Fees & FAQs

Your privacy is the cornerstone of our work together. In our first conversation, I'll walk you through exactly how your information is handled. You remain firmly in control.

Here's what that looks like:

• Encrypted, HIPAA-Compliant Records: All notes and communications live in an EHR that I alone manage. It uses industry-standard encryption and never syncs with employer systems, insurer databases, or health-information exchanges.
• Minimal Documentation: I record only what’s essential for your care—session date & duration, the broad topics we cover, and any treatment-plan updates you’ve agreed to. No symptom checklists, no billing codes, and no diagnostic labels (unless you specifically request them).
• Paper & Pencil Option: If you’d like an extra layer of discretion, we can keep all notes on paper—securely stored by me and shredded once they’re no longer needed.
• Transparent Boundaries: We’ll review the very limited, legally mandated exceptions to confidentiality up front (for example, imminent risk of harm or mandated abuse reporting). You’ll know exactly what they are and can make informed choices about what (and how much) you share.

Outside of those rare, narrow requirements, everything you share remains completely off the record. Visible only to you and me. No surprises, no hidden disclosures, no prying eyes.

You’re in control. Because we’re entirely self-pay and out-of-network, nothing is ever shared with insurers, employers, or licensing boards—unless you ask me to.

I also want you to feel completely safe in our work together, so we’ll sit down at the start and walk through the very limited situations where I’m legally required to report (for example, if there’s imminent risk of harm to yourself or others, or evidence of abuse). That way, you’ll know exactly what those rare exceptions look like, and can make fully informed choices about what (and how much) you’d like to disclose.

Outside of those narrow, mandated circumstances, your care remains completely off-the-record and visible only to you and me. No surprises, no hidden disclosures, no prying eyes.

I maintain only essential documentation in an encrypted, HIPAA-compliant EHR that I alone control. It never syncs with health-information exchanges, employer portals, or insurance systems.

Records are limited to: session date and duration, broad topics we discuss, and any treatment updates you've agreed to.

Want extra discretion? I'm happy to keep all notes on paper—securely stored by me and kept offline.

This approach preserves continuity of care (should you work with another provider in the future) without subjecting you to hidden audits, data-mining, or unwanted disclosures.

My guiding principle is your informed consent. You deserve to know what will be documented, why, and to express your preference.

Because this is self-pay, out-of-network, there's no billing requirement forcing us to assign a DSM code unless you want one (for insurance reimbursement, for example).

In rare circumstances where a formal diagnosis may be clinically or legally necessary, we'll discuss that up front. You decide what you feel comfortable having on record.

Otherwise? We focus entirely on your goals and story. Zero diagnostic labels. No boxes, no billing codes, no risk of a label following you into your next licensure renewal.

I work with high-achieving professionals across industries—healthcare, law, finance, tech, academia, and beyond.

• Professional Burnout & Perfectionism: Therapy for driven professionals who feel exhausted by relentless standards—and want practical strategies to restore balance.
• ADHD & Executive Functioning: Coaching and tools to improve focus, organization, and time-management for busy leaders and professionals with demanding careers.
• Chronic Stress, Anxiety, & Panic: Proven interventions (CBT, ACT, mindfulness) to break the cycle of overwhelm, racing thoughts, and “always-on” work modes.
• Moral Injury and Compassion Fatigue: Deep support for those grappling with ethical distress—whether in medicine, social work, nonprofit leadership, or corporate roles.
• Workplace Conflict & Career Transitions: Guidance on navigating toxic cultures, power dynamics, retaliation risk, and major role changes without sacrificing integrity.
• Trauma & PTSD: Safe, off-the-record processing of critical incidents or long-buried experiences that impact performance, relationships, and well-being.

I use evidence-based approaches tailored to high-performing professionals, including:

• Acceptance & Commitment Therapy (ACT): Helps you stay focused on what matters most while managing the psychological pressure of high-stakes work.
• Cognitive Behavioral Therapy (CBT): Practical tools to identify and change thought patterns that fuel burnout, anxiety, and perfectionism.
• Dialectical Behavior Therapy (DBT) Skills: Emotional regulation and distress tolerance techniques for when the pressure feels overwhelming.
• Cognitive Processing Therapy (CPT): Specialized trauma treatment that doesn't interfere with your ability to function in demanding roles.
• Exposure & Response Prevention (ERP): The gold standard for OCD and anxiety disorders, adapted for professionals who can't afford disruption to their performance.
• Mindfulness-Based Interventions: Practical mindfulness techniques that work even with packed schedules and racing minds.

The approach is always individualized. We'll find what works for your specific situation and goals.