WHAT INSURANCES DO YOU TAKE?
I am not paneled with any insurance companies.
WHAT ARE YOUR FEES/RATES?
My rate for individual or caregiver sessions are $150 per 50 minute session. The intake session is also $150 for a 50 to 60 minute session - I will spend time reviewing your documents beforehand (due 3 days prior to our appointment) so that we can get right into clarifying, digging deeper, and treatment planning.
Please know I do not accept/am not paneled with insurances at this time but do accept HSA, debit card, and credit card payments. I do require a credit/debit card to be kept on file. I can provide you with a digital "superbill" document to submit to your insurance company at your request but am unable to provide additional assistance with this step. I can't guarantee that your insurance will fully reimburse the cost of our sessions but you are welcome to call them and ask.
Here is an article with recommendations on what to ask your insurance company prior to scheduling a consult call with me.
Commonly used "billing codes" at my practice:
Individual therapy, 50 min: 90834
Family therapy w/ client present: 90847
Family therapy w/o client present: 90846
WHAT ARE THE BENEFITS OF NOT USING INSURANCE?
Insurance companies require a mental health diagnosis (even for children) and often have strict treatment requirements in order to cover sessions; foregoing insurance ensures that the therapeutic treatment plan can be tailored to your individual needs. There are also no restrictions on telehealth sessions or classroom observations. No mental health diagnosis will be required or documented unless it is requested by you. Additionally, your insurance company will not have access to any clinical notes from our sessions without your permission. (If you decide to "superbill" your insurance company, this may be compromised - for example, a mental health diagnosis must be provided to the insurance company.)
DO YOU OFFER SLIDING SCALE RATES?
I am unable to offer a sliding scale at this time.
FREQUENTLY ASKED QUESTIONS
WHAT SERVICES ARE YOU CURRENTLY PROVIDING?
I currently provide digital trainings/talks and case consultation for colleagues. To discuss speaking opportunities, please contact me via this form.
I am also providing in-person therapy sessions in Richland and telehealth for folks in WA.
Additionally, I provide therapist letters for gender affirmation surgery.
For therapists, I do also provide clinical supervision toward licensure, however I am full on supervisees at this time.
WHERE ARE YOU LOCATED?
You can find me at Spectrum Counseling in Suite 104 at 1201 Jadwin Avenue, Richland, WA, which is on the ground floor and has its own lobby. This building is located near the Richland library, Kadlec, the police department, and is also close to the Uptown. It is a low odor suite for folks with sensitivities or allergies. View on Google Maps.
WHAT ARE YOUR OPERATING HOURS?
Some Thursdays: 9am-4pm
Consultation calls and WPATH gender letter sessions may also occur occasionally on other weekdays (by appointment.)
Please be aware that you may not receive email or phone correspondence Thursdays through Mondays.
As most sessions are during school hours, I am open to providing a “doctor’s note” at your request.
** Hours adjusted September 2021.
WHAT IS YOUR SERVICE AREA?
For those seeking therapy, I prefer that we meet in-person whenever possible. If you are able to travel weekly, I am open to serving families outside of the Tri-Cities from nearby areas such as Prosser, Walla Walla, College Place, Finley, Burbank, Wallula, Sunnyside, and many more. I know that services for children (especially LGBTQ+ youth and autistic youth) can be limited in southeastern WA.
For LGBTQ+ folks in need of my letter-writing services, I am happy to work via telehealth for anyone located in Washington state where I hold my license.
For colleagues seeking clinical consultation or information, I am open to meeting via phone and videochat and am open to working with anyone in the US.
DO YOU OFFER TELEHEALTH/TELETHERAPY?
Though I much prefer in-person sessions and do in-person exclusively for children, I do offer teletherapy options for those young adults and caregivers who need them on occasion. Let's get creative with how we meet!
For those purely seeking WPATH letters, I am very open to having therapy exclusively via telehealth/teletherapy platforms for anyone residing in WA state.
HOW CAN I SCHEDULE WITH YOU? HOW WILL I KNOW IF WE'RE A GOOD MATCH?
To ensure a good fit between us, I offer free 15 minute phone consultations. When I have openings or an open waitlist, potential clients can email me to schedule a call.
Generally, the call is where you tell me what's been challenging in your life lately that's led you to reach out. I will be honest with you about my abilities and confidence in assisting you (or you and your child.)
From there, we will schedule an initial intake appointment (approximately 50 to 60 minutes) and I will digitally send initial paperwork to you (due 3 days prior to the intake appointment.) If we determine we are not a good fit (whether that's on the phone or in person), I will provide referral suggestions whenever possible.
WHAT SHOULD I EXPECT DURING INTAKE? IF IT IS FOR MY CHILD, DO I BRING THEM?
You will be asked to digitally turn in completed intake forms 3 days prior to our intake session. Our meeting will last approximately 50 to 60 minutes. The content of the session will be reviewing the paperwork (policies, financial arrangements, etc.), digging deeper into the information you provided, and determining an initial direction for treatment. You will be able to ask any questions about the therapeutic process, my education and techniques, and anything else you would like clarity on as we begin our therapeutic journey together.
If the intake is for your child (under 13), please do not bring them - they will attend the following session. If it is for a teen (13-17), they are allowed to do the intake by themselves or with you. If you are 18+, please attend the session by yourself. (Let me know if you may need to bring a support person.)
HOW OFTEN WILL WE MEET FOR THERAPY? HOW LONG WILL THIS TAKE?
Adhering to typical standards of care, therapy will begin with a frequency of once per week visits, if availability allows. As you progress and you find yourself (or your child) reaching therapy goals, we will discuss decreasing frequency.
It is difficult to guess how long therapy is needed; healing and growth doesn't have a firm timeline. Everyone is different. Some adults find success within 10-16 sessions, some children within 12-24, and others prefer to remain in therapy for longer while maintaining their goals. I hope to help you find sustainable success so you can work me out of a job!
DO YOU WORK WITH ADULTS?
Yes - usually I work with LGBTQ+ or autistic adults who are open to creative therapy approaches (art, sand tray, play, music, etc.) I am especially passionate about providing therapeutic support for transgender or gender diverse adults.
DO YOU ONLY WORK WITH LGBTQ+ PEOPLE OR WITH AN AUTISM DIAGNOSIS?
No - although I am very passionate about working with these two populations, they are not the only people I serve. I want to help folks struggling with anxiety, self-confidence, and self-esteem. The acceptance and affirmation I provide is not limited to any one community and I hope you will find therapy with me to be a safe space to be truly yourself.
MY CHILD ALREADY HAS A DIAGNOSIS, CAN YOU STILL HELP THEM?
Absolutely. Having a diagnosis does not necessarily mean that your child would benefit from therapy with me, especially if they are not experiencing any worry or self-doubt. Please take this quiz if you are unsure as to whether or not I personally will be able to help your child.
WHAT IF I NEED HELP RIGHT NOW?
If there is an urgent concern, please contact your local Crisis Response Unit (for Tri-Cities, WA that number is (509) 783-0500.)
You can also text CONNECT to 741-741 to reach a Crisis Counselor through the national hotline.
TrevorText is another option- it's a confidential and secure resource that provides live help for LGBTQ+ youth with a trained specialist- just text START to 678-678.