Silhouetted rock formations on a beach at sunset or sunrise, with a partly cloudy sky reflected in the water.
Silhouetted rock formations on a beach at sunset or sunrise, with a partly cloudy sky reflected in the water.

Fees & Insurance

Image: Kari Lipke

Individual Therapy: Private Pay

My private-pay fee for a 55-minute individual psychotherapy session is $175.

I negotiate fee reductions based on self-reported financial circumstances. I also reserve a few spaces for uninsured or under-insured clients experiencing significant financial hardship.

If you choose to pay privately, Washington State allows clients to opt out of detailed progress notes. This is the most privacy-protective option currently available.

Individual Therapy: Insurance

I accept several insurance plans through Headway, including:

  • Aetna

  • Premera Blue Cross

  • Regence BlueShield

If you use insurance, I will provide the insurance company the diagnostic code(s), treatment plan, and progress notes required to bill your plan.

Pre-Marriage/Pre-Commitment Counseling

I work with couples and polycules prior to marriage or next-level commitment to support a foundation for ongoing relational health. Areas of focus include:

  • patterns in families of origin

  • communication and conflict styles and needs

  • approach to finances

  • affection and intimacy

  • co-parenting if applicable

  • expectations and preferences for mutual support

Sessions are 90 minutes and are scheduled in the evening, usually over a three- to four-month period. Typically this work requires four to six sessions.

This type of counseling is not covered by insurance. The fee per session is $250. I negotiate fee reductions based on self-reported financial circumstances.