Frequently Asked Questions
Getting Started:
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Scheduling an appointment is straightforward.
To get started, request an appointment through my website. Once your appointment is confirmed, you'll receive instructions for completing your intake paperwork and accessing your secure telehealth session.
If you'd like to learn more before scheduling, I encourage you to explore the information throughout my website. If you still have general questions about my therapy services, fees, or approach to treatment, you're welcome to email me before beginning therapy. I'm happy to answer general questions to help you determine whether my practice is the right fit for your needs.
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Your first appointment
Your first therapy appointment is an opportunity for us to get to know one another and begin understanding what brought you to therapy. We'll discuss your current concerns, relevant personal and mental health history, your goals for therapy, and any questions you have about the counseling process or my approach.
There is no expectation that you'll have everything figured out before your first session. Many people begin therapy feeling uncertain about where to start, and that's completely normal.
By the end of our first meeting, we'll typically have a clearer understanding of your concerns, identify some initial treatment goals, and discuss a plan for moving forward.
Ongoing therapy sessions
No two therapy sessions are exactly alike because your needs and goals naturally change over time.
Most sessions begin with a brief check-in before focusing on what's most important to you that day. Depending on your needs, we may:
Explore current stressorsProcess difficult experiences and emotions
Identify patterns that may be contributing to ongoing challenges
Develop practical coping strategies
Clarify your values and priorities
Practice skills that support lasting change
Therapy is a collaborative process. Rather than offering quick fixes or telling you what to do, my role is to help you better understand yourself, respond more effectively to life's challenges, and build skills that support your long-term well-being.
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Most therapy sessions last 45–50 minutes.
How often we meet depends on your needs, goals, and the concerns you're addressing. Many clients begin with weekly appointments, particularly when working through a new challenge or navigating a stressful period. As progress is made, some transition to every other week or another schedule that best supports their ongoing well-being.
We'll regularly review your progress together and adjust the frequency of appointments as needed. My goal is to recommend a schedule that provides the right level of support while fitting realistically into your work, training, family life, and other responsibilities.
There isn't a one-size-fits-all approach. Together, we'll determine a schedule that best supports your mental health and treatment goals. -
Choosing a therapist is an important decision. Beyond credentials and experience, one of the strongest predictors of successful therapy is finding someone with whom you feel comfortable, understood, and supported.
My practice may be a good fit if you're looking for:A psychologist who understands the unique culture and demands of medicine
Confidential, independent mental health care through a private practice
Secure online therapy available throughout Ohio
An evidence-based, personalized approach tailored to your goals
Because I work exclusively with medical students, residents, fellows, attending physicians, and their partners, I'm familiar with many of the personal and professional challenges that come with life in medicine. Rather than spending valuable time explaining the culture of healthcare, we can focus on the concerns that brought you to therapy.
If you're looking for specialized therapy that values privacy, collaboration, and personalized care, I encourage you to explore the information throughout my website. If my approach aligns with what you're looking for, I'd be honored to work with you. -
Preparing for your first online therapy appointment is simple. You don't need to have everything figured out or know exactly what you want to say—that's part of what we'll explore together.
Before your appointment, I recommend:Completing any required intake paperwork before your session
Choosing a quiet, private location where you can speak openly without interruptions
Using a reliable internet connection and a computer, tablet, or smartphone with a camera and microphone
Testing your device beforehand to help avoid technical difficulties
Logging in a few minutes early so you're ready to begin on time
Some people find it helpful to spend a few minutes thinking about what prompted them to seek therapy, the challenges they're currently facing, or what they hope to gain from our work together. Others prefer to simply show up and start the conversation. Either approach is perfectly okay.
My goal is to create a welcoming, collaborative environment where you can speak openly, ask questions, and begin exploring what matters most to you. There is no "right" way to prepare—just showing up is a meaningful first step.
Many of the people I work with are accustomed to preparing thoroughly and feeling pressure to "get things right." Therapy is different. There are no right answers, no grades, and no expectation that you'll know exactly what to say. My role is to meet you where you are and help guide the conversation from there. -
There isn't a single "right" time to begin therapy. You don't need to wait until you're in crisis or your life is falling apart before seeking support. In fact, many people find therapy most helpful when they begin before stress, anxiety, or other concerns become overwhelming.
