Most of my caseload. The presentations I see most often are anxiety, depression, perfectionism, grief, life transitions, and attachment patterns that keep showing up across relationships. I work with adults and adolescents 12 and up. I'm comfortable with higher-acuity material — recurrent depression, borderline dynamics, clients who need active safety planning — when that's what's there.
I work with families when the work is genuinely relational — when something that looks like one person's struggle is actually the system carrying it, or when the relationships themselves need attention. Most often this means a parent and adolescent, or two adult family members trying to repair something that has been off for a long time.
The couples work I do is for people who are still oriented toward each other and want help getting honest about what's happening between them. I draw primarily on Emotionally Focused Therapy and the Gottman method, with attachment theory and Nonviolent Communication threaded throughout. I'm not a fit for couples who are looking for a referee or for one partner to be diagnosed as the problem.
Logistics
Telehealth only. Sessions are over secure video, scheduled at a regular weekly time. I see clients across Washington State.
Insurance. I'm paneled through Alma and Mindful Therapy Group with most major plans, including Aetna, Cigna, Optum/UHC, Providence, Carelon, and Oxford. Coverage and copay vary by plan — the fastest way to verify is the insurance check on my Alma profile, or I can help you check directly before we schedule.
Self-pay. Available if you'd prefer not to use insurance, or if your plan isn't one I'm in-network with. Rate provided on request.
Sessions are 53 minutes. Standard cadence is weekly, especially for the first few months. We can adjust as the work shifts or find a different balance starting out if that feels right.