Fees

Individual Therapy
Navigating payment shouldn't add to your stress. You're welcome to pay out-of-pocket or use insurance for our work together:
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Self-Pay: $140 per 55-minute session.
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Insurance: I partner with Alma to handle billing as seamlessly as possible. They'll verify your benefits for any co-pays, co-insurance, or deductibles and provide an upfront cost estimate.
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Insurances accepted: Aetna, Cigna and Evernorth, Meritain Health, Nippon, Optum, Oscar Health, Oxford, Quest Behavioral Health, United Medical Resources (UMR), UnitedHealthcare UHC | UBH insurances. I am out of network with other insurances, but I can provide a super bill.
***A gentle note on insurance: While Alma does fantastic work getting accurate estimates from your provider, insurance companies can sometimes be unpredictable. Ultimately, any balance your insurance doesn't cover—even if it differs from the initial estimate—remains your responsibility.

Couples & Relational Therapy
Because most insurance providers don't adequately cover relational therapy (and often require one partner to take on a mental health diagnosis), all couples and multi-partner sessions are offered on a self-pay basis. This keeps the focus entirely on your relationship's growth without unnecessary insurance constraints.
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Standard Session: $165 per 55-minute session.
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Extended Sessions: If you'd like more time for deeper conversations, longer sessions are available upon request and schedule availability, prorated at the same $165/hour rate.

Ketamine Assisted Psychotherapy
Ketamine Assisted Psychotherapy can be delivered in multiple ways. Once you choose your medical provider for the ketamine and determine the route of administration, we can determine if you need in-person medicine sessions with me, or therapy sessions to prepare and integrate your ketamine sessions.
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KAP medicine sessions and KAP therapy sessions are $140 per 55-minutes session.
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Extended sessions for preparation/integration are available upon request and schedule availability, prorated at $140 per 55 minute session.

WPATH Letters &
Gender-Affirming Care
Gender-affirming care should be accessible, affordable, and NOT gatekept.
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Gender dysphoria and psychological readiness for medical/surgical intervention can usually be assessed in 1-3 55-minute sessions.
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Rates for these sessions are the same as Individual Therapy, listed above.

Administrative Fees
Care often extends beyond our 55-minute sessions. Because these tasks take time outside our sessions, administrative services are billed out-of-pocket at $38/15-minutes.
Admin services include:
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Documentation & Letters: Writing WPATH letters, ESA letters, academic accommodations, or clinical summaries.
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Form Completion: Completing FMLA, disability, or workplace accommodation paperwork.
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Care Coordination: Extended calls or emails with your psychiatrists, doctors, or care team on your behalf.
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Medical Records: Preparing and securely releasing official records.
A gentle note: Quick logistical emails and brief scheduling tweaks are always free. For larger tasks, we'll always discuss the details upfront so there are never any billing surprises!