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What to expect

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When its time to make a change...

It can be easy to fall into self-blame and despair when you realize you're not living as you want to be living, and don’t know what to do about it.  You may feel anxious, or depressed, or have trouble sleeping, or even take on behaviors that become self-defeating, in an attempt to cope. 


There are many ways to begin to turn this around, and a well-trained counselor can help you get to the other side.  Counselors work in a variety of ways, but you always want someone who takes the time to listen to you, helps you express what's really going on, respects your wisdom, and supports you in making the changes necessary to move you in a better direction.  

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Initial Consultation

Before setting up an appointment, I require that everyone have a 30 minute phone consultation.  This conversation allows me understand what you want to work on, find out what you think is getting in your way, share ideas I have about approaching these issues, and give you information about my practice.  People find this helps us both make a better decision about working together. Initial consultations are free.

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Counseling Sessions


All sessions will be held online using an encrypted HIPAA-compliant telehealth platform.  Once you've decided to start counseling or coaching, you will need to set up an appointment to reserve a day and time to meet.  Sessions are typically done in the office, for a 50-minute time frame.  It is usually a good idea to start off meeting weekly, however spacing sessions out over time can be very appropriate to allow you to do some work on your own.  Partial sessions lasting 30 minutes are offered to those who’ve been working on something and need to check progress, particularly with coaching sessions. 

Payment Information


All fees are due at time of each session, unless otherwise discussed and agreed upon.  Individual meetings are $150 per therapy session; phone coaching meetings are $100 per session; partial meetings are $75 session.  Cancellation is required 24 hours in advance, to avoid being billed $100 for a missed appointment.

I also accept the following insurance plans:

  • Aetna

  • Beacon Health/formerly ValueOptions

  • Carefirst/Blue Cross Blue Shield of Maryland

  • Cigna

  • Magellan Health, Inc.

  • United Healthcare


When using insurance to cover the cost of services, you will need to comply with your insurance company's guidelines which might require pre-approval.  Clients are expected to check with the insurance company to understand all benefits, eligibility, plan renewal policies, and any expenses you need to cover.  Payment is due at time of the session, unless other arrangements have been discussed.  Missed appointments or late cancellations are billed to you; they can't be absorbed by your insurance company. Payment can be made by cash, check, and HSA accounts, bank issued debit or credit cards.   


You have the right to receive a “Good Faith Estimate” that explains how much your health care will cost.

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”, orally and in writing. This law applies to all individuals who are not enrolled in a health insurance plan or a Federal health care program, or not seeking to file a claim with their health insurance plan or program. You have the right to receive the Good Faith Estimate for the total expected cost of any non-emergency items or services after scheduling health care items and services, and at least 1 business day before receiving your health care service or item. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill through the U.S. Department of Health and Human Services (HHS). Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your rights regarding the Good Faith Estimate, visit or

call CMS at 1-800-985-3059.

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