FAQ

We can do that too! A lot of people find the ART/EMDR sessions tiring, and find switching between talk therapy and trauma reprocessing sessions helpful to manage their energy and explore the new understandings achieved through reprocessing. People choose talk therapy to better understand how historical family dynamics influence their current patterns of behavior, directly focus on changing how their thoughts affect their emotions, and to address ambivalence that can get in the way of achieving their goals. Talk therapy sessions can be more or less structured, depending on your treatment goals.

As of January 2026, I will not be in-network with any insurances. After almost 20 years of declining reimbursement rates, increased administrative requirements, and surprise clawbacks, it’s no longer financially sustainable. It also limits what kind of work that I can offer, which interferes with symptom relief.

However, from a patient perspective, I understand the inconvenience and frustration of not using insurance benefits (when we pay SO MUCH MONEY for them!), so I work with a billing company to take off some of the burden. I can provide superbills and courtesy billing to help you get some reimbursement of your costs, if you have out of network benefits. Services can also be paid for by your HSA/FSA accounts.

Here is a great website to help explain this process: https://blog.zencare.co/guide-to-out-of-network-benefits/

Excellent question! Here are four reasons:

1. Enhanced privacy

Any time you use insurance, they become part of the treatment team. They have the right to access your records for payment and audit purposes, to include the actual documentation that I keep in my electronic medical record: diagnoses, progress notes, etc. They can also be used by life/disability insurance companies to make determinations about your coverage.

2. Treatment based on what you want, rather than what the insurers decide you need

A factor in my decision to stop taking insurance was the inability to be reimbursed for the length of session needed to complete an Accelerated Resolution Therapy session. Many, if not most, people need 90 minutes to complete the protocol in its entirety, meaning no short cuts. The insurance world did away with the 90-minute extended session code around 2013, pushing evidence-based protocols to fit into a 60-minute slot. Squeezing 33% more into a therapy session is about as comfortable as squeezing yourself into pants 33% too small. Yeah, you *might* be able to do it, but you’re going to feel it.

3. Highly effective treatments that can reduce length of care – single incidents can be addressed in as few as 2 sessions

EMDR and ART are considered accelerated therapies for trauma and other disorders, with symptom relief after one or two protocol-based sessions. Some people choose to come in for only the most bothersome memories, complete the protocol over one or two sessions, and find so much relief that they do not want/need to do more accelerated or talk therapy sessions. Reducing the number of sessions needed means less money spent on therapy.

4. Competent provider who’s connected with the communities

As the wife and family member of LEOs, I live the first responder lifestyle and my practice reflects it:

• Can’t make your appointment last minute because you got held? No big deal- I don’t charge if we can reschedule for the same week.
• Worried that you’ll make me cry when you talk about the shitastic things you’ve dealt with? I’m going to sip my coffee and probably make a comment about how f&cked up that is.
• Afraid that you swear too much for therapy? You’ve come to the right place.

Call for a free 15 minute phone consultation to see if I am offering what you’re looking for and would be a good fit.

Much like the black belt in Brazilian Jiu Jitsu, the Ph.D. is just the beginning- I am always learning new techniques. Over the last 10 years, I have honed my trauma focused therapy skills by learning the various empirically supported trauma therapies and other therapeutic approaches for sleep and suicide prevention. I love learning and being able to provide the most effective treatment possible.