Fees

Individual Therapy: $150 per 55 minute session

Couples Therapy: $150 per 55 minute session

Marriage by Design Premarital Counseling: $150 per 55 minute session

Discernment Counseling: $200 per 90 minute session

Payment is due at the time of service, and a card on file is required to begin therapy. If you need to cancel or reschedule, please give at least 24 hours' notice so that the full session fee isn't charged.

Why Private Pay

My practice is private pay, which means I don't contract with insurance companies. This allows our work to be guided by your goals rather than by what an insurance plan will approve, without limits on how many sessions you can have, and it keeps your personal information between us.

Using Your Out of Network Benefits

Many insurance plans include out of network benefits that can reimburse part of the cost of therapy. I work with Thrizer, a platform that checks your coverage, submits claims to your insurance for you, and can reduce what you pay at the time of your session if you're eligible, so you don't have to deal with paperwork or wait for a reimbursement check.

Reimbursement depends on your plan and on what we identify together during intake, so I'll go over what applies to you once we begin. Premarital counseling and discernment counseling are not submitted to insurance.

Check Your Coverage

Enter your insurance information below to see an estimate of your out of network benefits in just a few minutes.

Frequently Asked Questions

Couples & Individual Therapy in Washington State 

If you are considering couples therapy, it is normal to have questions. Here are answers to common questions about online couples therapy in Washington State and what to expect when working together.

  • Insurance companies require a mental health diagnosis for any covered service. That works reasonably well for individual therapy, where the client is the one being treated. It does not work for couples therapy, because a relationship is not a diagnosable condition, and the insurance company would require me to diagnose one partner as the "identified patient" in order to bill at all.

    I don't work that way. In couples therapy, both of you are the client. Nobody is the sick one and nobody is the problem to be treated. Billing insurance would mean putting a mental illness label on one partner's chart to satisfy a claims requirement, even when that's not clinically accurate or in your best interest. It can also follow that person on their medical record long after our work together ends.

    Private pay lets me protect that. It means the frame stays on your relationship, not on pathologizing either of you, and there's no third party (the insurance company) with a say in your diagnosis, your records, or how many sessions you're "allowed."

    This is why premarital counseling and discernment counseling are also private pay. Neither one involves treating a mental illness. They involve two people doing intentional work on their relationship.

  • Couples therapy is a structured form of counseling designed to help partners improve communication, understand patterns in their relationship, and navigate conflict more effectively.

    In couples therapy, we look at how each partner experiences the relationship, how stress and conflict are handled, and how emotional connection can be strengthened. The goal is not to determine who is right or wrong. The focus is on understanding and improving the relationship dynamic.

  • Yes. All sessions are conducted via secure telehealth for couples located in Washington State.

    Online couples therapy allows you to attend sessions from your home while still engaging in meaningful, guided conversations. Many couples appreciate the flexibility and accessibility of virtual therapy.

  • The length of couples therapy varies depending on your goals and the concerns you are bringing in.

    Some couples attend for a short period to address a specific issue. Others choose longer-term therapy to work through deeper relational patterns. During our consultation, we can discuss what feels realistic and supportive for your situation.

  • Couples seek therapy for many reasons, including:

    • Communication challenges

    • Recurring arguments

    • Emotional distance

    • Trust concerns

    • Premarital preparation

    • Life transitions

    • Differences in expectations or roles

    Therapy provides space to slow down and examine what may be happening beneath the surface.

  • My work integrates principles from the Gottman Method and Narrative Therapy.

    The Gottman Method focuses on communication patterns, emotional connection, and conflict management. Narrative Therapy helps partners understand how personal stories, family background, and identity shape the relationship.

    Together, these approaches support thoughtful exploration and practical skill development.

  • No. Many couples begin therapy before problems feel overwhelming.

    Couples therapy can be helpful at any stage of a relationship. Some partners seek support to strengthen communication. Others want to feel more connected or intentional. Therapy is not limited to crisis situations.

  • Yes. I work with culturally diverse, intercultural, and same-sex couples throughout Washington State.

    Identity, culture, and lived experience influence how each partner approaches communication, conflict, and commitment. Therapy provides space to explore these differences with care and respect.

  • Individual therapy, couples therapy, and Marriage by Design premarital counseling are $150 per 55 minute session, and discernment counseling is $200 per 90 minute session. Payment is due at the time of service, and a card on file is required to begin therapy.

    My practice is private pay, but if you have out of network benefits, you may be able to get part of your session fees reimbursed. I use Thrizer, which checks your coverage, submits claims to your insurance for you, and can lower what you pay at the time of your session if you're eligible. You can check your estimated coverage using the benefits checker at the top of this page.

    If you have any questions about fees or payment, feel free to reach out before your first session and I'm happy to go over them with you.

  • Yes. Couples therapy is confidential within the limits of Washington State law and professional ethical guidelines.

    At the start of therapy, we will review confidentiality policies, including how information is handled in a couples context.

  • The first step is scheduling a consultation. This allows us to briefly discuss your concerns, review logistics, and determine whether the fit feels right for both of you.

  • I offer telehealth sessions Monday through Wednesday, 7 to 11 AM and 3 to 8 PM, and Thursday 3 to 8 PM. Morning and evening appointments are available, which works well for couples and individuals with varying schedules. I see clients throughout Washington State via secure video.

  • Yes. All sessions are telehealth, so I work with couples and individuals anywhere in Washington State. This includes Seattle, Tacoma, Spokane, Bellevue, Olympia, Everett, and beyond.

  • The Gottman Method is a research-based approach to couples therapy developed by Drs. John and Julie Gottman. It focuses on communication, conflict patterns, and emotional connection. I am trained at Level 2 and use it as a primary framework in couples sessions and in the Marriage by Design premarital program.

Good Faith Estimate

Under the No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your care will cost if you are not using insurance or are paying out of pocket. You can ask me for a Good Faith Estimate before scheduling, and you'll receive one before your first session. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For more information, visit www.cms.gov/nosurprises.