My practice is full at this time. I expect to have limited openings later this year.
108 SE 124th Avenue, Suite 12
Vancouver, WA 98684-6015
Telephone: 360.713.8171 (for calls or text)
If you believe you need immediate assistance, please call 911, call the national crisis line at 1.800.784.2433 or your local county crisis line, or go to your local emergency room.
Cascade Crest Executive Office Suites
Frequently Asked Questions (FAQS)
Q: What can I expect at my first actual appointment? A: Before your first appointment you will complete some forms from my patient portal. When we meet, we will discuss your reasons for coming in, I will answer any questions you might have, I may ask you a few questions about your intake forms, and if it seems like a good fit we will discuss our next steps.
Q. How long are all subsequent sessions? A. Most sessions (other than an assessment session) will be 38 to 52 minutes long and are generally scheduled for 45 minutes. Occasionally 53 to 60 minute sessions will be offered if appropriate, but if you are using insurance, you will want to be sure that they will cover an appointment of that length as many do not without prior authorization. How often an individual attends sessions will vary from person to person. Most patients attend sessions on a weekly basis early in treatment then progress to twice a month then to once a month. Occasionally, usually due to financial hardship, health, or transportation issues, some attend once or twice a month.
Q. How long will I need to see you? A. The length of your treatment will depend on a number of factors unique to you including the issues you are wanting to address and how long they have been interfering in your life. In general, the majority of people are noticeably improved after 12-20 sessions. Some patients report feeling better after only a few sessions while others may require 40 or more sessions. Some patients improve noticeably, but do not reach their full improvement goals for some time. As you progress you may find that you need to come in less and less frequently. Many people come in once monthly towards the end of their treatment. And still other people, although much improved, elect to come in for maintenance sessions and supportive work as needed.
Q. Do you take insurance? A. I do take insurance, but I am not contracted with all insurance plans, and insurance plans may cover one type of appointment but not another. Insurance has become quite complicated with plans being administered by other insurers and sometimes under the umbrella of a third insurer. There are many different insurance companies with many different insurance products. I regret I cannot tell you exactly what your plan will cover. Please remember that your insurance coverage is the result of a contract between you and your insurance company. You will want to know if you have a co-pay or co-insurance, if you have, or have met any deductible, and if you will need preauthorization for any service. You may also consider "out of network" benefits if you have them if I am not covered directly by your insurance. Before you come to your first appointment you will complete an insurance verification form which will help you through that process. It will be especially important if you will be wanting a longer appointment time, are having physiological monitoring or biofeedback services or completeing assessment measures.
Q. How much does it cost? A. Your fee varies depending on the type of appointment you schedule. You can find a fee schedule in the Disclosure of Clinic Policies and Procedures and Informed Consent for Treatment form in the patient portal. I generally am able to see a few people for very low or no fee and at this time am reserving those slots for ongoing patients with financial hardship issues.
Q. Will you keep information about me and my treatment confidential? A. Your confidentiality is protected by state law, by the Health Insurance Portability and Accountability Act (HIPAA) and by the American Psychological Association's (APA) Code of Ethics. In general, all information about you is held confidential and is released only through procedures consistent with state laws, HIPAA, and the APA's Code of Ethics. There are certain exceptions to confidentiality. These are described in the Notice of Privacy Practices document you will review and sign prior to beginning treatment.
Q. I'm not happy with my medications. Can you help me change my medicine? A. I am licensed and trained to practice psychology and board certified to provide biofeedback but prescribing medications would be outside the scope of my practice. I do often consult with physicians who prescribe medications and am happy to work with them to help you with any medication management concerns you might have. If you will be working with biofeedback, it is important to note that certain medications will translate into changes in biofeedback readings and may make certain self-regulation skills more difficult to acquire. Additionally, as you become more proficient at self-regulation, your medication needs may change so it is important to have your medications monitored throughout your training.