It may be time to consider therapy if you:Feel persistently stressed, anxious, or emotionally drained
Notice that work or training is affecting your relationships or personal life
Find yourself becoming increasingly self-critical or perfectionistic
Feel stuck, overwhelmed, or uncertain about an important decision
Have difficulty coping with a major life or career transition
Want healthier ways to manage stress, difficult emotions, or conflict
Keep encountering the same challenges without making the progress you'd like
Simply want to better understand yourself and invest in your long-term well-being
You don't need to have a diagnosis or know exactly what you want to work on before starting therapy. Many people begin with only a general sense that something isn't quite right or that life feels more difficult than it needs to.
For people in medicine, it can be especially tempting to wait until things become unbearable before reaching out. Long hours, high expectations, and a culture that often values perseverance can make it easy to dismiss your own needs while continuing to care for everyone else.
Therapy doesn't have to be a last resort. It can be a proactive investment in your mental health, your relationships, and your ability to build a fulfilling and sustainable life. If you've been wondering whether it's "time" to start therapy, that curiosity alone may be worth exploring. -
Finding the right therapist is one of the most important parts of successful therapy. Feeling comfortable, understood, and able to speak openly can make a meaningful difference in your experience.
If at any point you feel that we're not connecting, I encourage you to tell me. Sometimes an open conversation about what's not working leads to important breakthroughs and strengthens the therapeutic relationship. Other times, it becomes clear that another therapist may be a better fit—and that's okay.
My priority is helping you receive the care that's right for you. If I believe another psychologist or mental health professional would better meet your needs, I'll do my best to help you identify appropriate referral options whenever possible.
Therapy works best when you feel comfortable with your therapist. My goal is to help you find that fit, whether it's with me or another qualified professional. -
Yes. If my listed appointment times don't seem to fit your schedule, I encourage you to reach out. Many of the people I work with have demanding, unpredictable schedules, and I understand that finding time for therapy isn't always easy.
While I can't guarantee that every requested appointment time will be available, I do my best to offer scheduling flexibility whenever possible. If you're interested in starting therapy, let me know which days and times generally work best for you. If I have availability that aligns with your schedule, I'll do my best to accommodate your needs.
Even if it doesn't look like my office hours are a perfect match, it's worth reaching out. We may be able to find an appointment time that works well for both of us. -
Unexpected schedule changes are a normal part of residency, and I understand that rotations, overnight call, patient care responsibilities, and other clinical demands don't always leave you in control of your calendar.
Whenever possible, I recommend maintaining a consistent therapy schedule because regular appointments often support the greatest progress. However, I also recognize that medicine doesn't always allow for perfect consistency.
If your schedule changes, please let me know as soon as you're able. We'll review the available options within the guidelines of my scheduling and cancellation policies and determine the best path forward.
My goal is to provide therapy that is both consistent and realistic—supporting your mental health while recognizing the unpredictable nature of residency training. -
No. My practice provides online therapy throughout Ohio, so you do not need to live in Columbus to receive care.
As a licensed psychologist in Ohio, I work with clients across the state through secure telehealth appointments. Whether you live in Cleveland, Cincinnati, Toledo, Dayton, Akron, Athens, Rootstown, Youngstown, or another Ohio community, you can receive therapy without traveling to an office.
The primary requirement is that you are physically located in Ohio at the time of each therapy session, as required by Ohio licensure laws. Your permanent address can be anywhere.
One of the advantages of telehealth is that it provides access to specialized psychological care regardless of where you live in Ohio, making it easier to maintain therapy despite busy schedules, relocations within the state, or changes in work or training.
Who I work with:
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Yes. My practice is dedicated exclusively to providing online therapy for Ohio's medical community, including:
Medical students
Medical residents
Medical fellows
Attending physicians
Partners of medical students, residents, fellows, and attending physicians
Because I work exclusively with people in medicine and their partners, I understand many of the unique challenges that accompany medical training, clinical practice, and life alongside a career in healthcare. Common concerns include stress, anxiety, burnout, perfectionism, imposter syndrome, relationship challenges, career transitions, depression, and the emotional impact of caring for others.
