Common Questions
Do you offer telehealth therapy?
Yes. I work with clients via secure video throughout Oregon, Maryland, New York, and Idaho. I also see clients in person at my office in Ashland, Oregon. Most of my practice is telehealth, and it works well for the kind of in-depth, ongoing therapy I do. For virtual sessions, I recommend having a private, consistent space where you can speak and think freely.
How much does therapy cost? Do you accept insurance?
Fees are reviewed during our initial consultation. I am in-network with WellFleet Student Health. For all other plans, I am an out-of-network provider, which means I don't bill insurance directly. However, many PPO and POS plans offer out-of-network mental health benefits that cover a meaningful portion of the fee. It's worth calling the member services number on your insurance card and asking about your out-of-network outpatient mental health benefits. I provide a superbill after each session for reimbursement.
What is psychoanalytic therapy?
Psychoanalytic therapy is a form of talk therapy rooted in the idea that much of what drives our behavior, moods, and relationship patterns operates outside conscious awareness. It takes these patterns seriously as communications worth understanding. We work to connect the part of you that generates these kinds of communications with the part that manages daily reality and we build a strong, enduring fitness to maintain the communication/translation process. Contemporary psychoanalytic practice is warmer and more relational than the stereotype suggests. It's conversational, collaborative, and grounded in the relationship between therapist and client.
What is the difference between psychoanalysis and regular therapy?
The honest answer is that the line is blurrier than most people think. Psychoanalysis isn't defined by how many times a week you show up or whether you lie on a couch — it's defined by what we pay attention to. In psychoanalytic work, we take seriously what's happening in the room, not only what you're reporting about your life outside of it. That's the engine of the work, regardless of format. I see some clients once a week and some more often. Coming more frequently can deepen things — the same way working out three times a week does more than once — but it's not the only thing that makes the work work. We figure out together what makes sense for you.
How is psychoanalytic therapy different from CBT?
Cognitive behavioral therapy (CBT) focuses on identifying and changing specific thought patterns and behaviors, often with structured exercises and homework. It tends to be shorter-term and symptom-focused. Psychoanalytic therapy works differently, for the most part — it can focus on those elements, and it's also more exploratory, pays attention to the emotional life beneath the symptoms, and focuses on understanding the patterns that create difficulties in the first place. Many people who come to me have done CBT and found it helpful but incomplete. The two approaches aren't opposed — they address different layers of experience.
How long does therapy take?
It depends on what you're looking for. Some people come for several months to work through a specific difficulty or transition. Others stay for a year or more because the work opens something up that they want to keep exploring and they find themselves feeling relieved, more successful, happier, more assertive, connected, creative. I don't impose a timeline. The pace follows you, not a protocol. We check in regularly about how the work is going and what you're getting from it.
How do I know if therapy is working?
This is a better question than most people give it credit for. Sometimes progress is obvious — less anxiety and inner turmoil, better relationships, a difficult decision that finally becomes clear. Other times it's subtler: you notice you're less reactive, or more curious about yourself, or more able to sit with uncertainty without spiraling. Sometimes the people around you notice before you do. One useful sign is that you're bringing more to sessions over time, not less — that the work is opening things up rather than going through motions — most come to enjoy this aspect.
What should I expect in the first session?
The first session is a conversation. I'll want to understand what brought you in and what you're hoping for. You'll also get a sense of me — how I listen, how I think. There's no pressure to share more than you're ready to. The first session is as much about fit as anything else.
Do you offer a free consultation?
Yes. I offer a brief free phone consultation before we begin. It gives us each a chance to get a sense of fit and to talk about logistics — scheduling, fees, what to expect. Therapy is a significant investment of time, money, and vulnerability, and it matters that it's with the right person. You can reach me through the contact page to schedule.
What is it like to work with a therapist online?
Most people adjust to telehealth quickly. The work is the same — we talk, I listen carefully, we pay attention to what emerges. The main difference is practical: you need a private space and a reliable connection. Some clients find telehealth makes therapy more accessible because it removes the commute and makes scheduling easier. I've worked extensively via telehealth and find that the depth of the work is not diminished by the medium.
I've been in therapy before and it didn't work. Would this be different?
Maybe. It depends on what didn't work and why. Some people have had therapy that was supportive but didn't go deep enough. Some had therapy that felt formulaic — too focused on techniques, not enough on understanding. Some weren't ready at the time, or the fit wasn't right. If you're curious about trying something more exploratory, or if you have a sense that there's something underneath the surface you haven't gotten to yet, that's worth a conversation. The consultation is a good place to talk it through.
Who do you work with?
I work with adults and young adults — individuals and couples. People come to me with anxiety, depression, relationship problems, questions about identity and purpose, grief, creative blocks, career confusion, addiction, trauma, life transitions, and the more diffuse sense that something is off even when only a few things or even nothing is obviously wrong. I also work with therapists and clinicians who want case consultation or their own treatment.
Where is your office?
My in-person office is in Ashland, Oregon. I also provide telehealth therapy throughout Oregon, Maryland, New York, and Idaho.
