Anxiety doesn’t have to run your life.

Not just yet — all sessions are currently held over secure video, which lets me serve clients across all of Washington and California. In-person sessions are coming this fall — if you’d prefer to meet face-to-face, mention it in your consultation request and I’ll keep you posted. Research shows video is just as effective as in-person care for anxiety and OCD. Many clients prefer it: no commute, no waiting room, and you’re in the space where you feel safest.

We talk about what’s bringing you in, I’ll share how I’d approach it, and you can ask anything — about my style, logistics, fees, or insurance. There’s no paperwork and no pressure. By the end, we’ll both know whether working together makes sense.

Sessions are 50 minutes, currently held over video. Early on, we map out how your anxiety operates — the triggers, thoughts, and avoidance patterns keeping it going. From there, each session blends conversation with concrete skills practice: exposures, behavioral experiments, cognitive work, and mindfulness tools, depending on what fits. You’ll usually leave with something specific to try before we meet again.

It depends on what we’re treating and its severity. Many clients notice meaningful change within 8–16 sessions; OCD and entrenched patterns can take longer. We’ll set clear goals up front and check progress regularly — the aim is to get you to a place where you don’t need me, not to keep you in therapy indefinitely.

I’m in-network with Aetna, Anthem, Blue Cross Blue Shield, Cigna, Kaiser, Lyra, Premera Blue Cross, Regence, and UnitedHealthcare. Benefits vary by plan, so I’m happy to verify your coverage before your first session. If I’m out-of-network for your plan, self-pay and superbills (for out-of-network reimbursement) are options — see the Fees section above.

Yes — I work with teens ages 13–17. Teens need a space that feels like their own, so sessions are confidential with age-appropriate boundaries: I’ll loop parents in on treatment goals, progress, and anything safety-related, while keeping the day-to-day details of what your teen shares private. We’ll agree on exactly how that works together at the start.

For anxiety disorders and OCD, yes — a large body of research finds video-based CBT and ERP produce outcomes comparable to in-person treatment. For exposure work in particular, telehealth has a real advantage: we can practice in your actual environment, where your anxiety lives.

Life happens. I ask for at least 24 hours’ notice to cancel or reschedule; late cancellations and no-shows are billed at the full session fee. We’ll go over the details before your first appointment.

My practice isn’t set up for crisis care. If you’re having thoughts of harming yourself or are in emotional crisis, please call or text 988 (US Suicide & Crisis Lifeline) or go to your nearest emergency department. If we’re already working together and something urgent comes up between sessions, reach out and I’ll respond as soon as I’m able.