My practice is entirely virtual, allowing me to provide secure telehealth services to clients throughout Ohio. As long as you're physically located in Ohio at the time of your appointment, we can meet regardless of where you live, work, or train. -
Medicine has its own culture, language, expectations, and stressors. While many psychologists provide excellent mental health care, working with someone who understands the realities of medical training and clinical practice can help you spend less time explaining your world and more time addressing the concerns that brought you to therapy.
People in medicine often face challenges that aren't common in many other professions, including:Clinical rotations, overnight call, and demanding schedules
Licensing exams, board certification, and the Match
High levels of responsibility and frequent evaluation
Perfectionism, self-criticism, and imposter syndrome
Burnout, moral distress, and difficult patient outcomes
Career transitions and professional identity
Balancing medicine with relationships, family life, and personal well-being
Because my practice is dedicated exclusively to the medical community and their partners, I'm familiar with many of these experiences and the culture in which they occur. That shared understanding allows therapy to focus less on explaining the demands of medicine and more on helping you navigate them.
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People seek therapy for many different reasons, and you don't have to be in crisis to benefit from professional support. Whether you're a medical student, resident, fellow, attending physician, or the partner of someone in medicine, therapy can help you navigate the unique personal and professional challenges that often accompany a career in healthcare.
Some of the concerns I commonly help clients address include:Anxiety and excessive worry
Depression and low mood
Burnout and emotional exhaustion
Perfectionism and self-criticism
Imposter syndrome
ADHD and executive functioning challenges
Chronic stress
Sleep difficulties and shift-work adjustment
Work-life integration and healthy boundaries
Relationship and family concerns
Communication and conflict
Difficult feedback and performance evaluations
Test anxiety, board examinations, and licensing exams
Residency applications and Match season
Career uncertainty and specialty decisions
Moral distress, grief, and difficult patient outcomes
Medical errors and second-victim experiences
Identity, meaning, and purpose beyond medicine
My practice is grounded in Acceptance and Commitment Therapy (ACT) and other approaches supported by science. Together, we'll develop practical skills that help you respond more effectively to life's challenges while building resilience, improving your relationships, and creating a life that's meaningful both inside and outside of medicine.
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Yes. Anxiety is one of the most common reasons people in medicine seek therapy.
Whether you're preparing for the USMLE or COMLEX, presenting on rounds, managing overnight call, making high-stakes clinical decisions, or balancing work with life outside the hospital, anxiety can become overwhelming and begin affecting your sleep, concentration, relationships, and overall quality of life.
Anxiety may include:Excessive worry
Racing thoughts
Perfectionism
Difficulty concentrating
Trouble sleeping
Panic attacks
Feeling constantly on edge
Fear of making mistakes
My approach is grounded in Acceptance and Commitment Therapy (ACT) and tailored to your individual needs. Together, we'll identify the patterns that keep anxiety going and develop practical skills for responding more effectively to uncertainty, self-doubt, and stress.
The goal isn't to eliminate every anxious thought. It's to reduce anxiety's influence over your decisions so you can continue learning, caring for patients, building relationships, and pursuing what matters most—even when anxiety is present. -
Absolutely. Perfectionism is a common concern among people in medicine.
High standards can help you succeed, but perfectionism often goes a step further. It can lead to chronic self-criticism, fear of making mistakes, procrastination, overpreparing, difficulty accepting feedback, and feeling that your accomplishments are never enough.
Over time, perfectionism can contribute to anxiety, burnout, imposter syndrome, strained relationships, and reduced satisfaction both at work and at home.
Together, we'll work on developing a healthier relationship with achievement while maintaining the pursuit of excellence. Using approaches supported by psychological science, including Acceptance and Commitment Therapy (ACT), therapy focuses on building self-compassion, psychological flexibility, and sustainable habits that support long-term success.
