The clients who tend to connect with my approach are people who are ready for meaningful change and curious about understanding themselves, their relationships, and their patterns on a deeper level. They may be navigating anxiety, people-pleasing, emotional reactivity, relationship challenges, difficulty setting boundaries, or feeling disconnected from themselves or the people they love. Even when things feel messy, painful, or stuck, they’re ready to explore what’s happening beneath the surface and find new ways of responding.

Many of my clients are high-achieving, capable people who feel stuck despite everything they’ve accomplished. They may look like they have it all together on the outside while privately feeling overwhelmed, disconnected, uncertain, or exhausted by patterns they can’t seem to change. They’re ready to invest in themselves and make meaningful, lasting changes in their lives.

I offer a grounded, down-to-earth, collaborative approach to therapy that looks at the whole person and the systems around them, including family, partners, past experiences, culture, and current stressors, rather than focusing only on symptoms. Together, we can explore the stories and patterns that have shaped you, develop a deeper understanding of yourself, build healthier boundaries, strengthen your relationships, and feel more confident and grounded in your choices.

Most importantly, my clients have some level of commitment to their own well-being, growth, and healing, even if that commitment feels uncertain or inconsistent at times. You don’t need to have everything figured out before starting therapy. You simply need to be willing to show up with curiosity, honesty, and openness to the possibility that things can be different.

I am paneled with Regence and Premera and accept private pay.

Why pay out of pocket? Therapy is an investment in your well-being, your relationships, and the life you want to create. Choosing to pay out of pocket gives you greater freedom to choose a therapist based on fit, expertise, and the kind of support you’re looking for, rather than limiting your options to what your insurance plan covers.

Private-pay therapy can also offer greater privacy and flexibility. When you use insurance, your insurance company may require a mental health diagnosis and information about your treatment to determine coverage and medical necessity. Paying privately allows you to keep your therapy outside of that process.

You may also have the option to receive reimbursement through your insurance. Many insurance plans provide out-of-network mental health benefits, which may allow you to submit receipts or a superbill to your insurance company for partial reimbursement. Coverage varies by plan, so we encourage you to contact your insurance provider to ask about your out-of-network benefits, deductible, reimbursement rate, and any requirements for submitting claims.

Most importantly, therapy doesn't have to be something you pursue only when you're in crisis. It can be an opportunity to slow down, understand yourself more deeply, change patterns that no longer serve you, strengthen your relationships, and create a life that feels more meaningful and aligned with your values.

Investing in yourself is an investment that can extend far beyond the therapy room—into your relationships, family, work, sense of self, and the way you move through the world.

Many insurance plans do not cover couples therapy or relationship counseling because these services are generally not considered treatment of a diagnosable mental health condition for one individual.

Some practices work around this by billing couples sessions as family therapy and identifying one partner as the “identified patient.” In that arrangement, one person is given a mental health diagnosis, that person becomes the primary client on the health record, and the clinical documentation is written as though that individual is receiving treatment while their partner is participating in support of their care.

That is different from actual couples therapy, where the relationship itself is the focus of treatment. Couples therapy is designed to help partners understand relationship patterns, improve communication, navigate conflict, rebuild trust, strengthen emotional connection, and create healthier ways of relating to one another, not to diagnose or treat one partner while the other serves as a support person.

For ethical, clinical, and liability reasons, I do not use an individual diagnosis or another billing arrangement to represent couples therapy as something it is not. If you are seeking couples counseling, marriage counseling, or relationship therapy, I provide that service as couples therapy rather than billing one partner as the identified patient.

If your insurance does not cover couples therapy, out-of-pocket payment may be an option, and some insurance plans offer out-of-network reimbursement. You can contact your insurance company to ask whether your plan includes out-of-network mental health benefits and whether couples or relationship counseling is eligible for reimbursement.

Therapy is for everyone—and you don’t have to be in crisis to benefit from it. Individual therapy can be helpful for all kinds of concerns, whether they feel big, small, or somewhere in between.

You might be feeling stuck, overwhelmed, anxious, or disconnected. You may be navigating relationship difficulties, major life transitions, stress, anxiety, people-pleasing, or difficult emotions, or working through experiences from your past that continue to affect you today. You may simply want greater self-understanding, stronger relationships, healthier boundaries, or support as you grow into the person you want to be.

There are many reasons people seek therapy. It can be a space to slow down, make sense of what you're experiencing, explore patterns that may no longer be serving you, and develop new ways of relating to yourself and others.

Whether you’re looking for therapy for anxiety, relationship support, help navigating life transitions, or simply a deeper understanding of yourself, therapy can be a meaningful tool for supporting your mental, emotional, and relational well-being. You don't need to have everything figured out before you begin, you just need to be curious about whether something different might be possible.

