I am currently out-of-network for all insurance plans. This means full payment will be due immediately following each session via cash, check, or credit card. If you have out-of-network benefits, you can ask your insurance company to reimburse you directly for the visit; to find out how much they will reimburse you, see below. Please note that Medicare does not provide any out-of-network reimbursement.

 I encourage all patients contact their insurance company to determine the exact amount you will pay for out-of-network services prior to our first visit. You can find your insurance company's phone number on the back of your insurance card. Ask them the following questions: 

• "How do I submit a claim for out-of-network reimbursement?" 

• "How much is my out-of-network deductible?" 

• "After I meet my deductible, how much can I be reimbursed for the following visits?" 

  • An initial psychiatric evaluation (CPT code 99205 and 99417; add modifier +95 if telehealth) 

  • A follow-up psychotherapy session (CPT codes 99212/99213/99214 + 90836/90838; add modifier +95 if telehealth) 

• (CPT codes are used by insurance companies to describe medical visits/services)

Prior to our appointment, you will receive several forms via email (intake, practice policies, privacy notices, etc.) as well as access to your patient portal. Please complete and sign these forms at least 48 hours prior to your initial evaluation or your appointment will need to be rescheduled. During our initial appointment, we will discuss your mental health concerns, review your mental health and medical history, and discuss your initial diagnosis and treatment options. If we are meeting in-person, you can find directions to my office here.

As long as you are physically located somewhere in the state of Washington during our appointment, I am legally allowed to see you via video. If you’ve requested to meet via telehealth (video), you will receive an email link prior to the scheduled appointment. Please use a laptop with a functioning camera. Please complete the appointment in a private space (like an office or bedroom) where you can sit comfortably and speak freely. Please avoid having others present that can hear our conversation, as this may disrupt the therapeutic process. I may terminate the appointment if there are significant distractions present (e.g. if you are driving or completing other tasks during the appointment). I do not conduct initial appointments or follow-up appointments via telephone-audio-only.

My practice uses an electronic medical record (EMR) called PracticeQ with the ability to send secure messages between appointments. Access your patient portal here. Please keep in mind it may take me 24-48 business hours to reply to messages sent via the EMR.

For life-threatening emergencies or if you are in crisis, please see the resources at the bottom of this page.

My practice draws upon a variety of evidence-based psychotherapies. Your therapy journey might involve building/strengthening coping skills; having a safe and nonjudgmental environment to explore parts of yourself you’ve had difficulty facing alone; or uncovering the roots of your mental health concerns and learning how they may shape your thoughts, behaviors, and feelings in the present day. Regardless of the approaches we take, the strength of our relationship will be the foundation for our treatment. 

 No. A goal of my practice is to develop a deep understanding of you, so that if or when we decide medications are appropriate, we use only what is necessary and effective. Sometimes medications are helpful, and sometimes they are not. The decision of whether to try (or not try) medications should be one we make collaboratively.  

For several reasons, it can be exceedingly difficult to find a psychiatrist who provides weekly psychotherapy alongside medication management. 

When a psychiatrist is also seeing you for psychotherapy, their deep understanding of you can be a large asset in determining: whether medications are appropriate or necessary; which medications would be best to try; and how to monitor medications for efficacy in the context of your daily life and lived experience. For these reasons, I am currently prioritizing patients interested in weekly psychotherapy with or without the use of adjunctive medications. 

Please click here for directions.

Appointments need to be cancelled or rescheduled at least 48 hours before your scheduled appointment start time. Cancelling or rescheduling your appointment within the 48-hour time frame will result in a $200 late cancellation/no-show fee being charged to the credit card on file. Not showing up to your scheduled appointment without contacting me will also result in the $200 fee being charged to the credit card on file.

For a life-threatening behavioral health crisis, call 911 or go to the closest emergency room immediately, as it may take me 24-48 hours to respond to any messages you send me.

For a non-life threatening but urgent behavioral health crisis, call:

The National Suicide and Crisis Line at 988 (you can also text or chat with this number)

or

King County Crisis Connections at 1-866-4-CRISIS (4747). You may also text the Crisis Text Line (text HOME to 741-741).

The National Suicide and Crisis Line and King County Crisis Connections are available 24 hours/day, 7 days/week. If you have any concerns or doubts, it is safest to call 911 or go to the closest emergency room. If you are an established patient with me, please contact me when you are in a safe, secure environment.

Other Crisis/Resource Lines:
National Sexual Assault Hotline:
800-656-HOPE (4673)
National Domestic Violence Hotline:
800-799-SAFE (7233) or text “START” to 88788
Trans Lifeline:
877-565-8860
National Runaway Hotline:
800-RUNAWAY (786-2929)
National Child Abuse Hotline:
800-422-4453