The goal isn't to lower your standards—it's to pursue excellence without sacrificing your mental health, relationships, or quality of life. -
Yes. Burnout is one of the most common reasons physicians and physicians-in-training seek therapy.
Burnout often develops gradually and may involve emotional exhaustion, feeling detached from work, reduced motivation, difficulty concentrating, irritability, trouble recovering between shifts, and questioning whether you can continue practicing at the same pace.
Burnout isn't a personal failure. It's often influenced by demanding workloads, workplace culture, administrative responsibilities, limited recovery time, and the emotional impact of caring for patients.
Using approaches grounded in current psychological research, including Acceptance and Commitment Therapy (ACT), we'll develop practical strategies for managing chronic stress, reconnecting with your values, establishing healthier boundaries, and creating a career that's both meaningful and sustainable.
Therapy can't eliminate every systemic challenge in healthcare, but it can help you respond to those challenges more effectively while protecting your long-term well-being. -
At this time, I do not provide ADHD evaluations, psychological testing, or formal diagnostic assessments for Attention-Deficit/Hyperactivity Disorder (ADHD).
However, I do provide therapy for adults with ADHD and have experience helping clients manage many of the challenges associated with the condition, including:Inattention and distractibility
Executive functioning difficulties
Procrastination and time management
Organization and planning
Emotional regulation
Perfectionism and self-criticism
Stress related to work, school, or daily responsibilities
If you're looking for an adult ADHD evaluation, I'm happy to refer you to trusted clinicians who provide comprehensive, evidence-based assessments. Unfortunately, not all ADHD evaluations are equally thorough. My goal is to help you find an evaluation that provides an accurate diagnosis and meaningful recommendations rather than one that simply gives you a label.
If you've already been diagnosed with ADHD—or you're struggling with symptoms that may be related to ADHD—therapy can help you develop practical strategies to improve daily functioning, build effective routines, and better understand how ADHD affects your work, relationships, and overall well-being.
Therapy and My Approach:
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Acceptance and Commitment Therapy (ACT) is an evidence-based approach to psychotherapy that helps people respond more effectively to difficult thoughts, emotions, and life experiences. Rather than trying to eliminate anxiety, stress, self-doubt, or other uncomfortable feelings, ACT teaches practical skills for living a meaningful life—even when those experiences are present.
One of the most common misconceptions about ACT is that it encourages people to simply "accept" difficult situations or stop trying to make positive changes. In reality, ACT is about learning to distinguish between what is and isn't within your control, so you can spend less energy struggling with internal experiences and more energy investing in the people, goals, and values that matter most.
ACT can be especially helpful for people experiencing:Anxiety and chronic stress
Burnout and emotional exhaustion
Perfectionism and self-criticism
Imposter syndrome and self-doubt
Difficult life or career transitions
Uncertainty that can't be immediately resolved
Throughout therapy, you'll learn practical skills to:
Respond more effectively to stress and uncertainty
Reduce the influence of unhelpful thoughts
Build greater emotional flexibility without avoiding difficult feelings
Make decisions that reflect your values rather than fear
Stay engaged in a meaningful life, even during challenging seasons
The goal of ACT isn't to make difficult thoughts or emotions disappear. It's to help them have less influence over your choices so you can focus your time and energy on living the life you want to build.
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Every psychologist brings a different perspective, personality, and therapeutic style to their work. My approach is collaborative, grounded in psychological science, and intentionally designed around the unique realities of life in medicine.
Rather than offering quick fixes or simply telling you what to do, I see therapy as a place to better understand what's keeping you stuck, clarify what matters most to you, and develop practical skills for responding more effectively to stress, uncertainty, and life's inevitable challenges.Acceptance and Commitment Therapy (ACT) serves as the primary foundation of my work, but I tailor therapy to each individual rather than following a one-size-fits-all approach. When appropriate, I also integrate strategies from other scientifically supported therapies to best meet your needs.
Many of the people I work with are highly capable, conscientious, and deeply committed to caring for others. Those qualities can be tremendous strengths, but they can also contribute to perfectionism, burnout, chronic self-criticism, and difficulty prioritizing your own well-being.
