Insurance, Fees & Frequently Asked Questions

Send me a message through the contact page with a little about what’s bringing you in. I’ll reply within 1–2 business days to answer questions and find a time that works for you.

Once we’ve scheduled, you’ll get an invite to TherapyNotes, the secure client portal where you’ll complete your intake forms and find your telehealth link. Please finish the paperwork before our first session so we can use our time together for you.

Yes, I can offer a 15-minute phone consultation if you’d like one. Just mention it when you reach out through the contact page, and we’ll find a time to talk. You’re also welcome to ask questions by email before scheduling.

The first session is mostly about getting to know each other. I’ll ask what’s bringing you in, what you’ve already tried, and a bit about your history. We’ll also start talking about what you’d like to be different. You don’t need to have it all figured out or know where to start. That’s part of what we’ll work out together.

You’ll also have time to ask anything about how I work. By the end, we’ll have a rough plan for next steps.

You’ll join through the telehealth link in your TherapyNotes account. Find a quiet, private spot where you can talk freely, and note that you’ll need to be physically located in Texas during each session.

Sessions are shaped around what you need that week. We usually start with a check-in on how things have gone since we last met, then move into what feels most important. That might be something that came up during the week, progress on your goals, or practicing the skills we’ve been building.

If we’re doing ERP, part of the session may be spent practicing exposures together, then planning what to practice between sessions. When we’re doing EMDR or Brainspotting, the session is structured differently to make room for that work.

We’ll usually close by reviewing what to focus on before the next session, whether that’s an exposure, a change to your sleep or routines, or something to notice.

Life happens, so let me know as soon as you can and we’ll find another time. Email or text me to cancel or reschedule.

Cancellations with less than 24 hours’ notice and missed sessions are charged a $75 fee. Insurance doesn’t cover missed sessions, so this fee is billed to you directly.

It depends on your goals and what we’re working on. Most people start with weekly sessions. As things improve, we can space sessions out to every other week before wrapping up.

Some people feel meaningful relief within a handful of sessions, while others stay longer for deeper or more layered work. ERP for OCD often follows a more defined course, commonly around 12 to 20 sessions, though it varies from person to person.

We’ll check in regularly about progress and pacing, so you’ll always know where things stand.

Yes. What you share in session stays between us and is stored in a secure, HIPAA-compliant record system. There are a few legal exceptions, including:

• If you or someone else is in immediate danger

• Suspected abuse or neglect of a child, elderly person, or person with a disability

• A court order

These and a few others are explained in your intake paperwork. Whenever possible, I’ll talk with you before sharing anything.

If you use insurance, your plan will receive basic information needed for billing, such as your diagnosis and session dates.

Under the No Surprises Act, you have the right to receive a Good Faith Estimate of what your care will cost. If you’re uninsured or choosing not to use insurance, you’re entitled to a written estimate of the expected total cost of non-emergency services. You’ll receive one when you schedule, and you can ask for one at any time.

If you receive a bill that’s at least $400 more than your estimate, you have the right to dispute the charge.

For more information, visit www.cms.gov/nosurprises or call 1-800-985-3059.