FAQs & Fees

Unfortunately, insurance does not adequately represent or compensate the services I provide. For a therapist to bill insurance for couples counseling, they must identify one member of the couple as the "identified patient" and provide them with a diagnosis. The couples therapy then must treat that diagnosis, even if the couple did not seek therapy specifically to address the diagnosis. Couples therapy is rarely this straightforward. I cannot misrepresent the services I provide, as doing so would be insurance fraud and unethical. Additionally, insurance does not compensate in alignment with the intense expertise and specialization I offer to the couples I support. I charge a fee that allows me to provide focused, evidence-based care to a more limited number of couples, thus avoiding the distraction and burnout that is tragically common among therapists. 

With the exception of couple therapy intensives (which take place in-person in Portland, Oregon), I see all clients virtually for online teletherapy counseling appointments. I am licensed in California, Oregon, and Minnesota and can see clients who reside in those states.

I do not offer virtual therapy to clients who reside outside of the states where I am licensed. Some therapists are willing to work with you outside of their license as a “coach,” but this is not a service I provide.

If you feel strongly that I am the right fit for you and are willing to travel for a couple therapy intensive, reach out to discuss that option!

It's very common for one partner to be reluctant to attend therapy. I work with couples to better understand their ambivalence - it is not necessary for both people to be enthusiastic, excited, or to think the therapy will be successful. However, both parties must attend freely and willingly and demonstrate a minimum commitment to trying out the process for it to be a productive use of time. 

Yes! I greatly enjoy working with clients practicing ENM in its various forms.