Let’s be real—insurance companies have their place, but when it comes to therapy, their priorities don’t always line up with what you and I need. They’re all about making the numbers work, which means they tend to focus on labels and checklists. To get coverage, they require a DSM-V diagnosis and often dictate which issues get the green light for treatment.

These decisions are sometimes made by folks who don’t have much experience with mental health care. They decide how many sessions should be enough, how long each session should be, and what methods are “approved.” They might even want a peek at your therapy notes, which is not my idea of a good time.

I’m all about seeing the whole person, not just fitting someone into a medical model box. But that approach doesn’t always translate in the insurance world.

By staying out of the insurance network, I get to keep our work focused on what’s best for you—no one else gets to weigh in. This way, I can ensure that our sessions are truly about your healing, with all the privacy and autonomy you deserve.

At this time our practice is only supporting individuals over the age of 18.

Your secrets are safe with us—like, locked in a vault, hidden under a mountain, guarded by dragons safe. Everything you share in therapy stays between us unless you give us the green light to share it. That said, there are a few exceptions where the law steps in and we have to break confidentiality:

• If a court orders us to spill the tea.

• If a government oversight agency decides they need to audit or investigate.

• If we believe you’re at immediate risk of harming yourself or someone else.

• If there’s a situation involving child or elder abuse that legally has to be reported.

If we end up working together, feel free to ask about this anytime—we’re all about transparency. We approach our work with a focus on abolitionism and harm reduction, which means we’re here to help you navigate the tricky parts of confidentiality. We’ll figure out the best way to handle these situations together, weighing the risks, benefits, and any consequences so you can make decisions that feel right for you.

Being present in therapy—both physically and mentally—is a big part of what makes it effective. We want therapy to work for you and for you to feel like your time is valuable, because it absolutely is. That’s why we ask that you let us know at least 24 hours in advance if you need to cancel or reschedule a session.

If you cancel with less than 24 hours’ notice or miss a scheduled session, you’ll be required to pay our full rate for the missed time ($200 per 50 minutes, unless we’ve agreed on a different rate). But don’t worry—we get that life happens. We do make exceptions for emergencies or situations beyond your control (like sudden illness, flat tires, etc.) because we’re all human, and things come up.

It really comes down to your own experience. You’ll know you’re “done” when you feel like you’ve tackled the goals you set out to achieve when you first started therapy.

Sometimes, people discover new goals along the way and find themselves benefiting from therapy for years.

Other times, folks reach their initial goals, feel satisfied, and decide they’re ready to move forward.

And sometimes, new goals might point you toward a different therapist who specializes in another area, or even to a different healing modality altogether.

Given the approaches we use and the nature of the work we do, we typically see people for about 1-2 years. But ultimately, the journey is yours, and we’re here to support you every step of the way.