Do you offer telehealth therapy?
Yes. I work with clients via secure video throughout Oregon, Maryland, New York, and Idaho. I also see clients in person at my office in Ashland, Oregon. Most of my practice is telehealth, and it works well for the kind of in-depth, ongoing therapy I do. For virtual sessions, I recommend having a private, consistent space where you can speak and think freely.
How much does therapy cost? Do you accept insurance?
Fees are reviewed during our initial consultation. I am in-network with WellFleet Student Health. For all other plans, I am an out-of-network provider, which means I don't bill insurance directly. However, many PPO and POS plans offer out-of-network mental health benefits that cover a meaningful portion of the fee. It's worth calling the member services number on your insurance card and asking about your out-of-network outpatient mental health benefits. I provide a superbill after each session for reimbursement.
What is psychoanalytic therapy?
Psychoanalytic therapy is a form of talk therapy rooted in the idea that much of what drives our behavior, moods, and relationship patterns operates outside conscious awareness. It takes these patterns seriously as communications worth understanding. We work to connect the part of you that generates these kinds of communications with the part that manages daily reality and we build a strong, enduring fitness to maintain the communication/translation process. Contemporary psychoanalytic practice is warmer and more relational than the stereotype suggests. It's conversational, collaborative, and grounded in the relationship between therapist and client.
What is the difference between psychoanalysis and regular therapy?
The honest answer is that the line is blurrier than most people think. Psychoanalysis isn't defined by how many times a week you show up or whether you lie on a couch — it's defined by what we pay attention to. In psychoanalytic work, we take seriously what's happening in the room, not only what you're reporting about your life outside of it. That's the engine of the work, regardless of format. I see some clients once a week and some more often. Coming more frequently can deepen things — the same way working out three times a week does more than once — but it's not the only thing that makes the work work. We figure out together what makes sense for you.
How is psychoanalytic therapy different from CBT?
Cognitive behavioral therapy (CBT) focuses on identifying and changing specific thought patterns and behaviors, often with structured exercises and homework. It tends to be shorter-term and symptom-focused. Psychoanalytic therapy works differently, for the most part — it can focus on those elements, and it's also more exploratory, pays attention to the emotional life beneath the symptoms, and focuses on understanding the patterns that create difficulties in the first place. Many people who come to me have done CBT and found it helpful but incomplete. The two approaches aren't opposed — they address different layers of experience.
How long does therapy take?
It depends on what you're looking for. Some people come for several months to work through a specific difficulty or transition. Others stay for a year or more because the work opens something up that they want to keep exploring and they find themselves feeling relieved, more successful, happier, more assertive, connected, creative. I don't impose a timeline. The pace follows you, not a protocol. We check in regularly about how the work is going and what you're getting from it.
How do I know if therapy is working?
This is a better question than most people give it credit for. Sometimes progress is obvious — less anxiety and inner turmoil, better relationships, a difficult decision that finally becomes clear. Other times it's subtler: you notice you're less reactive, or more curious about yourself, or more able to sit with uncertainty without spiraling. Sometimes the people around you notice before you do. One useful sign is that you're bringing more to sessions over time, not less — that the work is opening things up rather than going through motions — most come to enjoy this aspect.
What should I expect in the first session?
The first session is a conversation. I'll want to understand what brought you in and what you're hoping for. You'll also get a sense of me — how I listen, how I think. There's no pressure to share more than you're ready to. The first session is as much about fit as anything else.
Do you offer a free consultation?
Yes. I offer a brief free phone consultation before we begin. It gives us each a chance to get a sense of fit and to talk about logistics — scheduling, fees, what to expect. Therapy is a significant investment of time, money, and vulnerability, and it matters that it's with the right person. You can reach me through the contact page to schedule.
What is it like to work with a therapist online?
Most people adjust to telehealth quickly. The work is the same — we talk, I listen carefully, we pay attention to what emerges. The main difference is practical: you need a private space and a reliable connection. Some clients find telehealth makes therapy more accessible because it removes the commute and makes scheduling easier. I've worked extensively via telehealth and find that the depth of the work is not diminished by the medium.
I've been in therapy before and it didn't work. Would this be different?
Maybe. It depends on what didn't work and why. Some people have had therapy that was supportive but didn't go deep enough. Some had therapy that felt formulaic — too focused on techniques, not enough on understanding. Some weren't ready at the time, or the fit wasn't right. If you're curious about trying something more exploratory, or if you have a sense that there's something underneath the surface you haven't gotten to yet, that's worth a conversation. The consultation is a good place to talk it through.
Who do you work with?
I work with adults and young adults — individuals and couples. People come to me with anxiety, depression, relationship problems, questions about identity and purpose, grief, creative blocks, career confusion, addiction, trauma, life transitions, and the more diffuse sense that something is off even when only a few things or even nothing is obviously wrong. I also work with therapists and clinicians who want case consultation or their own treatment.
Where is your office?
My in-person office is in Ashland, Oregon. I also provide telehealth therapy throughout Oregon, Maryland, New York, and Idaho.
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