My goal is to help you build practical skills that continue serving you long after therapy ends—so you can navigate challenges with greater confidence, flexibility, and intention while creating a life that's meaningful both inside and outside of medicine. -
Therapy won't teach you clinical medicine or replace your medical education. However, improving your mental health can strengthen many of the skills and qualities that support effective, compassionate medical practice.
Therapy may help you:Respond more effectively to stress and uncertainty
Improve emotional awareness and resilience
Communicate more effectively with patients, colleagues, and loved ones
Reduce the impact of perfectionism and self-criticism
Recover more quickly from setbacks and difficult patient encounters
Strengthen work-life balance and reduce the risk of burnout
Stay connected to the values that inspired you to pursue medicine
My goal isn't simply to help you feel better. It's to help you become the kind of physician—and person—you want to be by developing skills that support both your personal well-being and your professional life.
Telehealth and Ohio Requirements:
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Online therapy (also called telehealth or teletherapy) allows us to meet securely by video rather than in a traditional office. Sessions are conducted through a HIPAA-compliant telehealth platform, allowing you to receive therapy from anywhere in Ohio where you have a private space and a reliable internet connection.
The experience is much like an in-person appointment. We'll meet at your scheduled time, discuss what's most important to you, work toward your therapy goals, and conclude the session after approximately 45–50 minutes.
Many people appreciate online therapy because it eliminates commuting, offers greater scheduling flexibility, and makes it easier to maintain consistent care despite demanding schedules or relocations within Ohio.
Before your first appointment, you'll receive simple instructions for accessing the secure video platform. No special software or advanced technical knowledge is required. -
Yes. I provide secure online therapy for medical students, residents, fellows, attending physicians, and the partners of those in medicine throughout Ohio.
Because my practice is fully virtual, you don't need to travel to an office. Whether you live in Columbus, Cleveland, Cincinnati, Toledo, Dayton, Akron, Athens, Youngstown, Rootstown, or another Ohio community, you can access specialized psychological care from a private location that's convenient for you.
To participate in online therapy, you'll simply need:A private, confidential location
A reliable internet connection
A computer, tablet, or smartphone with a camera and microphone
To be physically located in Ohio at the time of your appointment, as required by state licensure laws
Research has shown that telehealth is an effective way to deliver psychotherapy for many common mental health concerns, including anxiety, depression, stress, burnout, and adjustment-related difficulties. For many people, online therapy also makes it easier to maintain consistent care despite demanding schedules and life transitions.
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Sometimes—but it depends on your environment.
One of the advantages of online therapy is the flexibility to attend appointments from a variety of locations. However, if you're joining a session from a hospital, clinic, medical school, or another workplace, there are two important requirements:
A private, confidential space where you can speak openly without being overheard or interrupted.
A secure internet connection, preferably a private, password-protected Wi-Fi network or a secure cellular connection rather than public Wi-Fi.
Although the telehealth platform I use is designed with security in mind, public Wi-Fi networks may introduce additional privacy and security risks that are outside either of our control.
If you can't find a confidential location or a secure internet connection, it's usually best to reschedule for another time or place where you can fully engage in therapy without worrying about interruptions or privacy.
Many clients choose to schedule appointments before or after work, over a lunch break in a private office, during administrative time, or on a day off.
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Offering online therapy was an intentional decision—not a temporary alternative to in-person care.
The people I work with often have demanding, unpredictable schedules. Long work hours, changing rotations, overnight call, family responsibilities, and lengthy commutes can make it difficult to consistently attend office-based appointments. A fully virtual practice removes many of those barriers, making it easier to prioritize your mental health without adding more demands to your schedule.
Virtual therapy also allows me to serve clients throughout Ohio rather than being limited to a single city. Whether you live in a large metropolitan area or a smaller community, you have access to a psychologist whose practice is dedicated to the unique culture and challenges of medicine.
Research has shown that telehealth is an effective way to deliver psychotherapy for many common mental health concerns, including anxiety, depression, stress, burnout, and adjustment-related difficulties. For many people, it's simply a more practical way to receive consistent, high-quality care.
