How I work
Therapy doesn't need a formula. But it should have a direction.
We'll start with what brings you here, get curious about what's underneath it, and shape the work around you, while staying connected to what you want to change.
The approach follows you, not the other way around.
You may already understand yourself really well.
You may have read the books, learned the coping skills, or spent years thinking about where your patterns came from. You might even be the person other people come to for insight.
And yet, knowing why doesn't always change what happens when someone is disappointed in you, you need to set a boundary, or the familiar voice in your head says you're getting it wrong.
So we won't just collect more insight. We'll pay attention to what happens in real time: in your thoughts, emotions, body, relationships, and even between us. Sometimes the next step is having a different experience of yourself, right there in the room.
So, what actually happens in a session?
It depends on what you need that day.
In our sessions, we might notice what happens when you talk about disappointing someone, including the feelings, thoughts, or physical responses that show up, and begin exploring what makes it difficult to respond differently.
Sometimes we'll slow down and notice what's underneath a story you've told yourself a hundred times.
Sometimes I'll name a pattern I'm noticing, and we'll get curious about it together.
Sometimes I'll ask what you're noticing in your body, especially when your mind has already analyzed everything from every angle.
Sometimes we'll practice a boundary or try out words you can take into your week.
And sometimes something unexpected happens that matters more than whatever we planned to talk about.
We can follow what's alive without losing sight of where you're trying to go.
The ideas behind how I work
If you like understanding the why behind things, these are the approaches that shape our work together.
Gestalt therapy: We pay attention to what's happening now, not only what happened then. An emotion that shows up mid-story. A shift in your body. Something you suddenly want to pull away from. Even what's happening between the two of us. Awareness gives you choice, and choice is where change begins.
Parts work: Maybe part of you wants to set a boundary, and another part is terrified of disappointing someone. Part of you is exhausted, and another absolutely refuses to stop. Rather than deciding one part is the problem, we'll get curious about what purpose each one serves, so you have more say in which one leads.
Attachment & Emotionally Focused Therapy: Many of the ways we cope, handle conflict, or decide whether it's safe to have needs were shaped in relationships. Emotionally Focused Therapy helps us reach the emotions and needs underneath those patterns. Sometimes our relationship becomes a place to notice them as they happen, and try something different.
Body awareness & mindfulness: Sometimes your body knows something before your thinking mind does. We may notice sensations, tension, or shifts in your nervous system, at your pace. The goal is to have access to more of your experience than your thoughts alone.
And sometimes, something practical. Sometimes a concept makes something click. Sometimes you need a concrete strategy, or a chance to rehearse a hard conversation before you have it. We'll use what's useful for you, not a technique just because it's the one I happen to use.
EMDR and structured CBT can be really helpful approaches. They’re just not what I offer. If one of those is what you’re looking for, I’m glad to help you find a therapist who specializes in it.
You get a say in how we do this.
If something isn't working, I want to know. If I misunderstand you, tell me. If something I suggest doesn't fit, you don't have to make it fit. If you need more structure, or more space, we can talk about that, too.
I bring clinical training. You bring the experience of actually living your life. I don't want you assuming I know better just because I'm the therapist.
For people who've spent years accommodating, second-guessing themselves, or reading the room, this can become part of the work: practicing saying what you need, disagreeing, changing your mind, and finding out the relationship can handle it.
You don't have to adapt yourself to me for therapy to work.
Getting Started
You don't need to know exactly what's wrong, what kind of therapy you need, or how to explain your whole life before you reach out. We start with a conversation.
1. A free 20-minute consultation
We'll meet online or over the phone. You can tell me a little about what's going on, ask anything about how I work, and we'll get a feel for whether working together makes sense. There's no need to decide anything before or during the call.
2. Your first session
If we move forward, we'll schedule your first 55-minute online session. We'll have more room to talk about what's bringing you in, what life looks like right now, what you've tried, and what you hope might feel different.
You don't need to prepare or have a perfect summary of your history. It's okay if the most accurate thing you can say is, "I don't totally know. I just know something isn't working anymore."
That's enough to begin.
3. We figure out the work together.
From there, we build a shared understanding of what's happening underneath the things that brought you in. Along the way, we'll keep checking in about what's helping, what feels different, and whether we need to shift our focus.
You don't have to know where we're going before you start. That's part of what we'll discover together.
Rates & Insurance
$195 per 55-minute session. New clients meet weekly or every other week.
In-network with:
Blue Cross of Idaho
St. Luke's Health Plan
SelectHealth (SLHP & Commercial plans)
PacificSource
Mountain Health Co-Op (Engage & Link plans)
Not in network with your plan? I can provide a superbill you may submit for possible out-of-network reimbursement.
Your insurance company can tell you your specific mental health benefits, like your deductible, copay or coinsurance, and whether telehealth is covered. It's worth a quick call before we start.
A limited number of sliding-scale spots may be available. You're welcome to ask about current availability.
Good Faith Estimate & No Surprises Act
If you're not using insurance, you have the right to receive a Good Faith Estimate outlining the expected cost of therapy services. You'll receive this estimate before your first session.
To learn more about your rights under the No Surprises Act, visit www.cms.gov/nosurprises.
Questions you might still have
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That's completely okay. You don't have to arrive each week with an agenda or a big realization.
Sometimes we'll start with what's happened since we last met, or return to something we've been working on. And sometimes starting from "I'm not sure" leads somewhere neither of us would have planned. Some of the most meaningful sessions begin exactly that way.
Finding our way in is something we do together. Noticing what you need, even when the answer is "I don't know yet," is part of the work.
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No. You don't need a diagnosis or the perfect way to explain what you're experiencing.
Part of my role is to understand what's bringing you in and, when clinically appropriate, assess and diagnose. That's something we figure out together.
If you're using insurance, your plan requires a mental health diagnosis for therapy to be covered. I'm happy to talk through what that means and answer any questions.
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There's no universal timeline. It depends on what brings you in, what you want from therapy, and what happens along the way. Some concerns can shift quickly. Longstanding relational patterns often deserve more time.
What I don't want is therapy on autopilot. We'll keep talking about what you're working toward and whether our work is helping you get there.
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You don't need to be sure before reaching out. That's what the free consultation is for.
Fit matters after we start, too. If at any point it doesn't feel right, you can tell me, and if someone else would be a better match, I'm glad to help you find them. If I don't think I'm the right person for what you need, I'll be honest about that, too.
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For many people, yes. Research has found online therapy can be as effective as in-person therapy for many concerns, and some people find it easier to settle in from their own space.
You can work with me from anywhere in Idaho, from Boise to Coeur d'Alene to the small towns in between, including places where finding a good-fit therapist isn't easy. No commute, no waiting room, and no running into someone you know in the parking lot.
All you need is a private space (some clients use a home office, others a parked car), a stable internet connection, and to be physically located in Idaho at the time of your session. We'll meet through a secure, HIPAA-compliant video platform.
You don't have to have it all figured out before you reach out.
Maybe you know exactly what's been bothering you.
Maybe you've spent years understanding it and still can't seem to change it.
Or maybe all you know is that you're tired of working this hard to feel okay.
Any of those are enough to start.

