We do not work with insurance companies directly. Our services can be billed to most insurance carriers as an out-of-network provider. This means that you would pay us directly then send an invoice to your insurance company for reimbursement. Every insurance plan is different - you will need to find out whether your insurance will pay for you to see an out-of-network provider (us). Specifically, you should find out:

• Whether you have out-of-network benefits. If you do, this means your insurance will pay for you to see a therapist who is not in their network of healthcare providers.

• Whether they will reimburse the full amount or only a percentage.

• Whether you have a deductible. If you do, this means you will have to pay out of pocket until you have paid the amount of the deductible, and only then will your insurance carrier pay for your visits. (For example, if your deductible is $1000, you will have to pay our fee yourself until you've paid out $1000 before your insurance will start paying.)

• Whether there is a limit to how many sessions your insurance carrier will pay for.

• Whether you will have to pay a co-pay (a fixed amount every time you visit, for example, $20) or co-insurance (a percentage of the fee for every visit, for example, 40%).

• Whether you need a referral from your primary care physician.

We do both!

Check out our page on online therapy (and online couples counseling). We use a simple videoconferencing platform that is secure and compliant with privacy laws to protect clients. You can meet with your counselor wherever you are on any device you have. Here are some tips for setting yourself up for a good online session.

We can do phone sessions when necessary, but we strongly prefer a face-to-face option where possible. Much of human interaction is based on nonverbal communication, and we rely on it to a large extent to help us help you sort things through. Stripping a session of this important component can reduce the effectiveness of the help we can give you.

Your confidentiality is taken extremely seriously. Your provider is forbidden to discuss any details of your case, or whether you are even a client of ours, without your explicit permission. You can feel totally confident that nothing you share in session will be discussed outside the office without your consent. Our confidentiality policy is detailed on our Policies and Forms page. If you want your provider to share information or give an update to someone (doctor, attorney, etc.), you will need to fill out an authorization to permit this to happen.

Note that therapists are legally bound to client confidentiality except in the following situations:

• Suspected past or present abuse or neglect of children, vulnerable adults, and elders.

• Concern that a client is seriously in danger of harming him/herself or another person.