My goal is to make specialized psychological care more accessible—so therapy fits into your life instead of requiring your life to fit around therapy.
Privacy and Confidentiality:
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No. My private practice is completely independent and is not affiliated with any medical school, residency program, fellowship program, hospital, university, physician group, or healthcare system.
Many people intentionally choose an independent psychologist because they value keeping their mental health care separate from the place where they learn or work. While employee assistance programs, institutional counseling services, and wellness programs can be valuable resources, some people simply feel more comfortable receiving therapy outside of their organization.
As an independent psychologist, I am not involved in your education, clinical training, supervision, performance evaluations, credentialing, employment decisions, or professional standing. My role is to support your mental health—not to evaluate your performance.
If privacy and independence are important to you, my practice was intentionally designed to provide confidential, evidence-based therapy in a setting that is separate from your medical school, residency program, hospital, or employer. -
This is a common concern, especially for people who work, train, or study in close-knit healthcare communities.
One of the biggest advantages of online therapy is that you choose where to attend your appointments. Many clients meet from home, a private office, or another confidential location where they can speak comfortably and without interruption. Because you're not traveling to a counseling office or sitting in a shared waiting room, telehealth often reduces the likelihood of unexpectedly running into classmates, colleagues, supervisors, patients, or others you know.
To protect your privacy, I encourage you to choose a location where you can speak freely without being overheard and where you feel confident your conversation will remain confidential.
While no setting can completely eliminate the possibility of being seen by someone you know, online therapy gives you far more control over your privacy than traditional in-person appointments. For many people, that added control makes it easier to seek support when they need it. -
In most situations, no.
As an independent psychologist in private practice, I do not routinely communicate with your medical school, residency or fellowship program, hospital, employer, supervising physicians, or other organizations about your treatment.
If you would like me to coordinate care or share information with another person or organization, I would first discuss the potential benefits and limitations with you. In most situations, I would need your written authorization before releasing any information about your care.
Like all licensed psychologists, there are limited exceptions in which I may be required by law or professional ethics to disclose information, such as certain situations involving imminent safety concerns or other legally mandated reporting requirements. These exceptions are reviewed during the informed consent process before therapy begins.
Many clients choose an independent private practice because they value keeping their mental health care separate from their workplace or training program. Protecting your privacy and handling your confidential health information responsibly are fundamental parts of my practice. -
No. Your therapy records are confidential healthcare records and are not automatically shared with hospitals, employers, medical schools, residency or fellowship programs, physician groups, licensing boards, credentialing organizations, or other third parties.
If you would like me to share information with another healthcare provider or organization, we'll discuss the reasons for doing so first. In most situations, I would need your written authorization before releasing any information about your care.
Like all licensed psychologists, there are limited circumstances in which I may be required by law or professional ethics to disclose information, such as certain situations involving imminent safety concerns or other legally mandated reporting requirements. These exceptions are discussed during the informed consent process before therapy begins.
Protecting your privacy is a fundamental part of ethical psychological practice. If you have questions about confidentiality, your therapy records, or how your health information is maintained, I'm always happy to discuss them so you can make informed decisions about your care. -
This is one of the most common questions I hear from people in medicine.
For most physicians and physicians-in-training, simply participating in therapy does not prevent someone from obtaining or maintaining a medical license.
That said, medical licensure, hospital credentialing, and privileging requirements vary by state and may change over time. If you have concerns about your specific situation, it's important to review the current requirements of the relevant state medical board or healthcare organization rather than relying on outdated information or advice from colleagues.
My role is to provide confidential, high-quality mental health care—not to determine your fitness to practice medicine or provide legal advice about licensure. If concerns about licensing, credentialing, or professional regulations are making you hesitant to seek therapy, I'm happy to discuss those concerns with you. When appropriate, I may also recommend consulting the relevant licensing board or an attorney familiar with healthcare licensing matters.
Many people delay seeking support because they're worried about how therapy could affect their career. If that's true for you, I encourage you to make decisions based on accurate, up-to-date information rather than assumptions or fear. -
Yes. Confidentiality is one of the foundations of effective therapy and one of my highest priorities as your psychologist.
