Frequently Asked Questions

Both, depending on where you live. In Nevada, I offer in-person sessions for clients in Northern Nevada and the Sierra region. I also offer secure telehealth sessions anywhere in the state, including rural areas and southern Nevada (including Las Vegas). In Oregon, all sessions are by telehealth. For telehealth, you’ll need to be physically located in, or a resident of the state of, Nevada or Oregon at the time of your session.

Do you offer in-person or online sessions?

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I’m in network with most major insurance plans in Nevada and several in Oregon. You can see the full list on my Fees & Insurance page. I can usually verify your coverage within a day, so you can start sessions quickly. If I’m not in network with your plan, I can provide a superbill, an itemized statement you can submit to your insurer for possible out-of-network reimbursement.

Do you accept my insurance?

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There’s no one-size-fits-all approach here. I blend methods based on what you need, and adjust as our work evolves. Sometimes that means using Rational Emotive Behavior Therapy (REBT) to challenge the thoughts that keep you stuck. Other times, it means using Yield Theory to make sure you feel fully heard before we look at options. Or it means using Motivational Interviewing to help you find your own reasons for change. Whatever we use, the goal stays the same: meeting you where you are and building toward the change you want.

What’s your approach to therapy?

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Our first session is mostly about getting to know you: what brings you in, what you’re hoping will change, and what feels most important to start with. You’ll do most of the talking, and I’ll listen and ask questions. By the end of the first session or two, we’ll have a sense of whether we’re a good fit and what our next steps might look like. To get us started right away, before the session, you’ll receive intake paperwork to complete online.

What happens in the first session?

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Yes. What you share is kept private and protected under federal privacy law (HIPAA). There are a few legal exceptions, such as when someone’s safety is at risk or when a child or vulnerable adult may be in danger. I’ll go over these with you at the start so you know exactly what to expect. If you use insurance, some information, such as a diagnosis, may need to be shared with your insurer for billing.

Is what I share in therapy confidential?

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