You don't have to figure out
everything before you begin.
Most people arrive at this page with questions, a little hesitation, and a sense that something needs to change. That's exactly the right place to start.
Book Your First SessionWhat to expect when you
book your first session
The process is straightforward. Here's exactly what happens from the moment you book to the start of your first session.
Book online through TherapyPortal
Use the booking link to select an appointment and complete your information. You'll receive a confirmation email with a link to your intake paperwork shortly after.
Booking for couples therapy? Fill in your own information in the form, then include your partner's name and contact information in the notes field so I can expect you both.
Complete your standard intake forms
Before we meet, you'll complete a set of standard medical intake forms through the client portal. This includes practice policies, your privacy rights, a brief relevant history form, emergency contacts, and a credit card on file to hold your appointment. Nothing in these forms will surprise you, and nothing you share will surprise me.
Join your session from wherever you are
All sessions are telehealth via HIPAA-compliant video, accessible on any device. You'll receive a secure link before our appointment. A private, comfortable space to talk is all you need on your end, whether you're in New York, Connecticut, or Michigan.
Your first session: assessment and orientation
The first session is 55 minutes. We use the time to understand what you're navigating, establish what you want from therapy, and determine whether we're a good fit. I'll ask questions, you can ask questions, and we'll decide together how to move forward. There's no pressure and no predetermined agenda beyond listening well.
The intake session is a full clinical session, billed at the standard intake rate. It is not a free consultation.
Transparent rates,
no surprises
All services are billed at the time of session. A sliding scale may be available for individual therapy on a limited basis.
$225 per 55-minute session thereafter.
Brainspotting, trauma work, sexual health, life transitions. Insurance accepted: BCBS PPO and Blue Care Network (Michigan).
Couples counseling, sex and intimacy therapy, and relationship coaching. Out-of-pocket only. Not billed through insurance.
One-day intensive: $1,200. Two-day intensive: $1,800. Includes virtual intake and integration sessions. Out-of-pocket only.
Intensives are scheduled by application. Reach out to inquire.
Insurance and Out-of-Network Coverage
In-Network
I am paneled with BCBS PPO and Blue Care Network (a Michigan HMO) for individual therapy. If you're based in Michigan, there's a good chance your plan is covered. If you're in Connecticut or New York, BCBS plans vary widely by state, so it's worth a quick call to your insurer to confirm your benefits before your first session.
Out-of-Network (Thrizer)
I partner with Thrizer to streamline out-of-network reimbursement. Once you meet your deductible, you pay only your coinsurance upfront, saving you approximately 70% on average. Ask about this option when booking.
Before you book
No. The first session is an assessment. We'll talk about what brought you here, what you're hoping for, and what's felt difficult. If sex or intimacy are part of that, we'll discuss them in whatever way feels comfortable. There is no script, and no rush to go anywhere you're not ready to go.
Yes. For couples therapy and sex therapy with a partner, I meet both of you together from the very first session. This is intentional: it establishes a level playing field from the start and avoids any perception of bias that can come from one partner having met with me first. Both of you deserve to enter this process on equal footing.
Late cancellations or no-shows with less than 48 hours' notice are subject to a fee. Your card on file will be charged for the missed session. Life happens, and I try to be reasonable, but consistent last-minute cancellations affect the ability of others to access care.
Yes, with the standard legal and ethical exceptions that apply to all licensed therapists (imminent risk of harm, abuse reporting, and legal subpoena). Everything else stays between us. I use HIPAA-compliant technology for all sessions and documentation. I'll review confidentiality and its limits with you formally during intake.
Effective January 1, 2022, all licensed healthcare providers are required to provide a Good Faith Estimate to clients who are uninsured or who are not using insurance for services.
How to estimate your cost: Multiply the session fee by the number of sessions you anticipate in a 12-month period. For example, weekly individual therapy at $225/session would be approximately $11,700 over a full year. This is an upper estimate. In practice, therapy goals and duration are revisited collaboratively and regularly.
This estimate does not include fees for late cancellations or no-shows with less than 48 hours' notice, and it does not constitute a diagnosis or predetermined treatment plan.
Under the law, you have the right to:
Receive a written Good Faith Estimate before your first appointment. Request a Good Faith Estimate from any provider you are considering. Dispute a bill that exceeds your Good Faith Estimate by $400 or more.
A Good Faith Estimate does not obligate you to obtain any services. For more information, visit cms.gov/nosurprises.
The right time is
usually now.
The logistics are simple. The portal is straightforward. Most clients say the hardest part was deciding to reach out, and that's already behind you.