FAQ

Couples therapy starts with a thoughtful assessment process to help me get to know you both and understand the unique dynamics of your relationship. This involves a short online survey from each of you, followed by three sessions. First, we meet together for a 90-minute session, where we’ll talk about your current challenges, the history of your relationship, and how you handle conflict. Then, I’ll meet with each of you individually in separate sessions to learn more about your personal perspectives, life stories, and how these shape your relationship.

In our work together, couples therapy focuses on two main areas: building skills and processing emotions. The skills part is inspired by the work of John and Julie Gottman, who have spent decades studying what makes relationships thrive. I’m Level 2 trained in the Gottman Method, which means I’ll guide you in developing practical tools that help you communicate better, resolve disagreements, and strengthen your connection.

The processing part goes a bit deeper. This is where we explore the emotional patterns that show up between you, especially when things get heated or feelings are hurt. It’s normal for those relationship skills to fly out the window when emotions run high—our brains are wired that way! My role is to help you notice when this shift happens, slow down the conversation, and keep things from escalating. We’ll work together to understand the cycles you get stuck in and learn new ways to respond to each other, especially during tough moments.

This approach draws on Emotionally-Focused Therapy, developed by Sue Johnson, which helps couples move past old patterns and connect in more meaningful ways. I have advanced training in this method, and while it can be challenging, I find it’s often what truly helps couples break through and make lasting changes.

Ultimately, couples therapy is a supportive space to build new skills, understand each other more deeply, and create a stronger, more satisfying relationship—no matter what you’re facing.

An individual assessment is a 60-minute session where we take an overview of your history, what you’re struggling with, and what your goals are for counseling. Sometimes, we’ll use surveys to get a clearer picture of your symptoms and establish a good baseline. I do my best to make this first session casual and comfortable—though you may see me jotting down notes. This is simply so you don’t have to repeat yourself later; as we get to know each other, you’ll notice I need my notes less and less.

After that, therapy should feel less like an interview and more like a genuine conversation. My aim is for you to feel comfortable and validated, even though there may be times when I gently encourage you to step into new territory. You won’t be navigating that alone—I’m here as your safety net. My goal is to help make those frightening, unfamiliar, or even unacceptable emotions more manageable, so you can move through life with greater confidence, flexibility, and a deeper sense of connection to yourself and the people who matter most.

While these shifts in how we process emotion often lead to behavior change naturally, I am a believer in what I call committed action. If something isn’t working, it’s important to take active steps toward change. But those steps should always be in line with your strengths, values, and motivations. Together, we’ll identify what’s most important to you and develop small, practical steps so you can move, slowly but surely, toward a thriving life.

Well – um – people closest to me describe me as honest, caring, and a good listener (also outdoorsy and adventurous, but that probably doesn’t matter in therapy). Past clients have said I’m easy to talk to. I’m candid, probably because authenticity is one of my most deeply held values. I believe authenticity stitches relationships together and allows people to be seen and truly known (something vital to emotional and relational well-being).

In a therapy relationship with me, you can expect me to be my true self. I will be real and honest with you about what I see happening, with a great deal of compassion and understanding as a fellow human.

I am first a wife and mother. My journey to private practice telehealth was to honor these roles, as well as my own self-care. My faith guides all my interactions with every human because I believe we are all fearfully and wonderfully made. It is connection with other humans that gets us through the inevitable yet unexpected difficult times and helps us thrive. And that connection can only happen when we feel safe and free to share our most vulnerable selves.

Sessions are generally 60 minutes. As far as frequency, most of the time I like to let clients decide how often they need to feel supported in the progress they are making. Generally, weekly or every other week is a great place to start. It helps us move through the initial process of paperwork and getting to know each other quickly and gain some momentum towards your goals.

From there is all depends. I have many people who maintain biweekly for quite some time. It feels like a good rhythm for updating, processing, and progressing. Others move to every 3-4 weeks. I like to think of this as ‘maintenance’. Others still, decide to take breaks or feel they have accomplished what they came to do in therapy at some point in time.

Ultimately, you are the decider about how therapy supports your goals and your life.

Thank you for asking! Too often it seems like when people don’t feel like therapy is working, they bail. While I totally understand this response, it misses a great opportunity for growth.

It may be that the therapist or the approach isn’t working for you—and that’s ok. If we can talk about what is and what isn’t working, you can truly get what you need, without writing off therapy altogether, and even if it means changing therapists.

