Questions about what it’s like to work together?
Here are some of the most common questions I get about therapy.
If you don’t see your question answered below, contact me.
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What is CBT?
Cognitive Behavioral Therapy (CBT) is a structured, short-term approach that helps you notice and change unhelpful thought patterns and behaviors. It’s skills-based, practical, and one of the most researched therapies for anxiety and depression. The focus is on learning tools you can use in everyday life, not just in sessions.How long does therapy take?
Therapy doesn’t have a one-size-fits-all timeline. Some people feel relief in a few sessions, while others benefit from longer-term support. Most often, progress depends on your goals, the type of therapy, and how much you practice new skills between sessions. Think of therapy as a process, not a quick fix.Can therapy help with panic attacks?
Yes. Therapy gives you tools to understand what triggers panic, how to work with your body’s stress response, and how to prevent attacks from escalating. Over time, you can feel less afraid of the panic itself and more confident in calming your nervous system when symptoms show up.How do I know if my nervous system is dysregulated?
Signs of a dysregulated nervous system can include racing thoughts, constant worry, sleep issues, irritability, or even feeling shut down and disconnected. You might notice physical symptoms like a tight chest or upset stomach. Therapy can help you learn to notice these signals and bring your body back into balance.What’s the difference between anxiety and stress?
Stress usually comes from an external demand, a deadline, conflict, or major life change. Anxiety lingers even when the situation passes, and it often shows up as a sense of dread, racing thoughts, or physical tension. Stress is a response to a challenge; anxiety is when your body keeps holding on. -
What is LGBTQ+ affirming therapy?
Affirming therapy means you don’t have to explain or defend your identity. It’s therapy that respects, validates, and celebrates LGBTQ+ experiences. Instead of treating your identity as a “problem,” we focus on helping you navigate stress, relationships, and mental health in a way that fully honors who you are.How can therapy help with coming out?
Therapy offers a safe space to explore fears, hopes, and timing around coming out. It can help you process family reactions, build support networks, and strengthen your confidence in your identity. The goal isn’t to push you into decisions but to support you in choosing what feels safe and authentic.Do I need an LGBTQ+ therapist to feel understood?
Not always, but many people find it easier to relax when they know their therapist “gets it.” An LGBTQ+ affirming therapist brings cultural understanding and awareness of the unique stressors queer folks face, so you don’t spend sessions explaining the basics. That frees up space to focus on your real goals.How does internalized homophobia show up in mental health?
Internalized homophobia can look like feeling “not good enough,” downplaying your identity, or avoiding LGBTQ+ spaces. It may show up as shame, low self-esteem, or trouble being open in relationships. Therapy can help you recognize where those beliefs came from and start replacing them with self-acceptance and pride.Is online therapy safe for LGBTQ+ clients?
Yes. Online therapy gives you privacy and flexibility, especially if you live in a place where in-person options feel limited or unsafe. Sessions happen in a secure, encrypted platform, so you can access affirming care from wherever you are without worrying about exposure or judgment in your local community. -
Is online therapy as effective as in-person therapy?
Yes. Research shows online therapy can be just as effective as in-person care for anxiety, depression, and many other concerns. With video sessions, you get the same personalized support and tools, plus the comfort of being in your own space and skipping the commute.What do I need for a virtual therapy session?
All you need is a private space, a device with a camera, and a reliable internet connection. Headphones can help with focus and privacy. Many clients find being at home actually makes it easier to open up and practice new skills during therapy.Can I do therapy from anywhere in the state?
Yes. As long as you’re physically located in a state where I’m licensed, you can attend sessions from anywhere, your home, office, or even while traveling in-state. This flexibility makes it easier to fit therapy into your schedule without losing consistency.How private is online therapy?
Sessions happen on a secure, HIPAA-compliant video platform. That means your privacy is protected with encryption and safeguards designed for healthcare. You’re in control of your environment, so you can choose a spot where you feel comfortable and confident that your conversation stays private.Do you see young adults and college students online?
Yes. Many of my clients are students or young adults who appreciate the flexibility of virtual therapy. It’s a great option if you’re balancing classes, work, or figuring out next steps in life. Sessions can fit into your schedule without the stress of traveling to an office. -
Does insurance cover online therapy?
In most cases, yes. Many insurance plans treat online therapy the same as in-person care. I work through platforms like Alma, Tava, and Headway to make it easier to check your benefits and see what’s covered. If you’re paying out of pocket, I can provide invoices for reimbursement.Do you take Alma, Headway or Tava?
Yes. I partner with all three Alma, Headway, and Tava to accept insurance. These platforms handle billing directly with your provider, so you don’t have to manage the paperwork yourself. They also make it simple to confirm coverage before starting therapy, so you know what to expect financially.
* Insurance is an imperfect thing and sometimes these estimates can be wrong.How much does therapy cost without insurance?
If you’re paying out of pocket, session fees vary depending on length and type of service. Many clients choose private pay for flexibility and privacy. I can provide a superbill for possible reimbursement, but I’ll always walk you through costs upfront so there are no surprises.Intake for all new clients: $165
38-50 Minute Session: $125
How often should I come to therapy?
Most people start with weekly sessions to build momentum. As you gain tools and confidence, we may move to biweekly or monthly check-ins. The pace is flexible and depends on your goals, how you’re feeling, and what kind of support you need at different stages.Can I switch therapists if it doesn’t feel like a good fit?
