Fees & Insurance

I am currently paneled with a few insurance companies, but beginning in January 2026 I will be transitioning off all insurance panels. At that point, I will no longer bill insurance directly and will shift to a private pay and out-of-network model.

Therapy has always been most meaningful to me when it can unfold at a pace shaped by the person, the relationship, and the reality of the work — not by the expectations of insurance companies.

Moving to a private pay and out-of-network model allows me to return to an older, more thoughtful standard of practice in which we are not rushed toward diagnosis or boxed into predetermined treatment plans.

This flexibility is especially important in sex therapy and couples therapy, where insurance often creates significant barriers: diagnoses are required, sessions must be tied to one “identified patient,” and many of the most intimate and relational concerns cannot be accurately or ethically coded.

By stepping outside of those constraints, we can protect the privacy and complexity of the work, honor the relational nature of couples therapy, and approach sexual concerns without forcing them into diagnostic boxes that don’t fit.

If we are already working together when this change takes effect, I will give you plenty of notice and we will talk through what continuing care would look like — including the option to use out-of-network benefits if your plan offers reimbursement. My goal is to make this transition thoughtful, transparent, and supportive, with as little disruption to our work as possible.

My Current Fees

My standard fee is $150 for a 50-minute individual session and $170 for a 60-minute couples session. These fees reflect the time I reserve for you, as well as the depth of attention and ongoing training I bring to the work.

That said, I know that circumstances vary. If these fees feel untenable, I’m open to discussing your situation and finding a rate that’s sustainable. Part of this transition involves making therapy more personal and flexible, and when possible, I adjust fees based on financial realities, frequency of sessions, and the nature of the work we’re doing.

I hold a small number of reduced-fee spots, and the more people who are able to pay closer to the full fee, the more I’m able to offer lower fees to those who cannot pay in full. I think this becomes a quiet, communal way of supporting access.