​​​​​Fees, Services, Insurance & Practice Policies

I provide private-pay psychotherapy in Vermont and California, with a particular focus on neurodivergent adolescents and adults across the lifespan, couples and families, and older adults.

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My goal is to offer flexible, individualized care—including telehealth throughout both states and limited in-home services in Southern Vermont—while keeping fees and payment policies as straightforward as possible.

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​​​​Fees at a Glance​​

CALIFORNIA — TELEHEALTH & LIMITED IN-PERSON

Individual Therapy • 50 minutes — $195

Couples/Family Therapy • 50 minutes — $195

Couples/Family Therapy • 75 minutes — $250

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VERMONT — TELEHEALTH & LIMITED IN-PERSON

Individual Therapy • 50 min. — $175

Couples/Family Therapy • 50 min. — $195
Couples/Family Therapy • 75 min. — $250
Extended Individual Therapy • 75 min. — $250

 

VERMONT — IN-HOME THERAPY & FAMILY SUPPORT 

Service Type                                  (0-10 miles)  /  (11–20 miles)  /  (21–30 miles)

Individual • 50 min.              $225 / $250 / $275

Couples/Family • 50 min.      $245 / $270 / $295

Couples/Family • 75 min.       $300 / $325 / $350

*Distance is calculated from Manchester Center, Vermont (Zip Code 05255)

 

CARE COORDINATION, SCHOOL & WORKPLACE SUPPORT

Rate: $195/hour, prorated in 15-minute increments​​

 

​SLIDING SCALE/REDUCED FEE

Limited reduced-fee/sliding-scale appointments based on established financial need.​​

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PRIVATE PAY BEGINNING JANUARY 1, 2027

Effective January 1, 2027, I will no longer participate as an in-network provider

with any insurance company in either California or Vermont.

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PAYMENT DUE/SUPERBILL

​Payment is due at the time of service. After payment is received, I can provide a superbill (detailed receipt) that you may submit directly to your insurance company to seek any out-of-network benefits available under your plan. Please note that a superbill does not guarantee reimbursement. Coverage and reimbursement are determined by your individual insurance plan.

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Therapy Options

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Telehealth — Vermont & California

Secure telehealth therapy is available to clients who are physically located in Vermont or California at the time of their appointment.

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Telehealth can provide greater flexibility and accessibility for adolescents, adults, couples, and families, particularly for those balancing work, school, caregiving, health concerns, transportation challenges, or sensory and nervous-system needs.

 

In-Home Therapy & Family Support — Southern Vermont

For some individuals and families, getting to an office creates an additional barrier to receiving consistent care. I offer a limited number of in-home individual, couples, and family therapy appointments within approximately 30 miles of Manchester Center, Vermont.

 

Home-based services may be particularly helpful for:

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• Older adults who find travel physically difficult or burdensome

• Individuals with disabilities, health concerns, or mobility limitations

• Neurodivergent teens and their families, particularly when meeting within the home environment may support treatment goals

• Neurodivergent adults for whom travel, transitions, or unfamiliar environments create additional stress

• Couples and families for whom meeting together at home is more practical or clinically useful

• Caregivers and families managing complex care needs

• Individuals and families in rural Southern Vermont communities with limited access to specialized care

 

In-home therapy is a premium service because additional professional time is reserved for travel and fewer appointments can be scheduled on home-visit days. 

 

In-home availability is limited and depends upon location, scheduling, weather and road conditions, and whether home-based services are clinically appropriate.

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Specialized, Neurodivergent-Affirming Care Across the Lifespan

 

My practice has a particular focus on supporting neurocomplex nervous systems (ADHD, Autism, AuDHD, sensory processing sensitivities, giftedness, OCD, and other forms of neurodivergence) from adolescence through later adulthood.

 

I work with:

• Teens and young adults navigating identity, school, relationships, executive functioning, family dynamics, and the transition into adulthood

• Adults exploring or better understanding neurodivergence, including those identified later in life or navigating career or other life transitions

• Couples and families learning to understand different nervous systems, communication styles, needs, and ways of connecting

• Older adults navigating identity, changing roles and relationships, independence, caregiving, loss, retirement, and other life transitions

 

Neurodivergent-affirming therapy is not about teaching someone to appear more neurotypical. Our work can instead focus on understanding your individual nervous system, reducing unnecessary demands and sources of overwhelm, developing supports that actually fit you, improving relationships and self-understanding, and creating a life that works better for who you are.

