Service fees

Brainspotting is a brain-body based therapy that was developed by David Grand, PhD. 

With traditional talk therapy it normally accesses the neocortex which is where cognition & language is stored. Brainspotting, accesses the subcortical brain (deeper part of the brain), which is where emotions, memories, and trauma is stored. Brainspotting comes from the idea of “Where we look affects how we feel". Finding a visual eye position "the brainspot" can activate the area of the brain where it is retaining thoughts, emotions, or trauma and help the body begin to "reset" and come back to a homeostasis state. If you are interest in understanding more about Brainspotting check out this video or read more about it.

Yes, you are welcome to bring your baby to session. If your baby is at the crawling stage, let's discuss prior to you bringing your baby to session.

My practice is partially virtual using a HIPAA-compliant Telehealth platform through SimplePractice. However, when working with children I only offer safety social distancing face to face sessions at this time. 

At the time, I am out-of-network with most insurance companies except for Providence, OHP, and Pacific Source Commercial. For those who are private pay, I can provide a superbill for you to submit a claim to your insurance company to see if you are able to receive partial or full reimbursement for therapy sessions. 

I offer a limited number of sliding scale appointments. For those who may not be able to offer my full rate or are uninsured please reach out to me or my biller Cristine Miller at cristine@millermedicalbilling.org or 541-280-7278 or biller support Kate Raudenbush kate@moonstonemb.com or 541-668-8028.

YES! Confidentiality is one of the most important foundational aspects in the therapeutic space between a client and therapist. Every therapist should provide a copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone.  This is called “Informed Consent”.  

In general, the law protects the confidentiality of all communications between a client and psychotherapist. No information is disclosed without prior written permission from the client.   

However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:   

• Suspected child abuse or dependant adult or elder abuse. As a therapist, I am required to report this to the appropriate authorities immediately. 
• If a client is threatening serious bodily harm to another person.  As a therapist, I am required to notify the police.  
• If a client intends to harm himself or herself.  As a therapist, I will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.  
• My files are subpoenaed by the court.

By using insurance, as a client you are allowing your insurance company to access confidential information. This is the only way insurance will pay for sessions. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (ex: Primary care physician, psychiatrist, school counselors), but by law your therapist cannot release this information without obtaining your written permission.

In the initial session, I am getting to know you. This session is typically 60-75 mins long. Sometimes the initial session is called "intake" or "assessment" session. During our time together, I'm gathering information of what are your current stressors/ concerns, going through an intake/diagnostic assessment with you, and building rapport with you. We will explore what you would like to process in therapy and collaborate together to create a treatment plan for the duration of counseling. 

NOTE: the assessment (also called initial session) is $225.

Therapists can provide services in the state they are licensed. I am currently licensed in the state of Oregon, therefore, I am only permitted to work with clients who reside in the state of Oregon. 

• Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to provide a good faith estimate of expected charges for items and services to individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. *

• You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost under the law, health care providers need to give clients who are not enrolled in a plan or coverage or a Federal health care program (uninsured individuals), or individuals who are enrolled but not seeking to file a claim with their plan or coverage (self-pay individuals) of the expected charges they may be billed for receiving certain health care items and services. 

•  Make sure your health care provider gives you a Good Faith Estimate in writing prior to your appointment. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

•  There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate.

•  Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith

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