It may seem a little odd, but therapists wonder how things are going too. We don’t always get to hear your feedback and often that’s simply because client’s either don’t feel like they can offer it, or they are too nervous about doing it.

So, please, in our work together. Don’t be afraid to be open and honest about how therapy is going. There is always room for adjustments, both big and small.

ABSOLUTELY! I don’t think I could do this job without it.

You see, therapists are not some sort of relational, emotional superheroes. The only reason we are able to help (aside from a ton of training) is because we are not emotionally tied to your situation. We do not have to live your life and all its challenges and outcomes.

You know when you listen to a friend and the answer is so clear to you and you can’t understand why it’s so hard for them? It’s the same sort of thing. When the outcomes and the energy don’t impact us, everyone is better able to listen and support.

But that doesn’t mean we don’t have our own difficult mess—we absolutely do! And some of us are no better at separating from difficult feelings, negative self-talk, and challenging relationship dynamics than anyone else.

One thing that makes it a little more difficult moving through life as a therapist is that you notice more—you absorb more—you reflect more. It’s just how we’re built and what we have been trained to do, and that can make life a little more complicated. And that is exactly why I have been and will continue to make therapy an important part of my wellness as a therapist yes, but generally as a human.

Part of the answer is in the above question: being separated from people’s problems. But the larger answer is how much I believe it matters. If I’ve made any generalizations about humans from my work over the years, it’s that we all want to feel seen, understood, and supported. We all want to know that we’re not crazy, weak, alone, or broken. In some ways, we’re all all of that. But it’s normal—It’s human. I often say, “Being a human is hard”. It’s why we need each other.

I consider it an honor and a privilege to support other humans in their story. I don’t take someone’s vulnerability lightly. It isn’t easy to share those parts of yourself not knowing if they will be accepted or supported. That’s what I aim to do for my clients—support and encourage.

Sweet or Salty

Definitely sweet but if you can combine both I’m all in.

Water or Mountains-

I spent the bulk of my early adult life in the mountains and they will always hold a special place in my heart.

Coffee or tea-

Coffee! Caffeine optional—I just like the taste.

Early bird or Night owl-

Neither.

I can’t exactly say early bird (the hour of 5:00 is definitely sleepy time) but I’m usually up by 7:00 even without an alarm.

And because I’m a 9-hour-a-night kind of gal I am usually in bed no later than 10:00, but regularly 8:30-9:00.

Summer or winter-

When my core is warm and I’m bundled up breathing in cold air I feel alive and joyful, and snow is one of the most beautiful things I’ve ever seen.

(Side bar: I recently learned about the phenomenon of “shinshin”,  Japanese term that means ‘deep silence’. I never thought about that aspect of winter but it makes winter feel peaceful.)

That said, I just like experiencing each season for what it offers.

Rugged or city vacation-

This is a tough one. My family bends towards rugged. We love camping and wilderness adventures. I love losing track of time and having nothing to do but meet basic needs; food, shelter, water. But I can straddle both worlds. I love experiencing the bustle and lights of the city. Live music or comedy is my ideal date.

Insurance is a tricky relationship for both you as the client and me as the provider. Using insurance is a personal decision that only you can make, so I want you to know what is involved.

Currently, I am a provider for a company called Alma. Alma is a wonderful group that does all the heavy lifting for clients and therapists when it comes to insurance. They will check your eligibility & benefits and then let us both know what your out-of-pocket cost will be. They will collect all payments and do all the claim submissions for us! Currently Alma and I work with the following insurance companies:

• UnitedHealthcare
• Oxford Health Plans
• Aetna
• UMR
• Oscar
• UHC Student Resources
• AllSavers UHC
• Harvard Pilgrim
• Meritain
• Nippon

If you currently have one of these plans we can move forward using Alma for the insurance process. Please reach out to me to find out about next steps.

If you do not have one of these plans, I am an out-of-network provider, which means I cannot directly bill your insurance company. However, I can provide you with a “Superbill” to submit to your insurance for personal reimbursement. Payment for services is still required upon the day of services per my payment policy discussed and signed upon assessment.

