Therapy Fees & Policies

Online therapy in washington state & CALIFORNIA

Therapy Fees

I do not accept or work with insurance or EAP companies directly. This is why.

I have a 24-hour cancellation policy.

I also offer case consultation and supervision for therapists. You can find fees for those services on their respective pages.

Click here for referrals to lower fee ($15 - $100), pro bono (free), and insurance based therapists.

Consultation

$0

5-10 minutes

No therapy provided.

A chance for you to ask questions and see if we’re a good fit for your needs.

First Session

$270

60-minutes

I’ll ask you questions to learn more about you, your concerns, life history, offering my initial observations, and providing you a preliminary treatment plan on what could help.

Extended Sessions

Extended sessions are also available at 90-minutes ($400), 120-minutes ($540), and 180-minutes ($800). This can be a one time session or spread over several days, weeks, or several months.

Extended sessions might a good fit for those who:

  1. Time Constraints: Are busy and cannot commit to regular ongoing weekly or every two week sessions

  2. Focused Work: Want to work on one single issue/topic/concern

  3. Specific Modalities: Want to utilize Internal Family Systems (IFS) and/or Somatic Experiencing (SE) modalities at a longer session length

  4. Adjunct Work: Have a current therapist, but their current therapist does not offer SE or IFS, and want to work on a topic/issue/concern in depth their current therapist has been exploring using SE or IFS

  5. Short-Term: Are seeking treatment for 1-3 months at most

Ongoing Sessions

$200

45-minutes

Shorter sessions for those who don’t need a full hour.

Ongoing Sessions

$270

60-minutes

Longer sessions for couples/dyad work, trauma processing, deeper exploration, and IFS sessions.

Limitations Of Practice

I offer outpatient psychotherapy, consultation, and educational services only.

At most, we will meet once a week. There are other services that can offer you more support and can meet with you more than once a week.

I am not a crisis intervention resource and do not provide 24-hour emergency call coverage.

Fee Transparency

  • My fees reflect my experience, education, student loan repayment, cost of living in Seattle, and ongoing training as a trauma and relationship specialist.

  • The cost of running a small business includes paying federal and city taxes, health insurance premium, liability insurance, credit card processing fees, marketing, advertising, and unpaid time off (sick days, vacation).

  • I work with a small number of clients (14-16) weekly so you receive individualized care rather than seeing 30-40 clients a week, which increases the risk of burn out.

  • The journey to become a therapist has been rewarding and life changing, yet time consuming, expensive, and exhausting. I am most effective and helpful as a clinician when I take care of myself financially, so that I do not burn out and sustain my work long term.

  • You can read more about why I don’t accept insurance and why my fees are higher here.

Adjusted Fees & Vouchers

Access to mental health is important regardless of ability to pay. Thus, I balance a mix of full fee self pay, reduced fee, and pro bono clients.

You can email me or bring this up during a consultation to discuss reduced fee options.

Reduced Fees: 1 slot available as of October 2024. I reserve 4-5 slots for those who cannot afford my full fee ($100 for 45-minutes and $150 for 60-minutes). Click here to find low-cost/reduced fee therapists ($15 - $120).

Open Path: No slots available. I reserve 2-3 slots at $60 - $80 for those cannot afford market rates for therapy, lack adequate mental health insurance coverage. Click here to find therapists who offer $40 - $70 sessions via Open Path.

Pro Bono Therapy: No slots available. I offer 1-2 pro bono slots for former foster care youth, refugees, and survivors of crime. Click here for therapists who offer pro-bono therapy.

Vouchers: I accept vouchers from Washington Therapy Fund & Asian Mental Health Lotus Fund. Click here for mental health scholarships/funding for those holding minoritized identities.

Referrals: Click here for a list of lower fee ($15 - $100), pro bono (free), and insurance based therapists.


Insurance

I do not accept or work with insurance or EAP companies directly, but can provide a monthly receipt for you submit to insurance if you have out-of-network (OON) benefits.

If you have Preferred Provider Organization (PPO) insurance that offers OON benefits, you may receive 20-60% reimbursement after meeting your deductible (not guaranteed).

Health Maintenance Organization (HMO) plans do not offer OON benefits.

It is your responsibility to verify your insurance benefits.

The best way to find out your specific plan benefits is to reach out to a customer service agent in writing. Click here to find out how to do so.

Insurance Out of Network Benefits

Resources For OON Benefits

  • Reimbursify will submit the insurance reimbursement paperwork for you. The first claim is free, and then they charge $2.99 per claim. 

  • Do It Yourself: Every month, you’ll receive a statement from me to submit to your insurance company along with a claim reimbursement form.

    • Examples of Superbill/monthly statements here

    • Examples of claim reimbursement forms: Regence, Premera, Cigna (the simplest way is submit all forms on your insurance portal)

Once you meet your deductible, you’ll receive a check in the mail for whatever you’re owed.

Reasons Some Clients Don’t Use Insurance

  1. Confidentiality

  2. No limit to therapy sessions

  3. No restriction for online therapy/telehealth

  4. No diagnosis on your medical record (privacy)

  5. Choosing a therapist who’s the best fit for you (e.g. a relationship or trauma specialist)

  6. Wanting to see a therapist quickly without waiting (access and immediacy)

  7. More choice around therapy length, type, treatment, and approaches (offering options outside of talk therapy like somatic therapy)

  8. Individualized attention, thought, and care. Therapist has more time to prepare for session (supervision, consultation, reviewing notes, attending workshops, reading books).

Good Faith Estimate

  • Beginning January 1, 2022, federal law requires health care practitioners to provide current and potential clients who don’t have insurance or who are not using insurance a “Good Faith Estimate” (GFE) on the cost of treatment.

  • This new law is designed to provide transparency to clients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills.

  • You may prefer finding a therapist who accepts insurance rather than paying cash/out of pocket.

Begin Therapy

Ready to schedule your first session with me?

Click below to find out next steps.