Fees for Mental Health and Substance Use Services
I do not accept insurance, however superbills are available.
All fees are determined by the participant using the sliding scale below and the Green Bottle method. A Green Bottle sliding scale example can be found here: sliding scale fee example.
Standard sliding scale:
$125-225 for individuals
$195-300 for relationship (2+ individuals)
Reduced fee sliding scale:
$40-124 for individuals
$95-194 for relationships (2+ individuals)
Gender affirming surgery assessments and subsequent letters are offered at no cost.
*I reserve 75% of my practice for a standard sliding scale and 25% for reduced fee sliding scale. Gender affirming surgery assessments/letters are pro-bono with a minimum of 2 slots reserved a month.
Please let me know during the consultation call what scale you will be using and where you fall in the Green Bottle Method.
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Specific Relationship Therapy
I utilize an integrative approach that includes Narrative, Psychodynamic and Attachment and Emotion Focused Therapies when I see couples, triads and partners of 2+ constellations. The “problem” is never the individuals in the relationship dynamics, rather we work together collaboratively to explore how past experiences influence the present dynamic(s), including communication, emotions, reactions and understandings of each person, and the shared narratives. As a metaphor, we explore the dance in the relationship(s), the music each person is listening to that gives the rhythm, the steps that each person knows, the verbal and non-verbal communication and negotiations of movement, accommodations needed to engage in the dance, etc.
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Specific Substance Use Services
Substance use services are provided as a part of mental health therapy, as mental health is integral to meeting substance use goals. I utilize a Harm Reduction approach where treatment and goals are individual to you. Harm Reduction can be thought of as a spectrum with abstinence from all substances on one side and continuing to use with an exploration of safer use on the other side.
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Gender affirming services
Gender affirming surgery assessments for letters are provided at no cost and can be scheduled as a single session!
Wanting more than a session?
Gender affirming therapy is part of standard therapy. Specific time-limited or ongoingsessions can be scheduled for gender affirming surgery contemplation, planning, preparation and post recovery and reorientation/ integration and are available at full fee sliding scale and reduced fee sliding scale.
Not everyone who is gender expansive wants surgery or medical intervention, and their identities and choices are just as valid as those seeking medical interventions!
Contact me to schedule a free 15 minute consultation to learn more about the services offered!
Therapeutic Approach
What is therapy?
Therapy can be defined in a plethora of different ways; a space for internal reflection, a space to examine or change your relationship with yourself or others, a space to identify and shift unhelpful emotions, thoughts or actions, a space for “healing” such as processing trauma or loss, a space to process grief, frustration, overwhelm or other valid emotions in response to oppression, a place to learn and practice tangible grounding strategies, etc.
There is no one size fits all model of therapy.
Framing Therapy
I frame therapy as a collaborative space to get to know your authentic self, to explore your, your family’s and community’s history and values, and use that wisdom to help guide you as you explore possibilities of change.
Change can be tangible:
Getting more sleep,
Balancing a schedule,
Finding ways to be more involved in the community,
Using substances in a more sustainable way,
Getting a letter or preparing for surgery,
Having tools to feel “regulated enough,”
etc.
Change can be more subtle:
Building confidence,
Experiencing new emotions,
Creating new connections,
Sharing your history in a new way,
etc.
Acknowledgement of Harm in the Mental Health Industrial Complex
It can be incredibly scary to begin therapy (or begin again), and even more so if you have experienced harm in the medical or mental health industrial complex. I encourage folk to take as long as they need to open up and build trust, as safety is not inherent in the field of therapy.
I acknowledge the harmful and appropriative history of psychotherapy, social work and the mental health industrial complex’s framing of “wellness,” especially for folk who hold identities or multiple identities including being Black, Indigenous, and/or a person of the Global Majority, being 2LGBTQIAP+, HIV+, Kinky or Poly, having experienced houselessness, using substances, having previous mental health or medical diagnoses or disabilities, having been psychiatrically hospitalized, having experienced incarceration, having immigration documentation threatened or not having access to immigration routes, and so many more valuable identities and lived experiences.
I strive to create a collaborative space that centers your expertise of yourself, your individual strengths, intergenerational wisdom, and community supports.
Please explore the About Me section to learn more about my identities, values and theoretical orientations.