Common questions

Aperture is out of network. I do not bill Medicare or Medicaid, and I cannot accept them as payment. Many PPO plans reimburse part of out-of-network care, and your plan decides what it pays. I check your benefits before the first session.

A superbill is an itemized monthly receipt that a plan may reimburse in part when you send it in. It carries a diagnosis code that your insurer will see. Your plan decides, and reimbursement is not guaranteed.

If you pay without insurance, you have the right to receive a written estimate of the cost of your care before it starts. If a bill comes in well above the estimate, you can dispute it. The estimate is not a contract. I give you one in writing, and the how fees work page has the details.

Your fee for a session is given in writing before you start, and this site shows no price list. The how fees work page explains insurance, receipts and estimates.

Yes. Health savings and flexible spending cards work for sessions. Ask me if you need a receipt for your plan administrator.

We talk about what is going on, what you have already tried and what you want to change. It is not a test. I explain how exposure and response prevention (ERP) or cognitive behavioral therapy (CBT) would work for you, and you decide whether to go on.

A session is 50 minutes. Your clinician sets the pace with you: we agree how often to meet and how to tell whether the work is useful. I cannot say in advance how many sessions you will need.

I am licensed in Oregon. Video sessions are for clients located in Oregon at the time of the visit. If you live elsewhere, I can suggest where to look.

Call or text 988, any time, or call 911 in an emergency. This site and my voicemail are not monitored around the clock, so please do not use them in a crisis.

What you share stays between us, with a few legal exceptions: a serious risk of harm to you or someone else, and abuse of a child or an older adult. I explain these limits in the first session. I keep your records private and share them only as the law allows.

Yes, I see teens with OCD and anxiety. On the first call I explain how Oregon's consent rules work for your teen's age, and what parents are told and when. I meet with parents too, because their part in practice matters.

Please give a full day's notice to cancel or change a session. If you need to cancel late, tell me what happened and we will talk about it.