As a licensed psychologist, I am legally and ethically required to protect the privacy of your health information and maintain the confidentiality of your therapy records. Creating a safe environment where you can speak openly and honestly is essential to the therapy process.
Because my practice is an independent private practice, your treatment is not routinely shared with your medical school, residency or fellowship program, hospital, employer, healthcare system, or licensing board. In most situations, I cannot release information about your care without your written authorization.
Like all licensed psychologists, there are a few limited exceptions in which I may be required by law or professional ethics to disclose information, such as certain situations involving imminent safety concerns or a valid court order. We'll review these exceptions together before therapy begins so you have a clear understanding of both the protections and the limits of confidentiality.
If privacy is one of the reasons you've been hesitant to seek therapy, I encourage you to ask questions. My goal is for you to understand how confidentiality works so you can make an informed decision and feel comfortable seeking the support you deserve. -
This is one of the most common questions I hear from people in medicine.
For most physicians and physicians-in-training, simply participating in therapy does not automatically affect residency training, fellowship opportunities, hospital privileges, credentialing, or future employment. Therapy is a confidential healthcare service, and your treatment is not routinely disclosed to residency programs, fellowship programs, hospitals, employers, or credentialing organizations.
Because employment, credentialing, and privileging policies vary among organizations—and may change over time—I can't predict how every institution will handle every situation or provide legal or employment advice. However, I can explain how confidentiality works within psychological practice, answer questions about the privacy of your health information, and help you understand the issues that fall within my area of expertise.
If concerns about your career have made you hesitant to seek therapy, I encourage you to bring them up during our first appointment. My goal is to help you make informed decisions based on accurate information rather than assumptions or misinformation.
Fees and Payment:
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My practice is a private-pay (self-pay) practice.
Current fees for 45–50 minute online therapy sessions are:$225 per session for medical students or their partners
$275 per session for medical residents, fellows, or their partners
$325 per session for attending physicians or their partners
Payment is due at the time of service unless we've made other arrangements in advance.
As a self-pay practice, I'm able to provide specialized, personalized psychological care without many of the administrative requirements and treatment limitations that can accompany insurance-based care. If you'd like to learn more about that approach, I encourage you to read my FAQ on "Why don't you accept insurance?"
If you have questions about fees, payment, or whether my practice is the right fit for your needs, you're welcome to contact me before scheduling. I'm happy to answer general questions so you can make an informed decision.
Please see my Fees and Next Steps page for more information. -
No. My practice is a private-pay (self-pay) practice, and I do not participate as an in-network provider with insurance companies.
This is an intentional decision. By remaining out of network, I can focus on providing personalized, evidence-based care that's guided by your needs rather than the requirements of an insurance company. Decisions about the length, frequency, and focus of therapy are made collaboratively between you and me—not by a third-party payer.
Many people also appreciate the additional privacy that comes with a self-pay practice. Because I am not billing your insurance company, your insurer is not routinely involved in processing claims or making decisions about your care. Your therapy records remain confidential healthcare records and are maintained in accordance with applicable privacy laws and professional ethics.
If your insurance plan includes out-of-network mental health benefits, you may be eligible for partial reimbursement. I recommend contacting your insurance company to ask about your out-of-network coverage, deductible, reimbursement rate, and any documentation they require before beginning therapy.
Choosing between self-pay therapy and using insurance is a personal decision. If you have questions about fees, payment, or whether my practice is the right fit for you, I'm happy to answer general questions before you schedule your first appointment.
Please see my Fees and Next Steps page for more information. -
I accept the following forms of payment:
Major credit cards
Debit cards
Health Savings Account (HSA) cards
Flexible Spending Account (FSA) cards
Because my practice is a private-pay (self-pay) practice, payment is typically processed electronically at the time of your appointment.
If you have questions about billing, payment, or using your HSA or FSA to pay for therapy, you're welcome to contact me before scheduling. I'm happy to answer general questions so you can make an informed decision about beginning treatment.
