The questions people
actually want answered.
Not the corporate boilerplate. The real stuff about how this works, what to expect, and whether this is the right fit. If your question is not here, just ask.
Before you
reach out.
The things people wonder about before they even fill out the form.
Not right now. The practice is currently full for all services. Fill out the contact form to get on the waitlist. I review it regularly and will reach out when a spot opens that matches what you are looking for. I do not do first come first served. I match based on fit and need.
Honest answer: you probably will not know until you are in the room. What I can tell you is who I work well with. If you are a perinatal woman, a person with ADHD whose struggles have been dismissed, a trans or queer person who is exhausted from explaining yourself, a teen navigating trauma, or a first responder who has never had a place to put everything down — you are probably in the right place.
If you are not sure, fill out the contact form and tell me what is going on. I will be honest about whether I am a good fit or whether someone else might serve you better.
No. Tell me about it. Knowing what did not work before is useful information. I am not going to be defensive about other therapists or the profession. If someone failed you, they failed you. We start from where you actually are.
A lot of my clients come in having been misdiagnosed, misgendered, dismissed, or handed CBT worksheets when they needed something completely different. That history belongs in the room.
I have no idea and anyone who gives you a confident answer to this on a FAQ page is not being straight with you. It depends on what you are working on, how long it has been there, your nervous system, and about a dozen other things.
Some people come for a specific season and are done in a few months. Others are doing deep work that takes longer. You are always in control of when to pause or stop.
Telehealth
and logistics.
The practical stuff about how sessions actually work.
Licensing law requires that you be physically located in Hawaii, Arizona, Washington, North Carolina, or South Carolina at the time of our session. Not where you live. Where your body actually is when we connect. If you are traveling, let me know in advance so we can check whether that state is covered.
Yes. EMDR, Brainspotting, ART and DBR have all been adapted for telehealth and the research supports their effectiveness online. There are actually some advantages. You are in your own space, which can feel safer. You do not have a commute. You are not sitting in a waiting room next to strangers.
The one thing telehealth requires is that you are intentional about your space. Private, quiet, somewhere you can go wherever the session goes.
The whole practice is built around this. Fidgeting is fine. No eye contact is fine. Info dumping is fine. Non-linear stories are fine. If you need to stand up, move around, or stim during a session, do it. If your brain went somewhere unexpected mid-session and you lost the thread, tell me and we will find it together.
I have ADHD. I get it. You do not need to perform focus in this room.
A teen’s therapy is their own. Parents are included through separate parent consultation sessions, but they do not have access to what their teen shares in individual sessions. Confidentiality belongs to the teen.
There are legal exceptions I will explain at the start of treatment, including situations involving safety. Outside of those, what happens in the room stays in the room. That is not a formality. It is what makes the work possible.
Money and
insurance.
The financial stuff, answered directly.
Priority Access (30 min): $110 — out of pocket only.
Standard Therapy (53 min): $195 — insurance accepted for this session type.
Trauma Processing (90 min): $235 — out of pocket only. For extended EMDR, Brainspotting, ART or DBR sessions.
Sliding scale available on a limited basis. See the Pricing and Insurance page for full details.
I accept HMSA (including HMSA Medicaid), Kaiser Permanente, Ohana Health Plan, and AlohaCare.
If you have a different plan, sessions are private pay. I can provide a superbill for out-of-network reimbursement. Whether your plan reimburses you is between you and your insurer.
I require 24 hours notice to cancel or reschedule. Late cancellations and no-shows are charged the full session fee. Medicaid clients are exempt in accordance with CMS guidelines.
Under the No Surprises Act, providers are required to give clients who are not using insurance a written cost estimate before treatment begins. You will receive one before we start. It is a legal document, not a surprise. If the actual cost ends up significantly more than the estimate, you have rights under the law to dispute it.
Boundaries
and safety.
How the practice is structured to keep you protected.
No. I am not a crisis service. If you are in immediate danger or feel unable to keep yourself safe, call 988 or go to your nearest emergency room.
This is not a reflection of how much I care about my clients. It is a reflection of what I can actually provide safely and consistently. A therapist who promises crisis availability and then cannot deliver is more harmful than one who is honest upfront.
Therapy should support your functioning, not blow it up. If we use deeper trauma processing modalities, we talk about pacing in advance. You stay in control of the depth and the timing. I am not going to crack something open and send you back into your day without grounding you first.
Some people feel tired after a heavy session. That is normal. Plan some buffer time if you can.
No. I do not provide forensic evaluations, custody recommendations, or disability determinations. Involving therapy in legal proceedings changes the nature of the therapeutic relationship in ways that usually harm the client. If you need this kind of documentation, you need a provider whose role is specifically forensic.
Almost everything. What you share in sessions stays between us. The legal exceptions are narrow: imminent danger of harm to yourself or someone else, suspected abuse or neglect of a child or vulnerable adult, or a court order. I will review these with you at the start of treatment so there are no surprises.
Confidentiality is not a formality. It is the foundation of the work.
Just ask.
Fill out the contact form and ask whatever you need to know.
I read every message personally.
Telehealth only HI AZ WA NC SC