Questions, answered
What I do and how
The kind of work, who it's for, and what working together looks like.
My practice is intentionally specialized. I work with couples and individuals across three core areas:
- Trust and infidelity recovery — affair recovery, financial infidelity, broken agreements, and the longer work of rebuilding trust. I hold specialized training in betrayal trauma and infidelity recovery (learn more).
- Intimacy and connection — emotional and physical closeness, desire discrepancy, sexless or low-intimacy relationships, communication breakdown after rupture (learn more).
- Neurodivergence — ADHD, autism, AuDHD, late-discovered neurodivergence, mixed-neurotype relationships, masking, RSD, and sensory needs in relationships. I hold AANE training in neurodiverse couples and intimacy (learn more).
I also work with individuals processing relationship patterns, anxiety, self-worth, and identity work on their own. Read more about my approach.
Direct, warm, and grounded. My approach is solutions-focused while still holding space for the emotional depth the work requires. I integrate different approaches depending on what you're bringing:
- For neurodiverse couples: AANE-informed training in autism and ADHD in relationships. Sessions draw on attachment-informed work, somatic approaches, and psychoeducation. Built for how neurodivergent people process, not against it.
- For infidelity recovery: Specialized training in betrayal trauma and Gottman's Treating Affairs and Trauma. Sessions use attachment-based repair and structured stages of rebuilding trust.
- For intimacy and connection: Integrative couples sex and intimacy training, with practical and direct strategies.
Growth sometimes involves discomfort, but never at the expense of emotional safety.
The first session is a full intake appointment. We build a clear picture of what's bringing you in, the patterns contributing to your current situation, what you're hoping changes, and what the work together might look like. You don't need to have it figured out beforehand. We go at a pace that feels manageable.
Neurodivergent needs and preferences are welcome. You're invited to bring something to fidget with, avoid direct eye contact if that's more comfortable, wear headphones, bring a favorite drink or snack, or show up in whatever way feels most regulating for you. Therapy is meant to adapt to you, not the other way around.
Everyone is different, and the length of therapy depends on what you're working on. Some general ranges I see in my practice:
- Short-term focused work: 4 to 8 sessions. Premarital check-ins, working through a specific decision, communication tune-ups, processing a recent event.
- Neurodiverse couples: 12 to 20 sessions. Building a shared language, understanding each other's wiring, and creating systems that actually work for both partners.
- Intimacy and connection work: 15 to 25 sessions. Rebuilding emotional and physical closeness, working through desire discrepancy, and reconnecting after distance.
- Infidelity recovery: 20 to 30 sessions, sometimes more. Affair recovery and rebuilding trust takes time and moves through structured stages.
- Individual therapy: varies widely based on what you're working through, from a few sessions on a specific concern to ongoing longer-term work.
These are averages, not rules. Some clients come for a month working on one specific area and feel ready to move forward on their own. Others pause therapy, return later when something new comes up, and pick up where they left off. Therapy doesn't have to be all-or-nothing.
For couples who want to make meaningful progress in a concentrated timeframe, couples intensives are available as a structured one-time format.
Neurodivergent-affirming therapy treats autism, ADHD, and AuDHD as differences rather than disorders to be fixed. Whether you're formally diagnosed, self-identified, questioning, or somewhere in between, you are welcome here.
I work to understand your unique needs (including sensory and communication preferences) and help you build a life and relationships that fit how you actually function, not how the world expects you to.
No, you don't need a diagnosis to work with me privately. If you plan to use insurance, a billable diagnosis is generally required by insurance. Private pay is always an option.
I don't conduct diagnostic evaluations for autism or ADHD, but I can refer you to a specialist.
How payment works
Insurance, private pay, rates, and what to verify with your insurance company before your first session.
Yes, I'm in-network with several major insurance plans across the states I'm licensed in. Plans vary by state and by what type of therapy you're seeking.
One important note: many insurance plans don't cover couples therapy or relationship-focused therapy, since they typically require a mental health diagnosis for the individual being treated. I recommend calling your insurance company directly to ask whether couples or relationship therapy is covered under your plan.
If your insurance doesn't cover the work we want to do together, or if you choose not to use insurance, private pay is always available, whether you're an individual or a couple.
I'm currently in-network with the following plans:
- Blue Cross Blue Shield (BCBS)
- Anthem BCBS
- UnitedHealthcare / Optum
- Cigna
- Aetna
- Oscar (via Optum)
- Harvard Pilgrim (Point32Health)
- Tufts Health Plan (Point32Health)
Coverage and accepted plans can vary by state. Reach out to your insurance company first to verify what's covered under your specific plan.
Private pay rates are:
- Standard session: $200 for 50 minutes (couples or individual)
- Extended sessions and intensives: Pricing on the services page
Couples intensives are private pay only and not covered by insurance. Couples therapy coverage also varies by plan, so check with your insurer to confirm before your first session.
