Working Together
Expectations of Therapy
What can I expect from therapy?
Therapy is often an intense, powerful, and sometimes disruptive life experience. You may feel uncomfortable as feelings surface, or as you begin to alter habits and patterns that have been in place for a long time. There is a reason people say the cure can feel worse than the disease — it usually does feel harder before it gets better.
What I can tell you is that this process is in service of you. You may make significant changes — in your career, your relationships, how you carry yourself in the world. These are not symptoms of something going wrong. They are what it looks like when the work is actually working. Our goal together is to replace what is not serving you with something more honest, more sustainable, and more fully yours.
Number of Sessions
How long does therapy last?
Therapy ends when your treatment goals are met — or if something arises that would be better served by a referral to another clinician. In some cases, we determine that more time is needed. Ideally, the work concludes when you are able to apply what you have learned to new challenges as they arise, without needing me in the room to do it.
We may schedule a follow-up session some months after we conclude to evaluate your progress. And we will discuss, together, what circumstances might bring you back to this work. That conversation is part of the work itself.
Who Is Involved in Sessions
Will others be involved in my therapy?
In most cases, I know from the beginning whether we are working individually, as a couple, or as a family. Occasionally, during the course of individual therapy, we may agree to include a family member or significant other in a limited number of sessions. Confidentiality is maintained throughout — with one important exception: in couples or family work, there are no secrets between a member and myself.
If we begin in couples therapy, I will not typically see either partner individually. And if a minor is involved in our work, a confidentiality agreement will be established with the young person and their caregivers from the start. My stance has always been that caregivers should be actively involved in their children's treatment.
Contact Outside of Therapy
Are you accessible outside of scheduled sessions?
Our relationship is a professional one, and contact outside of sessions is structured accordingly. I check messages regularly and return calls and emails promptly. If I am away for an extended period, I will arrange coverage with a trusted colleague.
Clients in my Premium and Concierge tiers have access to direct, encrypted communication for time-sensitive needs between sessions. The specifics of between-session availability are discussed and agreed upon during our initial consultation.
In the event of a mental health emergency — if you are in danger of harming yourself or others — please contact 988 (Suicide and Crisis Lifeline) or 911 immediately.
Confidentiality
Is therapy confidential?
Confidentiality is protected by law, and I will not release information about our work without your written consent. There are exceptions — if you are in danger of harming yourself or someone else, if a child, elderly person, or disabled individual is being abused, or if I am court-ordered to provide information. I will always discuss my intentions with you before taking any action, when it is safe to do so.
Because this is a private-pay practice and I do not work with insurance companies, your treatment remains entirely between us. There are no third-party treatment plans, no diagnoses sent to insurance carriers, and no shared records beyond our work together. For many clients, this is one of the most important aspects of choosing private pay.
I also want to acknowledge the ordinary moments — if we encounter each other in the community, I will not initiate contact, to protect your confidentiality and the integrity of our work. You are always welcome to initiate. But our relationship will remain professional, and I will be glad to explain why that matters if it ever feels complicated.
Investment
Investment
This is a private-pay practice. I do not accept insurance of any kind, and I do not offer a sliding scale for individual therapy. My fees reflect 23 years of clinical experience, advanced licensure, and a depth of cultural and clinical expertise that is genuinely uncommon. Investment begins at $450 for individual therapy. The specific investment for your care is confirmed during your complimentary consultation and reflects the nature of the work, session frequency, and level of access. I work with a small number of clients at any given time, and the fee for your engagement is set at the outset and does not change.
Fees are as follows:
Service Investment
Individual Therapy: Starting at $450 / session
Couples Therapy: Starting at $550 / session
Extended 90-Minute Sessions: Starting at $700/ session
Concierge / On-Demand Access: Starting at $800/ session
Group Therapy: $125–$175/ person per session
Clinical Supervision: Starting at $125/ hour
The specific investment for your care is confirmed during your initial consultation. Payment is due at the time of each session, and a credit card is kept on file for all clients. Upon request, I can provide a monthly statement that some clients use to seek partial reimbursement through their out-of-network insurance benefits.