No. This is not due to Covid – it’s to ensure that I can maximize access to services while minimizing potential barriers, especially given that I live in a relatively remote rural area in Southern Oregon. Telehealth offers greater privacy, flexibility, and convenience for most people compared to traveling to a physical office. My telehealth platform is state-of-the-art and HIPAA-compliant.

Since I keep a small practice to provide excellent service to my clients, my hours are flexible. Many of my clients are busy people trying to juggle multiple responsibilities, so finding time for a therapy session during normal office hours is a challenge for them. I’m willing to offer early morning, evening, or sometimes weekend appointments, depending on what best fits your schedule.

I’m currently licensed as an LCSW in California (LCSW 124154), Oregon (L11298), and Idaho (LCSW-43576). I am also able to provide teletherapy services throughout Florida as a registered telehealth provider (https://flhealthsource.gov/telehealth/) and Vermont. My ability to offer telemental health in other places depends on local regulations, which vary greatly depending on the state or country. I’m willing to look into this on your behalf if you live in other parts of the US or overseas.

I am in-network in Oregon with Regence BCBS, Providence, Aetna, Cigna, and United. I am also in-network with OHP plans offered through CareOregon, Jackson Care Connect, Trillium, and Allcare.

In other states I can check on your eligibility. United, Aetna, and Cigna for example are nation wide networks, and it’s possible I can bill in-network.

I can bill most other insurance plans as an out-of-network provider, if your coverage allows it. You can use the Reimbursify widget on this page to see what would be covered, or check with your insurance company directly. I’m happy to provide a “superbill” for you to submit through Reimbursify, which is free to my clients.

I accept self-pay and copays/coinsurances in the form of Visa, MasterCard, American Express, Discover, Diner‘s Club, or JCB, PayPal, Venmo, or Wise.

Yes, depending on the situation. Check with your insurance to see if couple’s therapy is covered under your plan. If not, we can discuss self-pay arrangements. I work with couples in the context of family therapy as a standard part of the treatment approach I use.

Again, this depends on the situation and the specific child or children in question. Young children in particular are not generally a good fit for telehealth, but pre-teens and teens sometimes feel comfortable with “screen-based” therapy and might even prefer it. With younger children, helping the parents/ caregivers often makes far more of a difference than any number of individual therapy sessions with the child, and virtually all children of any age benefit from improvements in family harmony (“less stress, more fun” is a good motto). We can discuss the best approach to help your unique family and situation.

Use the Request Appointment button to contact me for an initial consultation, which typically lasts 15-30 minutes and is at no charge to you. If it feels to both of us like we’d be a good fit to work together, we will make a plan that best suits your needs at that point.

There’s no way to predict this – it’s entirely dependent on your unique situation, history, personality, goals, support network, motivation, and a whole host of other factors. Some people see great gains after just a few sessions. Others will take much longer in order to tackle deeply rooted issues or especially complicated situations. The only thing I can say for sure is that our goal will be to work me out of a job (at least with you) as quickly as possible, given your needs and goals.

Under the regulations of the states in which I am licensed (California, Oregon, and Idaho), I am not able to diagnose autism. This requires specialized training as well as specific qualifications - typically an MD, a PhD in Clinical Psychology, or a neuropsychology license.

I am able to diagnose ADHD from a mental health perspective (as opposed to a medical perspective). However, I strongly recommend seeing a specialist in ADHD assessment if you are seeking an ADHD diagnosis for yourself or your child for official purposes such as educational, work, or disability accommodations.

I am happy to refer you to specialists in autism and ADHD assessment with whom I have collaborative relationships. I can also refer you to psychiatric providers if desired and appropriate.

What I can do is help those who have received a diagnosis of autism, ADHD, and/or other aspects of neurodiversity - or who suspect they might be neurodivergent but either have never been diagnosed or aren’t interested in pursuing “official” diagnosis - explore what their unique neurotype looks like for them and how to make the most of it. I recognize and honor the fact that self-diagnosis is well-respected and accepted in the neurodiversity community, and that autism and ADHD assessments can be expensive, difficult to access, and sometimes emotionally and logistically challenging.

I am happy to support you in your journey no matter where you find yourself along the path, whether you were diagnosed as a child, as an adult, or not at all.

This is one of the most common questions I get when people are exploring whether or not we’d be a good fit, particularly from potential clients who are autistic.

Yes, I am neurodivergent - autistic, specifically. I was diagnosed only very recently, in mid-2024. I sought the diagnosis in part because I had been working with neurodivergent clients for years and could not give a satisfactory answer to this question (whether or not I’m neurodivergent)… and also because several of my clients (laughingly) were calling me out on what they saw as clearly autistic behaviors. Receiving the diagnosis in my mid-50s was both a shock, and also not surprising at all - an experience that many late-diagnosed neurodivergent people can relate to.

By the time I was myself diagnosed, I’d already been providing neurodiversity-affirming therapy and supports to neurodivergent individuals and families for nearly my entire career. I can’t say that the diagnosis changed my approach a great deal, but it did give me a far deeper, and different, understanding of my work and its importance. It also has allowed me to explore many of the coping strategies and self-regulation and relationship tools I’ve found effective from a much more personal angle.

I’ve always followed a neurodiversity-affirming approach, long before I knew I was myself autistic. That just seemed fair and right. I do not see autism (or ADHD, for that matter) as a “disorder,” although I recognize that for many people whose support needs are higher than mine it can certainly be experienced as a disability. Each person’s experience of neurodivergence is unique. I do not make any assumptions and do not believe in stereotypes. I embrace each client exactly as they are.

The short answer is yes, unequivocally. I have clients across every part of the spectrum of gender identity as well as sexual preference and relationship status.

I do not specialize in gender-affirming care, and am not a sex therapist. If you are seeking support in deep exploration of your gender identity, sexual preference, or sexual practices, I can refer you to people who specialize in these issues.