Your therapy sessions will be individualized to your unique needs, goals, and experiences. Together, we’ll explore what brought you to therapy, your personal history and background, current concerns, relationships, family dynamics, significant life experiences, and any symptoms or patterns that may be affecting your well-being. We’ll collaborate on meaningful goals and identify approaches that fit you—not simply a one-size-fits-all treatment plan.

Therapy is an opportunity to slow down and develop a deeper understanding of your thoughts, feelings, behaviors, relationships, and experiences. As we explore the patterns that shape your life, you may gain new insight into yourself and the people around you, while having a supportive space to process difficult experiences, receive validation, and consider new possibilities.

Depending on your needs and goals, therapy may also include practical tools and skills to help you navigate everyday life. This might include coping strategies for anxiety and stress, communication skills, boundary-setting, emotional regulation, relationship-building, and other strategies for improving your mental and emotional well-being.

My approach to therapy is collaborative, relational, and grounded in the belief that you are the expert on your own life. I’m not here to tell you who you should be or what choices you should make. Instead, we’ll work together to better understand what matters to you, identify patterns that may no longer be serving you, and create space for meaningful change.

Therapy is a process, and some parts may feel easier than others. If something feels particularly helpful, uncomfortable, confusing, or challenging, I encourage you to tell me. Your feedback is an important part of the therapeutic relationship, and my goal is to create a space where you feel respected, understood, and able to get the most out of your therapy experience.

Standard individual therapy and couples therapy sessions are 45–55 minutes long. This provides dedicated time to focus on your goals, explore what’s coming up for you, and make meaningful progress during each session.

For private-pay clients, longer therapy sessions may also be available at a different rate. Extended sessions can be helpful when you’d like additional time for deeper therapeutic work, complex relationship concerns, or more intensive processing.

Most clients attend individual therapy or couples therapy once a week or every other week, depending on their needs, goals, and circumstances. Beginning with regular sessions can help build momentum and create consistency as we work toward meaningful change.

Your therapy schedule is not set in stone. We’ll regularly check in about how therapy is going and what level of support feels most helpful. The frequency of your counseling sessions can be adjusted at any time as your needs, goals, and life circumstances change.

There is no set timeline for therapy. The length of treatment depends on your individual needs, goals, concerns, and the kind of change you’re hoping to make. Some clients benefit from a shorter course of therapy focused on a specific concern or life transition, while others choose to participate in therapy for a longer period to explore deeper patterns, relationships, or personal growth.

Throughout our work together, we’ll regularly check in about your progress, goals, and what you’re getting from therapy. We can adjust the frequency or duration of treatment as your needs change, with the goal of making therapy meaningful, purposeful, and responsive to where you are in your life.

Whether you’re seeking individual therapy, anxiety therapy, relationship counseling, or support navigating a life transition, therapy is a collaborative process. You’ll have a voice in deciding what you want from therapy and when you feel ready to transition, pause, or conclude our work together.

Telehealth therapy deserves the same time, attention, and privacy as an in-person therapy session. Before your appointment, please plan to be in a private, quiet space where you can speak openly with minimal interruptions or distractions. A reliable internet connection and a device with a working camera and microphone will also help ensure a smooth session.

To protect your privacy and create a space where you can be fully present, therapy sessions should not take place in public spaces or while other people are present or within earshot. Please also avoid attending sessions while consuming alcohol or cannabis, smoking, or engaging in activities that would interfere with your ability to participate fully in therapy.

For your safety, please do not attend therapy while driving. If your vehicle is the only private space available to you, you are welcome to participate from your car as long as it is safely parked for the entire session.

Taking a few minutes before your appointment to settle in, silence notifications, gather anything you may need, and create a comfortable private space can help you get the most out of your telehealth therapy session.

Both/And Wellness requires 48 hours’ notice to cancel or reschedule a therapy appointment. If you cancel with less than 48 hours’ notice or do not attend your scheduled appointment (a no-show), you will be responsible for the full session fee. Late cancellation and no-show fees are not billed to insurance.

Your appointment time is reserved specifically for you. When an appointment is cancelled at the last minute or missed, that time typically cannot be offered to another client who may be waiting for an opening. Maintaining a consistent schedule also supports continuity of care and allows us to provide the thoughtful, high-quality individual therapy and couples therapy that you deserve.

We understand that unexpected things happen. In emergency situations, Both/And Wellness may waive a late cancellation or no-show fee at our discretion. Examples may include the death or birth of an immediate family member, an accident, or a serious illness or injury affecting you or someone you care for.

Work conflicts, travel plans, scheduling errors, and general illness do not qualify for an exception. Because the policy needs to be applied consistently and fairly to all clients, exceptions are limited.

We appreciate your understanding and your commitment to maintaining your therapy appointments. Protecting your scheduled time helps support both your progress in therapy and the availability of care for others seeking support.

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.