First Session
The first appointment introduces me to your situation as I listen to your story and begin thinking about how to approach what you're working on. You are also getting a feel for me and if I'm the right therapist for you. . . It should "click" and should feel comfortable and natural. You or I may also decide to seek another therapist especially if your concerns would be better served by a specialist.

We usually have a plan we can begin working on by the end of the first session, and I may even suggest some homework to start trying. It will become more and more clear what is holding you back from the life you want to live. Most issues need weekly sessions to build the new habit patterns and maintain progress. The changes will come as you change what you decide to do as you deal with your life.

Fees
Psychologists like myself have the highest level of training in the field, and the fees correspond to that extra in depth training.  As a result, a psychologist cost about a third more than a masters level therapist like an MFT or MSW.  Although I don't work directly with insurance companies, the majority of them have provision for out of network providers. That usually results in a co-pay of 20% to 50% of my fee. I can provide you with a super bill to submit to your insurance company to access those benefits. 

In order help make counseling being affordable, I use a sliding scale.  My usual fee is $325 assuming a substantial income, and the fee can slide as low as $225 depending on need. When we get started we'll discuss the fee and come to an agreement on the amount. In addition to considering discounts, we can change the session length or frequency of sessions.

How Long Will I need Therapy?
The length of therapy depends on the complexity of your issues and your commitment to the process. Don't let your financial concerns keep you from getting the help you need during this crisis.  If you need referral to an MSW or MFT, or interns in our field, I can provide that.

Therapy may be longer or it may be shorter. But it will become clear to both of us when you're maintaining the changes on your own and it’s time to stop. We'll agree on a date, and sometimes we will schedule a followup session, but we will usually taper off the sessions to every other week and then once a month for awhile, rather than just stopping all at once. You can also maintain follow-up coaching if you would like.