Questions about working with us?

We are licensed to provide online therapy throughout Washington State.

All appointments are conducted via a secure, confidential video platform. You will receive a link to the video session prior to each session.

We offer limited in-person sessions at our Tumwater office. Additionally, we provide in-person walk-and-talk sessions in the vicinity of our office.

Individual

• $180 Intake Assessment

• $160/50 minute session

Couples & Relationships

• $200/50 minute session

• $270/80 minute session

• Additional person per session $75

We are in-network with Regence, Premera, First Choice and Lifewise.

• We cannot bill insurance for relationship therapy or walk and talk sessions.

Many couples come to us wanting to use their insurance for therapy, often citing past experiences where their previous couple's therapist billed their insurance. However, the insurance model presents unique challenges when it comes to couples therapy. Insurance companies typically require an identified client, a mental health diagnosis, and evidence of treatment that serves both. In individual therapy, this structure is clear: the therapist can easily identify the client and provide a relevant diagnosis, allowing for ethical use of insurance.

In couples therapy, the "client" is the relationship itself, involving both partners. This complicates reimbursement because insurance companies usually seek a singular client identity. While they may reimburse for "family sessions," they still require a primary focus, which couples therapy does not provide. Additionally, the main concern in this context is often "problems in the relationship," and although there is a diagnostic code for this, insurers generally do not cover it.

Our approach employs Relational Life Therapy (RLT), which is specifically designed to address relationship issues rather than individual mental health diagnoses. This means our documentation reflects both partners as clients and the focus on relationship healing. Unfortunately, this does not align with the traditional insurance model, which is why we have yet to find an insurer willing to cover this essential therapeutic work. Our priority remains on providing a safe, supportive space for couples to navigate their challenges together without the constraints of insurance limitations.