Insurance reimbursement is structured around standard 50-minute sessions tied to specific billing codes. Multi-hour formats like intensives fall outside what most insurance plans are set up to cover. Couples enrichment and relationship-focused work also typically falls outside what insurance considers medically necessary, which is another reason intensives are private pay.
Yes. Some clients prefer to use private pay even when they have coverage. Reasons can include privacy preferences (no diagnosis is submitted to insurance), wanting to use a session length or treatment focus that insurance wouldn't cover, or simply preferring not to involve a third party in the work.
24 hours notice is required to cancel or reschedule. Late cancellations and missed sessions are charged a $50 fee. The fee is set below the session rate because life happens, and for many clients managing ADHD or a demanding schedule, flexibility around cancellations matters. The policy is meant to support accountability while staying realistic.
Sessions, scheduling, and online therapy
Where, when, and how sessions actually work.
I'm licensed in Texas, New Hampshire, Maine, and Montana. All sessions are conducted via secure, HIPAA-compliant telehealth. You can join from anywhere within these states at the time of session.
- Texas: LPC #92348
- New Hampshire: LCMHC #5711
- Maine: LCPC #8561
- Montana: LCPC #87815
The first step is a free 15-minute consultation. You can book directly through the contact page. The consultation is a no-pressure conversation to see whether we're a good fit and to answer any questions you have before committing to a session. If we decide to move forward, we'll schedule your first full session from there.
Three formats are available:
- Standard session: 50 minutes (couples or individual)
- Extended session: 90 minutes, for couples or individuals who benefit from more space
- Couples intensive: 3 hours, for betrayal recovery, longstanding gridlock, or when weekly sessions aren't moving fast enough
Most clients meet weekly at the start to build momentum, then shift to biweekly once the work is established. We decide together what pace supports you best. Evening and weekend appointments are available across all time zones.
Yes. The research is consistent on this point across more than two decades of studies. Online therapy produces comparable outcomes to in-person therapy for anxiety, relationship difficulties, trauma, and more. The most important factor in therapy outcomes is the quality of the relationship between client and therapist, not the format.
Many clients find virtual therapy preferable: it fits around demanding schedules, removes the commute, and lets you join from wherever feels most comfortable. Full details on how online therapy works.
Three things:
- A device with a camera (smartphone, tablet, or laptop)
- A stable internet connection
- A private space where you can speak openly without being overheard
Sessions are held via a secure Zoom link sent to you before each appointment. No app to download, no complicated setup.
Online therapy works well for the majority of adults and couples. It's not the right fit for everyone. If you're experiencing a psychiatric emergency requiring immediate intervention, active psychosis, or need a higher level of support such as intensive outpatient or inpatient services, in-person or higher-level care is more appropriate. The resources page has options for higher levels of care.
If you are in crisis or need immediate support, please call 911 or the 988 Suicide and Crisis Lifeline (call or text 988).
Confidentiality is a foundation of our work together, and what you share in session is protected. There are limited exceptions required by law, including situations involving imminent risk of harm to yourself or others, suspected abuse or neglect of a child or vulnerable adult, or a valid court order. I'll review these limits clearly during your first session so you know exactly what to expect.
Clients have the right to file a complaint with the Texas Behavioral Health Executive Council at bhec.texas.gov or by calling (800) 821-3205.
Is this the right place for you?
How to know if we'd work well together, and what to expect at your first consultation.
The free 15-minute consultation exists for exactly this. We talk through what's going on and whether this is the right match. No commitment, no forms required beforehand. If it's not the right fit, I'll tell you and point you toward someone whose training better matches your needs. You can also read more about my approach on the about page.
Yes. My practice is fully affirming and welcoming of all identities, orientations, and relationship structures, including open relationships, polyamory, and non-traditional arrangements. Whatever your relationship looks like, you're welcome here.
Yes. I'm currently accepting new clients in Texas, New Hampshire, Maine, and Montana. The first step is a free 15-minute consultation. No forms, no commitment, just a conversation about what you're looking for and whether this is the right fit.
That's completely normal. Many people feel anxious before their first session. I aim to make the process as clear and low-pressure as possible, and most clients report feeling a sense of relief after the first session simply from having space to talk things through.
Neurodivergent needs and preferences are always welcome. You're invited to bring something to fidget with, avoid direct eye contact if that's more comfortable, wear headphones, or show up in whatever way feels most regulating for you.
No. Many of my clients attend individually to work through relationship-related concerns, whether they're currently in a partnership or not. I offer both couples and individual sessions across all of my specialty areas.
That happens often, and individual therapy can still create real change in a relationship. Working on your own pieces (communication, attachment patterns, what you bring to conflict) shifts the dynamic even if your partner isn't in the room. I offer individual marriage counseling for exactly this situation.
Still have a question?
The free 15-minute consultation is the easiest way to get specific answers about your situation. No forms, no commitment.