I partner with Hello Alma in order to accept insurance in Florida, Maine, Texas, and Washington. I am considered in network with most Optum (United Healthcare), Aetna, Cigna, and Harvard Pilgrim plans, depending on your state.

Insurance Accepted by State:

Florida: Optum (United Healthcare), Aetna, Cigna

Maine: Optum (United Healthcare), Aetna, Cigna, Harvard Pilgrim, Anthem Blue Cross Blue Shield of Maine

Texas: Optum (United Healthcare), Aetna, Cigna

Washington: Optum (United Healthcare), Aetna, Cigna

Michigan: Self-pay only

Ohio: Self-pay only

Every insurance plan is different, so Alma will verify your benefits and let you (and I) know what your anticipated copay will be.

What should I know about how insurance works with therapy?

Every healthcare provider is at the mercy of health insurance database systems, and inaccuracies do happen. Many insurance companies also have restrictions on which telehealth platforms are covered, which can mean a higher copay for a "non-preferred" provider, something that's often not easy to find out until you call.

You're responsible for knowing your insurance benefits and costs. As a solo practitioner, I focus on giving my clients the best care possible, which means I can't spend hours on the phone each week handling insurance on your behalf (that would be unpaid labor). I strongly encourage every client to contact their insurance company directly to understand their benefits and keep a copy of their benefits guide on hand.

Your insurance company can deny claims if they disagree with the medical necessity of your therapy. They're also allowed to take their time processing claims, so if a benefits verification turns out to be inaccurate, it can result in a surprise bill months later. If you have secondary insurance, I may not be able to bill your primary plan, even if it's in-network, since Hello Alma is currently unable to coordinate between primary and secondary insurances.

Self-pay gives you full control over your care. You're not required to receive a diagnosis, you're not subject to an insurance company's definition of "medical necessity," and no claim, diagnosis, or treatment record is ever submitted anywhere. Many clients choose self-pay for privacy, to keep therapy off their medical record, or simply because it's a better fit for their situation. You're always welcome to opt out of insurance benefits for any reason, including cost.

Yes. Even in Florida, Maine, Texas, or Washington, self-pay is available if you'd rather not use your benefits for any reason.

Yes. Sessions are generally eligible for HSA and FSA reimbursement. I recommend checking with your specific plan administrator to confirm your account covers mental health counseling.

Yes. If you have out-of-network insurance benefits and are paying the full rate, I'm happy to provide a superbill you can submit directly to your insurance company for reimbursement. This means you pay me directly on the day of the session, and your insurance company pays you back, including if you're located in Michigan or Ohio.

No. I'm not able to work with individuals covered by Medicaid or Medicare. If you have Medicaid, you do risk losing your benefits if you self-pay for services, so I'm unable to work with you in that situation.

My philosophy around diagnosing is to do the minimum necessary. If you are self-pay (required in Michigan and Ohio, optional in Florida, Maine, Texas and Washington), I am not required to diagnose you, nor are you required to meet arbitrary “medical necessity” guidelines. With self-pay, you get to fully dictate your course of treatment. There are no insurance companies deciding what is and is not therapeutic for you. Truly, only you can decide if you are benefiting from therapy.

If you are using health insurance benefits, either in network or seeking out of network reimbursement, I am required to give you a diagnosis. If I cannot ethically diagnose you to meet “medical necessity” requirements, or your primary diagnosis is Autism, or ADHD, or a Personality Disorder, for instance, therapy claims can be denied, as only certain treatment modalities might be approved (like ABA, which I am vehemently against).

Yes. If you pay out of pocket, no diagnosis, claim, or treatment record is submitted to your insurance company. I also keep my clinical notes minimal and general by design, to reduce what could ever be shared even if records were legally requested.

Keep in mind that you cannot submit a superbill or reimbursement later.

Information will NEVER be released without your direct consent, or a court order by a Judge.

What are the limits of confidentiality?

Everything you share in therapy is confidential, with a few legal exceptions: if you are actively suicidal or homicidal, in cases of abuse of a child, elderly person, or disabled person, or when complying with a court order. I will always tell you if I'm required to make a mandated report.

How do you protect client privacy in your notes?

I keep session notes minimal and general to reduce risk if records are ever requested by insurance, subpoenaed, or accessed by a third party. I'm especially thoughtful about this given the current political climate and its impact on marginalized communities.

I work with adults navigating anxiety, depression, trauma, C-PTSD, and chronic stress, all often layered with the intersections of Autism, ADHD, LGBTQIA2S+ identity, polyamory, kink, sex work, fat body liberation, and chronic illness/disability. Many of my clients come to me because their anxiety or depression is tangled up with masking, burnout, medical trauma, or navigating a world that wasn't built for who they are, and they want a therapist who gets that context without needing it explained first.

Do you treat anxiety and depression? Yes. Anxiety and depression are some of the most common reasons clients start working with me, which are often connected to burnout, masking, chronic illness, or navigating identity in an unaffirming world. I don't treat these in isolation from the rest of who you are; we look at the whole picture.

Do you work with trauma? Yes. I work with trauma, including C-PTSD, and bring both clinical training and lived experience to this work. This includes trauma related to medical systems, family rejection, discrimination, or navigating chronic illness and disability.

Do you help with burnout? Yes. Burnout shows up a lot in my work, especially for late-diagnosed ADHD and Autistic adults who've spent years masking or overcompensating just to get through the day. We look at what's actually driving the exhaustion, whether that's unsustainable coping strategies, an unaccommodating workplace, or years of unmet support needs, instead of just treating the tiredness on the surface.

Are you kink-aware and poly affirming? Yes. My practice is fully affirming of kink, polyamory, and non-monogamous relationship structures. You will never be asked to justify or explain these parts of your life.

