Common Questions

I am out of network, so I don't bill insurance plans directly. Many plans pay back part of the fee for out-of-network visits, and I give you what you need to ask your plan. I don't bill Medicare or the Oregon Health Plan.

A superbill is an itemized receipt, and I can send one each month. It lists the dates, the service and a diagnosis code, which your plan will see. You send it to your plan, which may pay you back in part. Whether it does is the plan's decision.

If you pay without insurance, you have the right to receive a Good Faith Estimate of what your care will cost before you start. I give you one in writing in advance. If a bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Your fee is given to you in writing before your first session, and it is the same for each session of the same kind. A limited number of reduced-fee sessions are held; ask when you write to me.

Usually, yes. Cards for health savings and flexible spending accounts commonly work for therapy sessions. Check your account's rules, and I can send a receipt for it.

We talk about what you want from therapy and what you would rather leave alone for now. I explain how I work, including what stays private. There is no pressure to share more than feels comfortable. Then you decide whether to continue.

Individual sessions are 50 minutes and couples sessions are 80. Most people start weekly. I don't promise a number of sessions, and we check in about the pace as we go.

I am a licensed psychologist in Oregon. I see clients in person in Portland, and by video when you are in Oregon at the time of the session. I can't see clients who are in other states, and I'm glad to help you look for someone where you live.

This practice is not an emergency service, and messages are not read around the clock. If you are in crisis, call or text 988, any time. In an emergency, call 911.

What you tell me stays private, and I share it only as the law allows. The limits are few: a serious risk of harm to you or someone else, abuse of a child or a vulnerable adult, and a court order. I go through them in the first session.

No. This practice is for adults, 18 and older. If you are looking for care for a teen, I am glad to help you find someone who works with them.

I ask for 24 hours' notice to cancel or move a session. Life happens, and I will talk it over with you first. A session cancelled later than that may be charged.