Good questions to ask before you start

You don’t need a diagnosis or a crisis to come to therapy. People come because something feels heavy, stuck or confusing, or because they want to understand themselves better. If you’re unsure, the free 15-minute call is a no-pressure way to find out.

A clinician or Wynona, our intake coordinator, calls or video-calls you at a time you choose. You’ll talk briefly about what’s bringing you in, what you’re looking for, times and cost. If we seem like a good fit, we’ll book a first session; if not, we’ll suggest other options.

Most clinicians who are accepting new clients can offer a first session within one to two weeks of the consultation. Dr. Ostrander and Coralie keep short waitlists, shown on their profiles.

Yes. Request anyone on our team, or let us suggest someone. You can also try our find a therapist questions first. If the fit doesn’t feel right after a session or two, tell us and we’ll help you switch.

Individual sessions are 53 minutes; couples and family sessions are 50. Most people start weekly or every other week, then meet less often as things improve. The first session is 60 minutes.

It depends on what you’re working on. Some people come for six to twelve sessions for a specific concern; others stay longer. We’ll talk about it openly and check in every six sessions or so. No one can promise a timeline or an outcome, but we will be honest with you about progress.

Yes. Five of our six clinicians offer secure video sessions anywhere in Washington. You need to be physically in Washington during the session. See video sessions.

No. None of our clinicians prescribe. If medication might help, we can coordinate with your primary care provider or refer you to a psychiatric prescriber in the area, with your permission.

Yes, with a few legal exceptions we explain at the start: if there’s a serious risk of harm to you or someone else, if a child or vulnerable adult is being harmed, or if a court orders records. Outside those, nothing leaves the room without your written permission.

Only what we need to contact you and suggest a fit: your name, how to reach you and a few choices. Please don’t write detailed health information in the form or in emails. You can share what feels right on the phone or in your first session.

Not word for word. Teens 13 and older in Washington can consent to their own outpatient mental health care, and trust is what makes therapy work. Together we agree up front what gets shared with parents, and we always tell you about anything that affects safety.

We’re in network with Sound Shore Health, Cascadia Mutual and Rainshadow Health Plan (depending on the clinician), and the Harborlight EAP. For other plans, we give you a superbill to claim out-of-network benefits. Check your plan on our fees page.

A monthly statement with the codes, dates and fees your insurer needs to reimburse out-of-network sessions. You pay us, submit the superbill, and your plan pays you back whatever your out-of-network benefit covers.

Sliding-scale fees from $40 to $125 are based on household size and income. You can check your fee in a few seconds. Spots are limited; ask about them when you request a consultation.

Cancel or reschedule free with 24 hours’ notice. Later cancellations and missed sessions are $75, which insurance doesn’t cover. We waive it for illness, emergencies and road closures; life happens.

Call or text 988 to reach the 988 Suicide & Crisis Lifeline, any time, day or night. If you or someone else is in immediate danger, call 911 or go to the nearest emergency room. Then let your therapist know when you can; we’ll make room to talk about it.

Please don’t. Messages and voicemails are only checked during office hours, and we can’t respond to emergencies. Call or text 988, or call 911.