Both/And is a concept that has had a profound impact on my life and work. In a world where we often face labels and absolutes, it can feel like extremes are the only options. Yet, these rigid perspectives are hard to maintain and make it difficult to find balance and wellness. They trap us in limiting beliefs and only serve to increase sadness and anxiety.

Both/And encourages us to expand our thinking and embrace the idea that multiple truths can exist at once. It invites us to see things from broader perspectives, offering more gentle ways to navigate life. It reminds us that there is more than one solution to a problem, and more than one way to interpret a situation.

This approach honors the complexity of being human and the vast spectrum of experiences we all face. It fosters openness and curiosity, paving the way for change, growth, and healing. Both/And is a powerful catalyst for transformation.

The kinds of clients that like working with me are those who are ready to make changes and are curious about understanding themselves and their relationships on a deeper level, even when things feel messy, painful, or stuck. They’re often noticing patterns they want to change, like anxiety, reactivity, people-pleasing, or feeling disconnected in close relationships, and are ready to explore where those patterns come from and how to shift them.

They tend to appreciate a grounded, down-to-earth, collaborative approach that looks at the whole system around them (family, partners, past experiences, and current stressors) rather than focusing only on symptoms. Many are drawn to making sense of their story in a new way, building clearer boundaries, and feeling more confident and steady in their choices.

Most importantly, they hold at least a quiet commitment to their own wellbeing, even if it feels uncertain or inconsistent at times, and are willing to show up with openness, honesty, and a desire for meaningful change.

Therapy is for everyone and for all kinds of problems, big or small. Therapy can be helpful if you're feeling stuck, overwhelmed, experiencing relationship difficulties, navigating life transitions, wanting to heal old wounds, or simply wanting greater self-understanding and personal growth. There are so many reasons to seek therapy as a tool to support your mental, emotional, and relational health.

Your sessions will be customized to address your unique needs and goals. Throughout counseling, you can expect to explore your background, history, current concerns, any symptoms you may be experiencing, relationships, family dynamics, and significant life events. Together, we will set meaningful goals and consider various approaches to help you achieve success.

In therapy, you’ll have the opportunity to delve into your thoughts, feelings, behaviors, and experiences, gaining valuable insight. You will develop a deeper understanding of yourself and others, while also receiving support, encouragement, and validation. Therapy will provide you with practical tools, such as coping strategies, communication techniques, boundary-setting skills, and relationship-building practices.

Overall, therapy offers a structured, supportive environment where you can work through challenges, gain clarity, and learn new skills to enhance your mental health and well-being. If there are aspects of this process you find more comfortable or challenging, please communicate that with me. My goal is to ensure you get the most out of your counseling experience.

Sessions last from 45-55 minutes.

Private pay clients may opt for longer sessions at a different rate.

Most people attend counseling once a week or every other week, depending on their needs and goals. We will check in on your needs and can adjust the frequency of appointments at any time.

The duration of counseling depends on your individual needs and goals. Some people engage in brief therapy, while others may attend for a longer period. We will regularly assess your needs throughout our time together and make adjustments as necessary to ensure your progress and success.

Telehealth therapy should be treated with the same level of seriousness as an in-person session. Please ensure you are in a private, quiet location with minimal interruptions and distractions, and access to a reliable internet connection. Sessions cannot be conducted in public spaces, with others present, while consuming alcohol, cannabis, smoking, or if you are inappropriately dressed. For your safety, please refrain from attending therapy while driving. If your car is the only private space available, you may use it for your session as long as you are parked.

A 48-hour cancellation notice is required. If you cancel late or fail to show up for your appointment (no-show), you will be responsible for the full session fee. This policy is in place because appointments are a dedicated time reserved exclusively for you. When you cancel, reschedule, or miss an appointment, it prevents someone else from seeking treatment and creates a financial burden on the practice. Most importantly, inconsistent attendance can significantly impact the high level of care that Both/And Wellness strives to provide.

The late cancellation or no-show fee may be waived at the discretion of Both/And Wellness in emergency cases only, such as the death or birth of a family member, an accident, or a serious illness or injury affecting you or someone you care for. Work-related issues, travel conflicts, or general illness do not qualify for exceptions. We appreciate your understanding of the necessity of this policy.

Item I am contracted with Regence and Premera and they do not cover the billing code for couples therapy.

Some places will take couples on and bill it as family therapy, which makes one partner the identified patient. That means that person is given a diagnosis, the health record is theirs, and everything written in the file is as if that partner is receiving therapy and the other partner is just there to support them. This is very different from actual couples therapy which is working on the relationship and not treating one person. So for ethical and liability reasons, if people are seeking couples therapy, I stick to what is listed in my contract.description