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Frequently Asked Questions

General

  • What forms of payment do you accept?
    I accept cash, check, credit, debit and HSA cards. I cannot take American Express.
  • What are your fees?
    My full hourly fee is $105 payable at the end of the session. I do offer a sliding scale for those that need a little help with the costs of therapy.
  • What is your cancellation policy?
    I appreciate 24 hours notice on cancellations. If you cannot reschedule in the same week then I expect to be paid for the session. Insurance, by the way, will not pay for missed sessions. To ensure I do not treat people differently this policy is without regard to reason except in highly exceptional circumstances. Please make every effort to reschedule if you possibly can.
  • Is there parking available in your building?
    Yes, but it is limited. There is some street parking available as well as several lots and garages near by, including Pacific Place.
  • Do you work with the LGBTQ community?
    Yes, I see individuals and couples from all walks of life.
  • Do you have specialized training for working with children?
    No, I do not. I generally do not work with individuals under the age of thirteen.

Trauma

  • What is meant by complex trauma?

    Very broadly speaking there are two types of trauma — single event big "T" trauma like surviving a plane crash or a car accident and small "t" trauma where overwhelming events happen repeatedly over a longer period of time. Child abuse in its many forms that goes on for years is the prototypical example of small "t" trauma.

    Most of what I work with is small "t" trauma or what is known as Complex Trauma or Complex PTSD. Small "t" does not in anyway indicate that this type of trauma is smaller, less important or less difficult that single event traumas. It is actually more like the opposite.

  • Why do some people develop PTSD and others do not?

    Psychological trauma is a circumstance in which an event or series of events overwhelms or exceeds a person's capacity to protect his or her mental/emotional well-being and the integrity of their Self. It is a collision between an event and a person's resources, where the power of the event is greater than the resources available for effective response and recovery. Deterioration in functioning occurs and long term losses are incurred.

    While the objective characteristics of a potentially traumatic event — its force, strength, or "dose" — can be quantified, the impact of the event cannot be determined without taking into account the vulnerabilities of the particular individual who sustains the injury. This last part is why one person comes out of a situation relatively whole and another, exposed to the same event(s), develops complex trauma and/or PTSD.

    The above is drawn from several sources, but one in particular that I want to credit is: Cloitre, Marylene; Cohen, Lisa R.; Koenen, Karestan C. (2011-11-16). Treating Survivors of Childhood Abuse: Psychotherapy for the Interrupted Life (p. 4). Guilford Publications. Kindle Edition.

  • Why do I hate this word, trauma?

    I have yet to meet a person that likes this word "trauma". Nobody wants to be reminded of experiences that invoke difficult feelings of terror and powerlessness.

    A while ago, I worked with a person for over two years who was severely depressed and chronically suicidal. Towards the end of the second year they told me that it took them the entire first year to understand that when I used the word trauma I was referring to them. They could not realize that what happened to them during their childhood and teenage years was traumatic, not the least bit normal, and that the toxic emotional and mental residue from those experiences were major factors in their dark, suicidal, depression.

    There are very good reasons for this lack of realization and getting to understand them and how they work for and against you is a major part of trauma therapy.


Get In Touch

The fit between you and your therapist is one of the most important elements in successful therapy. To get a sense of how we would work together, I offer a no fee, 30-minute, get acquainted session. Contact me or click on the Schedule button and choose a 30 minute event.

Or Send a Message

Office Address:
600 Stewart St, Suite 603
Seattle, WA 98101
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Office Hours:

Tuesday - Thursday: 10am - 7pm
Friday: 10am - 5pm
Saturday: 9am - 1pm

Fees & Insurance:

My fee is $105 dollars per session, and I offer a sliding scale for those needing some help with the costs of therapy. Fees are paid at the end of the session. I'm currently in-network for: Regence, Blue Cross/Blue Shield, First Choice Health, CIGNA, Beacon, Group Health (certain plans). I can also bill as Out of Network.

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