy). Once you have missed or canceled 4 appointments within 12 months, you will be charged for any additional appointments you are not able to reschedule. Once you start treatment with me, you have a regular spot on my calendar, so you are paying for that spot, whether you are able to make it or not—I cannot take on additional clients to make up for times when you are not able to attend.

For biweekly therapy clients, I have a zero cancellation policy. All appointments will be paid for, whether you are able to reschedule them or not.

Reschedule requests must be made at least 72 hours in advance. I do not reschedule appointments with less than 72 hours’ notice.

This policy is designed to encourage you to commit to therapy once you begin. A very important and fundamental aspect to successful treatment is maintaining a frequency until the work is complete. Like with any medication, you must take a certain dosage with a certain frequency in order for it to take effect. Do not minimize the importance of this—it is the reason for treatment failure in many cases. Therapy is a serious and deeply healing experience if you fully commit.

Please evaluate whether my policy will work for you before reaching out—I stick to my policies and commitments and I would hate for you to be unhappy working with me because you did not seriously evaluate if this would work for you.

For ongoing couples therapy, I meet with both partners together for most appointments. Since my client is the relationship, the majority of relationship therapy will have both people in the room. As treatment progresses, I may ask to meet 1:1 with each partner. For some relationships with increased distress, meeting 1:1 may happen more often. For couples with a past or current history with IPV/DV, I do 1:1 assessments before beginning couples therapy. For couples therapy intensives, I do see partners 1:1 for one portion of the intensive.

Yes! It is imperative that couples join their online session with me from the same physical location. I do not meet with couples online who are joining from different locations.

I work with heterosexual couples, LGBTQ+ couples and nonbinary or gender nonconforming people and relationships. I also work with polyamorous relationships—typically those that are already established. I welcome any person looking for help with their relationship into my office. Although sex therapy is not my specialty, I do help couples with their sex life and am sex positive and kink friendly. However, if sex therapy is primarily what you are looking for, I will happily recommend you to a colleague who specializes in this work.

I don’t do parent coaching with divorced couples or divorce/separation therapy. Once a couple I am seeing for therapy has decided to divorce, I will find them a recommendation for a therapist specializing in whatever they need, whether it’s divorce/separation therapy or co-parenting therapy. I recommend professionals to help guide them in their next step. I am happy to work with separated couples who would like to come back together or couples who are unsure. Once a decision to separate leading to divorce has been made, I refer them to their next guide.

Yes, please contact me to get on a waitlist for weekly/biweekly therapy. If you would like to work with me, but my calendar is currently full, I do offer couples therapy intensives, which are a great option for couples wanting help now. They can lead to breakthroughs, a decrease in tension, and an increase in connection. These are as short as 4 hours and as long as 2 days.

If you are specifically looking to do individual therapy with an ISTDP therapist licensed in WA or UT, I am happy to put you on a waitlist.

Yes! Once you reach out to me via my contact form, I will follow up with you within 24 hours (on a weekday) to schedule a brief 10 minute consultation call.

From there, we will schedule an intake appointment and begin therapy!