No. Many people I work with are unsure what to call what they're experiencing, and that's a completely reasonable place to start. Part of my job is helping you understand what's happening, not requiring you to arrive with an answer already in hand.

Reach out anyway! If psychosis-spectrum work isn't the right fit for what you're describing, I'm glad to work with you on the anxiety, depression, trauma, or life stress you're navigating instead, or point you toward another provider if that's a better fit.

No, I don't prescribe medication. If medication feels like it might be helpful, I'm glad to talk through that and, if appropriate, refer you to a psychiatric provider I can coordinate care with.

Therapy is ongoing work focused on your goals, symptoms, and day-to-day life. An assessment is a more contained process aimed at answering a specific diagnostic question, usually over a few sessions, ending in a written report and a feedback conversation. Some people start with an assessment to get clarity before beginning therapy; others come to me for therapy alone.

All sessions are held virtually. I'm licensed in Colorado and Washington, so I can only see clients who are physically located in one of those two states at the time of our session.

I require 48 hours notice for cancellations. Late cancellations and no-shows are billed at the full session cost, which is $200. This policy may be updated from time to time, so please confirm current terms with me directly.

In general, yes. What you share in session is protected by confidentiality law and professional ethics. There are a small number of legally required exceptions, mainly involving safety, which I'll walk you through in detail during your first session so you know exactly where those limits are before you share anything.

I'm currently in-network with Aetna, BCBS, Providence Health, Select Health, and Regence Blue Shield of Washington, though this list may have changed, so please reach out to confirm current panels. For clients I'm out-of-network for, I can offer a superbill you can submit to your insurance for possible reimbursement. If you're paying out of pocket, you have the right to a Good Faith Estimate of expected costs before starting care, which I'll provide.

Reaching out is often the hardest part. Here's what happens next, so there aren't any surprises.

1. Initial Consultation (Optional). If you'd like to talk before committing to a first session, we can schedule a brief call, usually 15-20 minutes, to talk about what's bringing you in and whether we might be a good fit. This isn't a session, and there's no obligation to move forward afterward. Some people prefer to skip this step and schedule their first full session directly, which is completely fine too.

2. Paperwork. Before your first full session, I'll send you intake forms through a secure client portal. This covers your history, consent for treatment, and practice policies.

3. First Session. This is where we start digging into what brought you in, and I'll ask more detailed questions to understand your history and what you're hoping therapy or assessment can offer you. If you skipped the consultation, this is also a chance for you to ask me anything you're curious about before we get started.

4. Ongoing Care. From there, we'll settle into a rhythm that fits what you need, whether that's weekly individual sessions, periodic family meetings, or a structured assessment timeline. I'll check in regularly about whether our approach is working and adjust as needed.