Therapy Services and Fees in Seattle and Washington State
I offer individual and couples therapy in person at my Pioneer Square office and by telehealth anywhere in Washington State. Every new client starts with a free 30-minute consultation, so you can ask questions and see whether we’re a good fit before committing to anything.
Who I work with
I work with adults, couples, and some teens. My work focuses on complex trauma and PTSD, Dissociative Identity Disorder and dissociation, survivors of childhood and sexual abuse, attachment wounds, and couples. You can read more on my Specialties page.
Session fees
Sessions are 50 or 80 minutes. The longer format is often helpful for couples and for deeper trauma work.
- Individual therapy: $205 for 50 minutes, $310 for 80 minutes
- Couples therapy: $205 for 50 minutes, $310 for 80 minutes
Fees are reviewed periodically, usually once a year, and I give at least sixty days’ notice of any change.
Cancellation policy
Please give at least 48 hours’ notice if you need to cancel or reschedule a session. Late cancellations and missed sessions are billed at the full session fee.
Insurance and out-of-network benefits
I’m not in network with insurance plans, but many clients are reimbursed for part of the cost through their out-of-network benefits. I provide a monthly superbill you can submit to your carrier. Clients have used out-of-network benefits through plans including:
- Aetna
- Premera
- LifeWise
- Regence
- First Choice (some plans)
- Cigna
- Kaiser PPO
- HMA/RGA
Most other PPO plans also offer out-of-network coverage. I can’t guarantee what your plan will reimburse, so it’s worth calling your carrier to ask about your out-of-network mental health benefits.
Good Faith Estimate
Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your care will cost.
Under the law, health care providers need to give patients who don’t have insurance, or who are not using insurance, an estimate of the expected charges for services, including psychotherapy. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
The estimate does not include late cancellations, no-show fees, crisis sessions, non-therapeutic charges, case management, court-related fees, or other arrangements made case by case.
For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.
Court and legal fees
Occasionally, clients become involved in legal proceedings that require my participation. Professional time for legal work is billed to the client, even if another party compels my testimony.
This includes consultation with attorneys, preparing affidavits, depositions, courtroom testimony, travel and waiting time, and any work connected to a subpoena. It is billed at $330 per hour, with a three-hour minimum due in advance. Additional time is due when that work is completed, regardless of the outcome of any court matter. Reviewing records for court is billed at $255 per hour. Related expenses, such as mileage, meals, and lodging, are billed at cost.