Absolutely. Finding the right therapist is like finding the right pair of shoe, the fit matters. If it doesn’t feel right, you can switch at any time. A good therapist will respect that choice and support you in finding someone who works better for your needs.What are your fees for therapy?
A first appointment/intake is $165 and a standard 50-minute session is $125. If you’re using insurance, your copay or deductible may apply instead. I can help you check benefits through Alma or Headway before starting therapy.
Do you provide emotional support animal (ESA) letters?
Unfortunately, no. ESA letters are considered a type of prescription, and as a master’s-level therapist, I am not a prescriber. I can support you in processing the emotional benefits of animals and explore ways they help your mental health, but I cannot provide formal ESA documentation.
The Questions You Might Be Afraid to Ask
What if I'm not exactly sure why I want therapy?
That's okay. You don't need a perfect explanation or a list of goals before we meet.
Sometimes people start therapy because they're anxious, exhausted, disconnected, or tired of repeating the same patterns. Other times, something feels off, but they aren't sure what.
Part of my job is helping you figure out what's going on and what you'd like to change. We figure that out together.
What if my problems aren't bad enough for therapy?
You don't need to reach a breaking point before getting support.
If something is affecting your happiness, relationships, confidence, or ability to enjoy your life, it's worth talking about.
Someone else having a harder time doesn't make your experiences less important. Therapy isn't a competition over who has the biggest problems.
What if I feel emotionally numb or struggle to identify my feelings?
Then that's where we'll start.
Some people experience emotions intensely. Others feel disconnected, shut down, or unsure what they're feeling at all.
We can explore what's happening in your thoughts and nervous system without forcing an emotional response. You don't have to cry, open up immediately, or express feelings a certain way to benefit from therapy.
What if I never cry during therapy?
Then you never cry during therapy. Seriously, that's fine.
Crying isn't a requirement, and it's definitely not how I measure progress.
Progress might look like understanding yourself better, setting a boundary, responding differently to anxiety, or feeling more comfortable being yourself.
Tears are optional.
What if I start crying and can't stop?
First, you don't need to apologize for crying.
Strong emotions are welcome in therapy. If things start feeling overwhelming, we'll slow down and focus on helping you feel grounded.
My goal isn't to push you into intense feelings before you're ready. We'll work at a pace appropriate for you.
What if I get frustrated with you or disagree with something you say?
Please tell me!
I'm human. Sometimes I'll misunderstand something, ask a question that doesn't land well, or suggest something that doesn't fit.
I'd much rather talk about those moments than have you sit there feeling misunderstood.
Sometimes working through disagreements in therapy helps us understand how you experience conflict and what healthy communication looks like for you.
Is it okay to admit I hate my partner, family, or someone I'm supposed to love?
Yes. You get to have complicated feelings about people you love.
Anger, resentment, frustration, guilt, and love sometimes show up in the same relationship.
You don't need to make your feelings sound nicer before bringing them into therapy. We'll explore what's underneath them without immediately deciding what they mean about you or your relationships.
Are there topics too personal or uncomfortable to discuss?
Sex, religion, politics, relationships, identity, shame, money, and the thoughts you're embarrassed to admit are all welcome topics.
As a therapist specializing in anxiety and LGBTQ+ experiences, I'm comfortable having conversations about subjects people have been taught to avoid.
You also get to decide what you're ready to share. Therapy should never feel like an interrogation.
What if I don't know what to talk about during a session?
You don't need to show up with a prepared agenda.
Some sessions start with a specific problem. Others begin with "I have no idea what to talk about today."
We might explore how your week went, notice recurring patterns, revisit previous conversations, or check in on your goals.
You're not responsible for making every session interesting or productive on your own.
What if I tell you I'm having suicidal thoughts? Will you hospitalize me?
Talking about suicidal thoughts doesn't automatically mean hospitalization.
I want clients to feel comfortable being honest about difficult thoughts, including thoughts about suicide or self-harm.
If you're experiencing these thoughts, we'll talk about what's happening, assess your safety, and explore appropriate ways to support you.
Hospitalization is considered when there's a serious safety concern requiring a higher level of care. Any decision depends on the full circumstances, including whether safety is manageable through less restrictive options.
Confidentiality has legal and ethical limits, and we'll discuss those limits as part of informed consent.
Do you think about your clients outside of sessions?
Sometimes, yes.
I take our work seriously, and preparing for sessions or reflecting on something we've discussed is part of providing thoughtful care.
I also believe healthy professional boundaries matter. My goal is to be present, engaged, and supportive during our work together.
What if therapy doesn't seem to be helping?
Then I want us to talk about that.
Therapy isn't supposed to be something you keep doing indefinitely without understanding why.
We'll check in on your goals, discuss what's helping and what isn't, and make adjustments when needed.
If a different approach or therapist would serve you better, that's a conversation worth having, too. You deserve treatment that makes sense for your needs.
Specialties
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Anxiety Therapy
Many of us were raised to believe we should shoot for the moon to achieve our dreams. However, as we become adults, we’re faced with the stark contrast of reality. In today’s grind culture, it seems like productivity is valued over everything else. Suddenly, the hopes and dreams that guided us are exchanged for the demands placed on us to achieve results at all costs.
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LGTBQ+ Therapy
Being immersed in intolerance can plant a seed of doubt within us which makes us question ourselves and our identity. If, for example, we were raised within a church whose doctrine views homosexuality as sinful, this lack of acceptance often magnifies our doubts and insecurities, leading us to feel shameful for being LGBTQ+.
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