Once a claim is submitted to your insurance, they require a psychological diagnosis, which becomes part of your permanent medical record. They also have more involvement in your care (similar to how parents might want to have a say in wedding planning when they offer to help pay for things). They may dictate how often you can be seen, and they may request a copy of my written records. Sometimes, they come back and say they won’t pay for something they’ve already paid for, and then you are financially responsible for that service. These are some reasons I have been hesitant to work directly with insurance companies; however, I understand why clients choose to do so.

I also understand that insurance coverage may be vital for some people to receive services. Therefore, and because of my concerns with insurance, I am in the process of seeking out insurance contracts that are mental health-friendly. This means they value mental health services and do not often limit, micromanage, or interfere with services. I will update the website if and when these contracts are put in place, which would allow me to begin accepting insurance coverage.

Part of my payment policy, outlined in the full informed consent you sign when beginning therapy, requires a credit card to be held on file. This gets charged at the end of our session together. I find this keeps money discussions out of the therapy room and makes it easier and more comfortable for everyone.

If you choose to use your insurance, it is required that you provide me with an outline or statement of your benefits so that we know what to expect your out-of-pocket expenses will be.

My duty and obligation is to protect your privacy, no matter where we connect. All of my platforms are HIPPA-compliant, which means that those companies have committed to keeping your information safe to the same extent that I do. I would not work with a company that didn’t. I use an electronic health records (EHR) system called Simple Practice. They offer a client portal that is the most secure form of communication between therapist and client. They also integrated a protected Zoom platform for our sessions. Furthermore, your credit card held on file is a safe and secure way to pay through the portal.

I use Hushmail for my email account, which uses encrypted email to protect any communications. I use Spruce for my office number that provides protected phone calls and text (more on that later).

It is important to be aware and alert to your own privacy with all of this in mind. These companies and I will do our best to protect your information; however, we know that nothing is guaranteed in the world of technology we live in. Keeping our exchanges on these platforms to a minimum and sharing more sensitive information for a live session is the best way to protect your privacy. And in fact, I only discuss billing and scheduling outside of Simple Practice exchanges.

Hey, I’m a burnout therapist! I know life gets crazy. If it does, and it gets in the way of a scheduled session – I understand. However, if things regularly get in the way and become a pattern, I will discuss the timing of committing to counseling with you.

Currently, I have a $75 reservation fee if you are unable to provide advanced notice of a cancellation. If we are able to reschedule within the same week, no charge will accrue.

Yes, you are able to call or text in between sessions, however I only monitor those communications during my normal business hours and only address certain topics (more on that later). I am often in between sessions so texting is generally easiest and fastest to answer questions about scheduling and billing, and I can often respond to those the same day. Phone calls are harder to fit into a day and I try to respond by at least the next business day. 

Regarding content of our communications in between session, I do NOT discuss personal or clinical information via these channels. I only respond to issues related to billing, scheduling, and logistics, with perhaps the occasional resource as discussed within a session regarding work we are doing together.

My work number operates through Spruce, on a HIPPA-compliant web-based app. I send an invitation to clients to download this app for our communications so our communications are private and secure.

If you do text through SMS those communications are less secure and while I will respond, I will likely nudge you back to the Spruce app. There can be no guarantees in the world of technology, so doing everything we can to ensure your privacy is my number one priority.

If you are in crisis, it is important to get the best and most immediate help, which is NOT me.

Some numbers that may be useful are below:

National Suicide Prevention Hotline: 1-800-799-8255
Text: HOME to 741741
National Domestic Violence Hotline: 1-800-273-7233
Veterans Crisis Hotline: 1-800-273-8255
Human Trafficking Hotline: 1-888-373-7888
Text: HELP or INFO to 233733
Disaster Distress Helpline: 1-800-985-5990
Text: TalkWithUs to 66746
Trevor Lifeline for LGBTQIA+ Youth: 1-866-488-7386

First – if I didn’t say it yet – “YOU ARE BRAVE”!

Even searching online for help is a MAJOR step forward. It’s easy to believe we should have this all figured out by now. I know that isn’t the case, and I just want to acknowledge every seemingly small step you’ve made to get here.

If after reading this content, deciding that “enough is enough,” AND you feel ready for the next small (MAJOR) step, please call or email me or click on the connect button. We can set up a 20-minute FREE consultation. We can chat and get even more of your questions answered to take the next right step. If I’m not your person, I will work to connect you with that person or service because

EVERY LIFE SHOULD THRIVE!