Online therapy in Colorado and Washington: your questions, answered
It's normal to have questions before you reach out. Here are plain answers about getting started, what sessions are like, cost, and privacy.
Accepting new clients. Availability updated Oct ‘26
Getting started
How does the free 20-minute consult work?
The free consult is a 20-minute video call to see if we're a good fit. You tell me a little about what's going on, ask any questions you have, and there's no cost or commitment.
How soon can I start?
Most new clients can start within 1-2 weeks of the consult. I'm accepting new clients now, and I'll tell you my next openings during the free call.
Who do you work with?
I work with individual adults who keep having the same painful conflict with a partner, a parent or in-law, their kids, or in starting and keeping relationships. I don't offer joint sessions, and I'm glad to [suggest other options] if that's what you need.
Can I do online therapy in Washington state with a therapist based in Denver?
Yes, as long as the therapist is licensed in Washington. I'm a LICSW in Washington, so I can see you for online therapy in Washington state while you're physically located there during sessions.
Is there a therapist in Seattle, Washington who helps with recurring conflict in close relationships?
Yes. I see adults in Seattle and across Washington online, for the same conflict that keeps coming up with a partner, parent, in-law, or their kids. Sessions are Monday through Friday, 9am to 6pm Mountain Time (8am to 5pm Pacific).
If you’ve read this far, a free call is an easy next step.
Sessions
How long are sessions, and how often do we meet?
Sessions are 50 to 55 minutes. Most people meet weekly, especially at the start, and we can adjust the schedule together over time.
Is online therapy in Colorado done by video, or can I come in person?
All sessions are online, by secure video. I don't have an in-person office, so there's no commute and no waiting room. You need to be physically located in Colorado or Washington during each session.
What happens in the first session?
In the first session, you tell me what's been happening and what you'd like to be different, and I'll ask some questions about your background. You can ask me anything about how I work, and we decide together where to start.
How long does therapy usually last?
There's no set number of sessions, and it's different for everyone. Some people come for a few months, and others stay longer. We check in along the way about what's helping and whether to keep going.
Fees and privacy
Does online therapy in Colorado take insurance?
Many online therapists in Colorado take insurance, and I do. I'm in network with Aetna, UHC, Cigna, Kaiser (Denver metro), Anthem, Lyra, and First Health in Colorado, and with Aetna, Cigna, First Choice Health, Lyra, Premera, and Regence in Washington. See fees and insurance for details.
Is what I say in therapy confidential?
Yes, with a few limits set by law. I may need to share information if someone's safety is at serious risk, if I learn a child or vulnerable adult is being harmed, or if a court orders it.
What should I do in a crisis?
If you are in crisis, call or text 988, or call 911. I'm not able to provide crisis support between sessions, and messages aren't monitored after hours.
Still have a question?
Ask it in a free 20-minute call. There’s no pressure, and no need to know exactly what to say.