FAQs

Working together

  • I work with thoughtful adults who look “together” on the outside but feel quietly overrun on the inside. Many of my clients are the ones who keep everything running—emotionally and logistically—at home, at work, and in their families.

    Common themes include:

    • Invisible emotional and logistical labor

    • Legacy and intergenerational patterns

    • Boundary guilt and difficulty saying no

    • Over-functioning in relationships

    • Caregiver fatigue and midlife transitions

    I see individual adults, couples, and partners by telehealth.

  • At this time, my sessions are online only (telehealth).

    Telehealth offers greater flexibility and privacy, especially for people with busy schedules, caregiving responsibilities, or long commutes.

  • I’m a licensed marriage and family therapist (LMFT) and can provide psychotherapy to clients who are:

    • Physically located in Massachusetts, Connecticut, or Florida

    • At the time of each session (even for telehealth)

    If you’re outside these states, I can’t offer therapy, but I may be able to suggest other resources or, in some cases, offer non-clinical consultation if appropriate.

  • Yes. I offer Couples & Partners Therapy for people who care about each other but feel stuck in patterns of distance, conflict, or silence.

    We might look at:

    • Who tends to pursue, and who tends to pull back

    • Where invisible labor and resentment build up

    • How family history and nervous system responses show up between you now

    I work with a wide range of relationships and family structures and aim to create a space where each person can be honest without one person being “the problem.”

  • Focused relational consultations are short-term, targeted sessions to help you sort through a specific situation or pattern, such as:

    • A family or in-law dynamic

    • A boundary decision

    • A work or leadership relationship

    • A major transition or “should I stay or go?” question

    This can be a good fit if you’re already in therapy elsewhere, are considering a change, or simply want a grounded outside perspective on one particular knot you’re trying to untangle.

  • The first step is to request a brief consultation:

    1. Submit a contact form or request a consultation through the site.

    2. I’ll respond as soon as I can with a few scheduling options or follow-up questions.

    3. We’ll have a short call or video consultation to get a sense of what you’re looking for and whether my approach feels like a good fit.

    4. If we decide to move forward, I’ll send you intake forms and we’ll schedule your first full session.

    There is no obligation to continue after the consultation if it doesn’t feel right.

FAQs

Fees, insurance, and payment

  • I do not bill insurance directly or participate in insurance panels.
    My practice is private pay / out-of-network.

    You pay me at the time of service, and if you have out-of-network benefits, you may be able to submit a superbill to your insurance company for possible reimbursement.

  • A few reasons:

    • Privacy. When therapy is billed through insurance, your diagnosis and certain treatment details become part of your insurance record and may be visible to other systems connected to that plan. Many of the people I work with prefer to keep their therapy separate from their employer, shared family accounts, or medical portal.

    • Flexibility. Insurance companies can limit the type of work we do, how often we meet, and what “counts” as medically necessary. Working privately gives us more room to follow what’s actually happening in your life, not just what fits a checkbox.

    • No diagnosis required to start. We may talk about diagnoses if it’s clinically useful, but I’m not required to assign one just to justify your care to a third party.

    You still have options to use your benefits if you’d like—I’m happy to provide a superbill so you can explore reimbursement on your side.

  • Possibly. Many PPO-style plans offer some out-of-network reimbursement for therapy.

    Typically:

    1. You pay my full fee at the time of session.

    2. If requested, I provide a superbill (a receipt that includes dates of service, diagnosis, and billing codes).

    3. You submit the superbill to your insurance company.

    4. If your plan includes out-of-network coverage, they may reimburse you directly according to your benefits.

    Every plan is different, so it’s best to call the number on the back of your insurance card and ask about “out-of-network outpatient psychotherapy with an LMFT.”

  • My fees vary based on service type (individual, couples/partners, or consultation) and length of session.

    Most standard 50-minute sessions currently fall in the $175–$300 range. Longer or more specialized sessions (for example, focused consultations) may be higher.

    We’ll review the exact fee for the service you’re interested in before you schedule your first appointment, and you’ll always know the rate in advance.

  • All sessions are paid electronically through my practice management system.

    You can keep a card on file and will receive receipts for your records. Details about payment timing and policies are included in your intake paperwork.

FAQs

Session logistics

  • Most therapy sessions are about 50 minutes. Frequency is based on your needs and schedule; many people start with weekly sessions and may shift to every other week as we go.

    In a consultation or more focused block of work, we might meet more intensively for a short period and then pause or space out sessions as needed.

  • I reserve a specific time for you each session. If you need to cancel or reschedule, please give at least 24 hours’ notice (business days), whenever possible.

    Cancellations with less notice, or missed appointments, are generally charged at the full session fee, except in cases of true emergencies or circumstances we’ve discussed in advance. The full policy is outlined in your intake paperwork.

  • I do my best to respond to inquiries and non-urgent messages within 2 business days.

    I don’t provide 24/7 monitoring or crisis services. If you are in crisis or need immediate help, please use emergency resources rather than email, voicemail, or this website.

FAQs

  • I take your privacy very seriously.

    • I do not discuss your care with others without your written permission, except in the rare circumstances where I’m legally or ethically required to break confidentiality (for example, serious and imminent safety concerns, suspected abuse, or court orders).

    • I do not share your therapy information with insurance companies unless you choose to submit a superbill and request that I provide specific documentation.

    Full details about confidentiality, its limits, and how I protect your information are included in the informed consent and Notice of Privacy Practices you receive as a client.

  • I use a secure electronic health record (EHR) and telehealth platform for scheduling, paperwork, and sessions. These systems are designed for healthcare and include additional privacy protections.

    The website contact form and regular email are not HIPAA-secure, so I recommend you:

    • Use the form or email for brief, non-sensitive communication

    • Avoid including detailed clinical or crisis information online

    • Use the secure client portal for ongoing communication once we’re working together

  • I may use secure, health-care–oriented technology tools (such as my electronic health record, telehealth platform, or scheduling software) to support documentation and practice management.

    I do not upload your identifiable clinical information into public, non-HIPAA-compliant AI tools for processing or analysis. If I ever suggest a tech-based tool or resource as part of our work, I’ll explain what it is, how it works, and you’ll always have the choice to opt out.

  • This practice and this website are not designed for emergency or crisis services.

    If you are in immediate danger, thinking about harming yourself or someone else, or feel unable to stay safe, please use one of these options instead:

    • Call 988 (Suicide & Crisis Lifeline) in the U.S.

    • Call 911 or your local emergency number

    • Go to the nearest emergency room

    • Contact your local crisis hotline or mobile crisis team

    You can still let me know what happened later so we can follow up in therapy, but emergency support should come from crisis and medical services rather than this website, email, or voicemail.

Privacy, technology, and emergencies