We’ll first schedule a free initial 20-minute consultation, during which you’ll have the opportunity to ask questions, get a feel for my approach, and decide if I seem like the right therapist for you. I’ll also learn a bit more about you and your goals for therapy, and whether I am equipped to provide the care you need. If we determine we’d like to move forward in working together, we can then schedule a first session.

• $180 per 55-minute individual session

• $200 per 55 minute couples/relationship session

• 75- and 90-minute sessions are available on request.

I am also able to provide a Superbill if your insurance reimburses for out-of-network services. Superbills do require a diagnosis to go on your mental health record. Please note, I cannot guarantee your insurance will provide any reimbursement, and payment is due at the time of service.

For folks who are unable to afford my full fee due to factors such as low-paying jobs, not benefitting from generational wealth, or not being able to utilize insurance benefits, I hold a number of spots at reduced rates based on gross household income. These rates range $100-$180. The intention of this equity-focused fee structure is that individuals who pay a higher fee help provide access for those who need financial assistance.  Please reach out if you would like to discuss more.

While using insurance for therapy CAN be great, it can also be tricky. First of all, insurance companies require a diagnosis in order to use insurance benefits. The diagnosis then becomes part of the client’s permanent medical record. Some diagnoses in particular (gender dysphoria and autism, to name a few) are pathologized in a way that might be harmful to future care down the road. Also, many folks don't realize that having mental health diagnoses on your record can impact life insurance policy determinations. We don’t know where politics and healthcare policies are going in the next few years, and I want clients to have full authority over who has access to their mental health records.

Secondly, insurance companies tend to value brief treatment and behavioral modalities.  My approach to psychotherapy is not a short-term crisis intervention; it’s a commitment to better understanding oneself to create meaningful and lasting change. Insurance companies, however, might sometimes flat out deny coverage at any point, leaving clients with a huge unexpected bill, which might force clients to suddenly end treatment at the worst time. I’ve seen it happen, and I have since been committed to be “managed-care free,” so that your therapy is collaboratively determined by you and me, not some person sitting at a desk who knows very little about you, your life circumstances, or our work together.

Additionally, insurance companies simply don’t pay therapists enough. I wish they did. This is unfortunately a larger policy issue that undervalues mental health providers as an essential form of healthcare. Pay isn’t just about ensuring my livelihood— it also ensures I can give my clients the best care possible. My fees are determined so that I have the capacity to seek regular continuing education and consultation, and to do a ton of research specific to my clients’ unique needs. Check out this blog post from a therapist in California, which provides an often overlooked breakdown of why therapy is so expensive.

If you are interested in submitting superbills for out-of-network insurance reimbursement, to prevent any scary financial surprises, I recommend you call the member services phone number on the back of your insurance card and ask the following questions:

1. Does your insurance cover out-of-network outpatient behavioral health services?

2. What is your deductible when you see an out-of-network outpatient behavioral health provider?

3. Once that deductible is met, what percentage does your insurance reimburse?

4. How many visits are you allowed per calendar year?

5. Do your benefits differ if you are seeking individual therapy, couples therapy, or group therapy?

6. Does your insurance require that you have preauthorization prior to sessions with a therapist?

Given my specializations in gender, sexuality, and relationships, I see “regular” therapy and sex therapy as, more often than not, interwoven. Sex therapy is an open door to talking about sex. (This sometimes looks like me reassuring clients, “there’s no such thing as TMI in the therapy room!”) Some folks seek out sex therapy with the full intention of talking about sex every session- for example, people in a relationship looking to address a sex-specific concern. Other folks might talk about sex in some sessions, but not in others. Sex therapy also doesn’t necessarily mean talking about sex explicitly- it can include more general themes of embodiment, gender, and sexual identity. I take from Audre Lorde and Ester Perel in their conceptualizations of the erotic being a sense of vitality, aliveness, and capacity for connection and intimacy, in a way that expands so far beyond the bedroom. My own training and ongoing education in sex therapy allows me to hold that door open, so folks can walk through it if and when they choose.

Research on the efficacy of psychotherapy tells us that the most important variable in your therapeutic growth and progress in the therapeutic rapport. That is, whether you like, trust, and feel seen and validated by your therapist is so much more important than the actual approach and modality of therapy that the therapist offers! Choose a therapist who you feel listens to you, who you feel comfortable being honest with. And if that’s not me, no hard feelings! My ultimate hope is that everyone lands with a therapist they actually want to meet with on a regular basis.

Under the No Surprises Act, which went into effect in January 2022, health care providers need to give clients who do not have insurance, or who are not using insurance, an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

You can request that I provide you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the Colorado Division of Insurance at 303-894-7490 or 1-800-930-3745.