Please see my Fees and Next Steps page for more information. -
I understand that the cost of therapy is an important consideration, and I recognize that my fees may not be the right fit for everyone's financial situation.
If my rates aren't affordable for you, I encourage you to let me know. Although I don't offer a sliding fee scale, I'm happy to help connect you with therapists or counseling practices that may accept your insurance, offer lower self-pay rates, or provide services that better fit your budget.
My goal is for you to receive the care you need—even if that care isn't with me. If cost is the primary barrier to beginning therapy, I'd rather help you find a qualified mental health professional than have finances prevent you from getting support altogether.
Please see my Fees and Next Steps page for more information. -
Choosing not to participate with insurance companies was a thoughtful and intentional decision. My goal is to provide personalized psychological care in a way that prioritizes your privacy, your treatment goals, and the therapeutic relationship.
Insurance is an excellent option for many people, and a self-pay practice isn't the right fit for everyone. However, I chose this model because it allows me to provide care in a way that aligns with my professional values and the needs of the people I serve.
Greater privacy
When therapy is billed through insurance, clinicians are generally required to submit information such as a mental health diagnosis, billing codes, and other documentation so claims can be processed and benefits determined.
Because I do not bill insurance, your insurance company is not routinely involved in your treatment. Many people appreciate the additional separation between their mental health care and their insurance benefits, particularly when privacy is an important consideration.
Greater clinical flexibility
Insurance plans often have specific rules regarding coverage, documentation, and reimbursement. As a private-pay practice, treatment decisions are guided by your needs, goals, and clinical progress—not by the requirements of an insurance company.
This allows us to focus on providing the care that's most appropriate for you rather than shaping treatment around insurance reimbursement requirements.
Greater freedom to choose your therapist
Many insurance plans limit clients to in-network providers. A private-pay practice allows you to choose the psychologist you believe is the best fit for your needs rather than limiting your options based on an insurance network.
Likewise, it allows me to focus on providing individualized psychological care based on my clinical judgment, professional ethics, and your treatment goals.
Is a self-pay practice right for everyone?
Not necessarily—and that's okay.
There isn't one "right" way to access mental health care. For many people, using insurance is the best option. Others prefer the additional privacy, flexibility, and independence that a self-pay practice can provide.
If my practice isn't the right financial or philosophical fit for you, I completely understand. My goal is simply to provide clear information so you can make an informed decision about the type of care that best aligns with your needs, preferences, and circumstances. If you have general questions before scheduling, I'm always happy to answer them.
Please see my Fees and Next Steps page for more information.
Practice Policies:
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I understand that unexpected situations arise, especially for people working and training in healthcare. At the same time, each appointment is reserved exclusively for you, and last-minute cancellations often prevent that time from being offered to someone else.
To avoid being charged for a missed appointment, please provide at least 48 hours' notice if you need to cancel or reschedule your appointment. The easiest way to make changes is through the secure Client Portal.
Appointments canceled or rescheduled with less than 48 hours' notice are charged the full session fee, except in limited circumstances described in your informed consent documents.
If you have not joined your telehealth appointment within 15 minutes of the scheduled start time and have not contacted me, the appointment will be considered a no-show. The session will need to be rescheduled, and the full session fee will apply.
My complete cancellation, attendance, and no-show policies are reviewed before therapy begins, and you'll have the opportunity to ask questions before providing informed consent.
Crisis and Emergency Resources:
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A Place to Talk Counseling provides outpatient psychotherapy by appointment and does not provide emergency, crisis, or 24-hour mental health services.
If you are experiencing a mental health crisis, believe you may be in immediate danger, or are considering harming yourself or someone else, call 911 or go to your nearest emergency department immediately. If possible, ask a trusted family member or friend to accompany you.
If you need immediate support but are not experiencing a life-threatening emergency, the following resources are available:911 – For life-threatening emergencies
988 Suicide & Crisis Lifeline – Call or text 988
National Sexual Assault Hotline – 800-656-HOPE (4673)
National Domestic Violence Hotline – 800-799-SAFE (7233)
If you are a current client, please do not use email or the Client Portal to request emergency assistance, as these communication methods are not continuously monitored.