Frequently Asked Questions

Possibly, through out-of-network benefits. This is a self-pay practice, so payment is made directly to me, but I provide monthly superbills, which are the itemized receipts insurers require for reimbursement.

Call the number on your card and ask whether you have out-of-network outpatient mental health benefits, what your out-of-network deductible is, and what percentage is reimbursed after it is met. Plenty of people are surprised by the answer.

Staying out of network also means your diagnosis is not filed with an insurer and no plan reviewer decides how many sessions you get.

That is usually true when we start, and it is often part of what brought you here. So we build around it rather than pretending otherwise.

Telehealth removes the commute entirely, and a session from a quiet room at home or a parked car between commitments still counts. Many people meet weekly for a focused season, then shift to every other week as things steady.

The people with the least time are frequently the ones carrying the most, and one protected hour tends to make the other hours work better rather than worse.

Intensives are also a good option.

That instinct is not a weakness. Avoidance is what kept things manageable, sometimes for years, and it deserves respect rather than a lecture.

You are never required to tell the whole story, and certainly not on day one. We start with what is happening now, build stability first, and only go into harder material when you decide you are ready. You can stop, change the subject, or say a topic is off limits at any point, and that is treated as useful information rather than resistance.

Some of the most productive early sessions barely touch the worst of it. Trauma work does not depend on retelling everything.

Trauma work does not depend on retelling everything, but if and when you are ready, can bring some of the most transformative healing, I have ever seen in my career. Check out my video on TFCBT.

It is a genuine expense and I will not talk around that. Please see my fee page as I am completely transparent upfront. If you cannot afford my rate, I do not want that to be an obstacle to you getting the help you need. I do have a sliding scale between $90 to $190. I just ask that you come from a place of integrity of what you truly can afford as I reserve those spots for those who truly need it. If that is you, no judgment.

Bring cost up on the free consultation call. It will not offend me, and it is far better than starting therapy quietly worried about the bill. If I cannot make the numbers work for your situation, I will help you find lower-cost options in Austin instead of leaving you with nothing.

An intensive is concentrated therapy over one to three days rather than one session each week. Eating-disorder and trauma healing intensives begin at six hours, and family intensives begin at four hours.

The longer format can help when momentum matters, when you are traveling in, or when weekly appointments are not sustainable. It is not automatically better than weekly therapy; we decide together what fits.

Three ways. In person in Austin on Fridays, and select other days and times, at 5900 Southwest Pkwy, Building 5, Suite 230; outdoors as a walk-and-talk session; and by telehealth anywhere in Texas. Some clients mix them depending on the week.

Telehealth in California and Colorado is in progress, and this page will be updated as each becomes available.

It is a full therapy session held outdoors, walking a quiet route side by side instead of sitting face to face. For some people the movement settles the body enough to say the harder thing, and not being looked at directly takes some pressure out of the room.

The confidentiality expectations are similar, adapted to a public place. We will discuss in detail limits of confidentiality before we do our first walk'n'talk. Quiet routes, your pace, and an agreement in advance about what to do if we pass someone you know are part of the plan. Weather, mobility, and privacy all factor into whether it suits you, and you can move back indoors or online any week. Walk'n'Talk is not suitable for couples counseling.

Yes. Sessions are available in English and Spanish, in person and by telehealth.

I work with a mature 10+. While I do bring in some written and art activities, my work and style is mostly talk therapy, so maturity matters in my younger kids/tweens. I keep parents appropriately informed about how the work is going while protecting the teen's sense that the room is genuinely theirs. Without that, most teenagers simply will not talk, and we agree on how that works up front. Safety will always be my first priority and you can rest assured that I want your child to live their best, wisest, most sober, and safe lifestyle within your parenting or faith value system.

If you want it to be, faith can be a wonderful resource and THE IDEAL guiding resource to your healing journey. I am seminary trained, and Biblical counseling is available to clients who ask for it, and it is never assumed or introduced without your say-so.

My seminary training means I can integrate spiritual questions, faith, anger, forgiveness, and reconciliation.

I also work with people sorting through church hurt, which I believe is really broken sinful people hurt, which sometimes means holding faith very loosely for a while, or not at all. Wherever you are, I will meet you with compassion, and no judgment.

It depends on what you are working on. Some concerns move noticeably in a few weeks with Brief Solutions Focused Therapy, and long-running trauma usually asks for longer, months, or in some cases with complex complicated issues or trauma history, much longer. We will review progress openly as we go, and we will always be working toward your goals and end when you feel we have reached them.

Then I will say so. Fit matters more than credentials in this work. If I am not the right person, or if what you need falls outside what I do well, I will point you toward someone better suited rather than send you away empty-handed.