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Care Coordination, School & Workplace Support​

         

 Rate: $195 per hour, prorated in 15-minute increments 

(*Routine communication requiring five minutes or less is not billed)

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Therapy sometimes extends beyond the therapy session—particularly when supporting neurodivergent teens and adults, individuals with complex care needs, and older adults and their families. Whenever reasonably possible, anticipated billable work will be discussed with you in advance.

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With appropriate authorization, I can provide consultation, coordination, and support when clinically appropriate.

Coordination and support services may include:

 

• IEP and 504 support, including preparation for and participation in school meetings

• Collaboration with teachers, school counselors, special educators, and other school professionals

• Workplace accommodation support and clinically appropriate consultation related to a client's functioning and needs

• Collaboration with physicians, psychiatrists, therapists, occupational therapists, and other treatment providers

• Eldercare and family-care coordination, including communication with caregivers and other members of the care team

• Review of records or materials necessary for coordination of care

• Extensive treatment summaries, letters, or other requested clinical documentation

• Substantive telephone calls, emails, and meetings outside of scheduled therapy session

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In-Person Meetings

When I am asked to attend an IEP/504 meeting, care meeting, or other clinically appropriate meeting in person, professional time is billed at $195 per hour, plus the applicable Vermont geographic travel fee.

Care coordination, travel, documentation, and other services outside of direct psychotherapy may not be eligible for insurance reimbursement.

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Private Pay & Out-of-Network Benefits

Beginning January 1, 2027, my practice will be entirely private pay/out of network, and I will no longer accept or bill insurance as an in-network provider in California or Vermont. Payment is due at the time services are provided.​ Moving to a private-pay model allows treatment decisions to remain primarily between therapist and client rather than being driven by insurance-company requirements concerning diagnosis, medical necessity, session frequency, or other aspects of care.

 

Superbills

If your health insurance plan includes out-of-network mental health benefits, you may be entitled to reimbursement for a portion of what you pay for psychotherapy.​ After payment has been received, I can provide a superbill containing the information you may need to submit a claim directly to your insurance company.  Please note that a superbill is not a guarantee of reimbursement. Insurance plans and out-of-network benefits vary considerably, and clients are responsible for determining their coverage and submitting claims.

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Before beginning therapy, you may wish to ask your insurer:

• Does my plan include out-of-network outpatient mental health benefits?

• What is my out-of-network deductible?

• How much of that deductible has already been met?

• What percentage or amount is reimbursed for outpatient psychotherapy?

• Is reimbursement based on the therapist's actual fee or the plan's allowed amount?

• Is authorization or a referral required?

• How do I submit an out-of-network claim?

 

Travel premiums, case-management services, other services outside of direct psychotherapy, and late-cancelled sessions may not qualify for reimbursement by insurers even when a plan includes out-of-network psychotherapy benefits.

 

Community Access & Reduced-Fee Appointments

I recognize that specialized, neurodivergent-affirming care can be difficult to access. I reserve a limited number of reduced-fee/sliding-scale appointments for clients with established financial need. These spaces are intentionally limited so that I can maintain a sustainable practice while continuing to make some specialized care available to individuals and families who might otherwise be unable to access it. Reduced-fee telehealth appointments may be available to eligible clients in Vermont and California.

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Because of the additional time required for travel, reduced-fee in-home appointments are more limited and are generally reserved for year-round residents within the immediate Manchester Center area. Reduced fees are determined individually based on financial circumstances and availability. If all reduced-fee spaces are currently filled, I may be able to offer a waitlist or referrals to other resources.

 

Legal & Court-Related Services

My psychotherapy practice is not a forensic practice. I do not voluntarily provide expert testimony, custody evaluations, disability determinations, or clinical opinions for use in litigation.

 

If I am legally compelled to participate in a legal proceeding involving your treatment, professional time associated with the matter—including preparation, record review or production, travel, testimony, and required standby time—will be billed according to the legal-services provisions contained in my practice agreement.

 

Your Right to a Good Faith Estimate

Under the federal No Surprises Act, clients who are uninsured or who choose not to use insurance are generally entitled to receive a Good Faith Estimate of the expected cost of their healthcare services, including psychotherapy.​ You may request a Good Faith Estimate before scheduling services or at any time during treatment. If the amount you are billed is substantially higher than your Good Faith Estimate, a federal patient-provider dispute-resolution process may be available.

 

For current information about Good Faith Estimates and your rights under federal law, visit the Centers for Medicare & Medicaid Services (CMS) No Surprises Act — Consumer Information page.