Work With Me

No. I’m out an out-of-network provider and do not bill insurance directly. I can give you a superbill, which is an itemized receipt you submit to your insurer yourself. Depending on your out-of-network benefits and where you are on your deductible, you may be reimbursed for part of what you paid.

Reimbursement varies a lot. Some plans pay you back a meaningful percentage and some pay nothing, and out-of-network benefits generalls only exist on PPO, POS, and high-deductible plans. HMO’s, Medicaid, and traditional Medicare typically don’t have them at all. Call the number on your insurance card and ask what your out-of-network outpatient mental health benefit is, so you know what you’re working with before you decide anything.

Two reasons, and both of them are about what you get.

Insurance only pays for the treatment of a diagnosable condition. Meaning, before your first session is covered, I have to assign you a mental health diagnosis, and that diagnosis becomes a permanent part of your medical record. A women who comes in burned out and stretched past her limit does not necessarily have a disorder, and I’m not willing to invent one so a third party will agree to pay.

The second reason is control. Insurers decide how many sessions they’ll authorize and can request your clinical records to justify continuing. Staying out of network means how long we work together is a conversation between the two of us, based on whether it’s actually working. Nobody outside our therapy space reads your notes.

Yes. Therapy from a licensed provider is a qualified medical expense, and I take HSA and FSA cards the same as any other card. Because that money is set aside pre-tax, it effectively lowers what a session costs you. If your plan administrator asks for documentation, I’ll provide you a receipt or superbill that covers it.

Start with the 53- minute session unless you already know otherwise. We’ll talk in the consultation about whether extended sessions make sense for what you’re bringing, and EMDR processing in particular sometimes benefits from the longer format. The 30-minute option is usually something people move into later rather than start with, though there are exceptions.

Most people start weekly, same day and time. Consistency is one of the few things that reliably predicts whether therapy works, so it's worth protecting the slot. How long the whole thing takes depends on what you're working on. This isn't open-ended, and we'll talk about progress directly instead of leaving you to wonder.

Yes, in Palm Desert. I also see clients online throughout California and Utah. Online EMDR works as well as in-person for most people, and it means doing the work somewhere you already feel safe!

I need 36 hours notice to cancel or reschedule, by phone or through the client portal. Less than that and you're responsible for the full session fee. If you're more than 15 minutes late, we'll reschedule and the session is charged.

Being sick is the exception. If you've had a fever, chills, or body aches in the last day and a half, we can cancel, reschedule, or move online, and it doesn't count against you. The full policy is in your intake paperwork.

Then take the fifteen minutes and find out. You're not committing to anything by having a conversation, and "I wasn't sure I was ready" is the most common thing I hear from women who are now several months in and doing considerably better.