Many of my colleagues work with a 50- or even 45-minute hour.  I meet for the full amount of time we have scheduled.  My fee is $160 per hour, or $180 for a couple session.  I accept credit card as payment, and add an additional $5 per session to cover the fee the credit card processing company charges me.  If sessions run long, my fee is prorated accordingly.  I am not on any insurance panels, but as a Licensed Mental Health Counselor in the State of Washington I am happy to provide you a detailed statement to help you access your out-of-network benefits.

Delta - Greek for change

I hold a limited number of slots for adjusted-fee situations.  Adjustments are determined at the beginning of therapy.  Payment for all services is due at the time of service.

Your appointment time is reserved for you, and for you alone.  In the event that you need to cancel, please give me a full 48 hours notice.  If you cancel with less notice or do not come at all, you will be charged a fee equal to the full-session fee.  I do not generally provide telephone therapy.  However, any phone consulation of significant length will be charged at my usual rate.