Do you offer therapy for late-diagnosed or self-diagnosed ADHD and Autism? Yes. I affirm self-diagnosis and specialize in working with adults navigating a late diagnosis of ADHD or Autism. I have deep personal and clinical experience supporting adults navigating a late ADHD or Autism diagnosis, including unmasking and identity integration. I am particularly fond of helping with accommodations and adaptions that make life easier in the home, community, and workplace.

Do you work with sex workers?
Yes. I provide affirming, non-judgmental therapy for people who do sex work, without requiring disclosure of details you're not comfortable sharing.

Do you work with LGBTQIA+ folx?

Yes! I specialize in working with members of the queer community, especially in navigating the present day environment. Keeping a safe space where your identity is embraced and understood is among my highest priorities.

Do you work with disabled or chronically ill individuals? Absolutely! I experience chronic illness and both visible and invisible disabilities. I bring both education and lived experience.

Do you provide letters for gender-affirming care, ESA, or medication evaluations?
Yes, as clinically indicated. This includes gender-affirming surgery letters, emotional support animal letters, and diagnosis letters for medication evaluations. There's no charge if we can complete it together in session.

What does "affirming therapy" mean?
Affirming therapy means your identities, relationships, and lived experience are treated as valid starting points, not things to fix or explain. It means never having to educate your therapist about who you are before you can get support.

What states are you licensed in?

Florida, Maine, Michigan, Ohio, Texas, and Washington

Do you offer therapy in Michigan? Yes. I’m licensed in Michigan and see self-pay clients. I can also provide a superbill for possible out of network reimbursement.

Do you offer therapy in Ohio? Yes. I’m licensed in Ohio and see self-pay clients. I can also provide a superbill for possible out of network reimbursement.

Do I need a referral to work with you?

Nope! In general, most insurance companies DO NOT require pre-authorization or referral for mental health counseling. Because of this you can reach out to me directly and do not need a referral from a physician. If a pre-authorization is required, we will figure it out!

This answer depends on whether you are utilizing your insurance provider or self-pay for your therapy sessions.

Self Pay: Sessions can be conducted via Video, Phone, or Live Chat (with video on; you are not required to have audio on). Live Chat is conducted on a case-by-case basis as needed to ensure accessibility to engage in therapy. I use HIPAALINK to deliver telehealth.

Insurance: Sessions are required to be conducted via Video only. This is not my rule, but one mandated by health insurance requirements.

Most sessions are 45 to 53 minutes in duration. For simplicity, I schedule all sessions for 45 minutes, and sessions can be shortened or extended based on my availability and your needs. Most clients meet weekly, or every other week.

Before your first session, you will have received an invite to your client portal to complete your consent paperwork and intake questionnaire. During our first session, I will go over what you’ve written (or checked off) in the questionnaire and ask you questions to make sure I’m understanding you correctly. From there, we start working on building your treatment plan, based on what you want to focus on.

Well, that’s a great question, and it’s one that I can’t answer. It will take the time that it takes, and no therapist can guarantee any specific outcome. It is always my goal to help you, and I cannot guarantee beyond any doubt that I will be helpful to you specifically. Sometimes we get some relief early on in work. Sometimes, it takes a year of gossip days and gentle presence for us to get to the deeper work to heal the trauma. Every person is different. Ask yourself why you attend your appointments and what you are getting out of them. If you don’t feel like you are making progress, please tell me! I am always open to your feedback and will not get mad. Therapy is about you, not me, and I’m very good at putting my ego aside and adjusting as needed.

If we are unable to make progress with adjustments on my side, ethically, I will need to work with you to get you connected with a provider that might be a better fit for you. Who you see for treatment is up to you. It is my ethical duty to acknowledge when my skills are not aligned with what you need, and I will talk to you about this if I notice anything. I will check in with you and ask you how you feel therapy is going for you, and any decisions regarding frequency of care and/or discharge or referral out, are made with your full knowledge, consent, and collaboration in most cases.

If you are abusive toward me, and we are unable to resolve this, for my own safety as a human, I will discharge you with referrals to other providers. As humans, we are NEVER required to tolerate or accept abuse from anyone, even at our jobs.

I am not able to assist in any court related matters, which include, but are not limited to, testifying as to my opinion about your prognosis, recommendations for care, or doing any assessments required for custody evaluations, etc. I will have to refer you to a provider who does work with legally mandated clients, as I am not an expert witness, or trained to provide any formal assessments or recommendations the court might require. If you are court ordered to participate in treatment following a DUI, for example, it is highly likely that the court system and the State will have specific providers for you to work with, and you will only be allowed to work with them.

If I am required to participate in any court proceedings, to testify about your treatment status, for example, I will have to charge you a significant fee (paid up front, with no refunds) for time spent preparing, and participating in court. Court appearances require a significant time investment, and I will need to cancel a full day of clients. Should your hearing be rescheduled after my client sessions have been canceled, and I have to cancel another day, you will have another fee to pay. I encourage any clients to coordinate with their attorney to ask if my appearance will be necessary, or if a treatment summary, or progress notes will suffice, in order to avoid court related fees. Again, the notes I keep are minimal and generalized, and I will only read from notes in court, and will not be able to offer any interpretation, so your confidentiality is protected.

If I am required to travel more than 20 miles from my home, to appear in person, you will also be required to pay an additional fee to cover travel expenses.

If you are court ordered for therapy, for any reason, at any time during our relationship, I will absolutely work with you to coordinate any care needed, including collaborating with your court ordered provider on an ongoing basis, and providing your progress notes, or treatment summary, with your express written and verbal consent. I will NOT abandon you. I will be transparent about any limitations I have to support you.