Good questions deserve straight answers.

I am out of network for all insurance companies. If you would like to use your out-of-network benefits, you will pay in full at the time of your appointment and receive a receipt to submit to your insurance company. Your receipt will include a mental health diagnosis code that will be kept on file with your insurance company. Your insurance company will reimburse you directly at their discretion. You may want to contact your insurance company to determine your out-of-network benefits before making an appointment.

I charge $200 for individual therapy sessions and $230 for couples therapy sessions. For families with more than three people, I charge $245. Please contact me about fees for intensives. Clinical consultation for fully licensed therapists is $175 for 50 minutes.

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. To learn more, read about the Good Faith Estimate or contact me with questions.

I accept all credit cards. I use Ivy Pay to take credit card payments. Because I am only online, I no longer accept cash or checks.

Ivy Pay is a secure way to pay for services without having to pull your card out at the end of every session. When we first meet, I will send you a secure link by text where you can upload and save your card. The charge will show up as “Ivy Labs” on your statement as an added privacy feature.

I require everyone to keep a credit card on file to safeguard against late cancellations and no-shows. As long as you keep your appointments and follow my cancellation policy, your card will not be charged for a missed session. I will do everything in my power to contact you before charging your card for a late cancellation or no-show.

Yes. If you need documentation for your HSA/FSA, let me know and I’ll do my best to accommodate you. HSA/FSA cards cannot be charged for late cancellations or no-shows, only for services rendered, so you will need a backup card on file if you pay with an HSA/FSA card. For charges to your backup card, I use Square. You are responsible for any charges your insurance company does not approve.

If you need to cancel, please contact me 24 hours in advance. If you cancel with less than 24 hours’ notice or do not show up, you will be charged your full session fee. Emergencies and extenuating circumstances are handled case by case. This policy is stated in the Informed Consent you sign when you begin therapy.

Regular individual, couples and family sessions last 45 to 55 minutes. I also offer intensives for couples and individuals, which are a minimum of 3 hours over one or more days, with a 60-minute prep session beforehand. Intensives have their own pricing, so please contact me for rates.

Ultimately it’s up to you. I highly recommend weekly sessions at the beginning so we can get to know each other and build consistency. Working on your concerns weekly creates a strong foundation for change. Once you’ve improved and can maintain your progress, I’m happy to reduce frequency. If you’d rather start biweekly, I usually ask that your first three sessions be weekly.

It depends on your goals. On average, people attend a minimum of 6 to 8 sessions. You might need more time, or create new goals as you go. Feel free to talk with me about short-term or long-term therapy, and I’ll do my best to accommodate you in an ethical and therapeutic way.

My evening availability is limited, and appointments are offered on a first-come, first-served basis.

If you’ve waited longer than one business day for a reply, please check your junk or spam folder. If you still don’t see a reply, don’t hesitate to reach out again.

In couples therapy, the relationship is my focus, not just each individual in it, so I need a balanced, unbiased relationship with each of you. A partner who joins later often feels uncomfortable or even ganged up on. Though I’ll address extenuating circumstances as they come up, I ask that both partners attend from the beginning. All new couples complete a phone consultation before the first appointment.

If the therapy calls for individual sessions, I will see you separately. That depends on your relationship, your concerns and your progress as a couple. If I do see you individually, remember that I do not keep secrets. If you tell me something your partner doesn’t know, I will work with you to disclose it yourself, on your own or in our next couple session.

No. I provide therapy to both married and unmarried couples.

While I don’t offer a packaged premarital program, I’ll work with you to prepare for a lifelong, loving commitment. Learn about premarital counseling.

Yes. I welcome same-gender couples and fully support marriage equality. I also work with couples that include a nonbinary or transgender partner.

To learn how I define mindfulness, read more here.

That’s a valid concern, and one I take seriously. Talk with me about your experience so I can try to make you more comfortable. If video therapy just doesn’t work for you, I can refer you to a clinician who sees people face to face. Learn more about telehealth.

I’m licensed in Texas, so you need to be physically located in Texas at the time of each session. If you’ll be traveling, let me know and we’ll plan around it.

You can request a copy of your record at any time by phone, by email or in session. There is a $25 charge for a physical copy to cover ink, paper and any shipping or faxing, and $15 for an electronic copy.

I am licensed in Texas as a Licensed Marriage and Family Therapist, license #201087.

Visit the Texas State Board of Examiners of Marriage and Family Therapists. Texas Behavioral Health Executive Council, George H.W. Bush State Office Building, 1801 Congress Ave., Ste. 7.300, Austin, Texas 78701, (512) 305-7700. To file a complaint, call the 24-hour toll-free complaint line at 800-821-3205. You may also file a consumer complaint with the Office of the Attorney General’s Consumer Protection division.