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Although mental health treatment can be expensive, I believe it should be available to as many people seeking treatment as possible. As a result, I accept most major insurances and offer affordable self-pay rates – without sacrificing the quality of treatment in any way.

"Accessibility allows us to tap into everyone's potential"

- Debra Ruh


When utilizing your insurance benefits, the fee will vary based on the type of service provided, length of session, and your insurance provider’s contracted rate. I am happy to answer any questions about using your insurance benefits. I also recommend contacting your insurance provider to find out what is and is not covered since you are responsible for any charges your insurance plan doesn’t cover. 

If I am out-of-network, I am happy to provide you with statements (i.e. super bills) to submit to your insurance carrier for reimbursement, dependent on your benefits. 

**Due to Colorado and Hawai'i state laws, I am unable to accept clients who have Medicaid, even for self-pay, since I am not contracted with Medicaid at this time.

Cancelation Policy

Please be aware a minimum of 24 hours' notice of cancelation is required in order to avoid being charged a cancelation fee. If you do not provide at least 24 hours' notice of cancelation or do not show up for an appointment, you will be charged the standard session fee.


Counseling Rates

I do my best to offer an affordable rate for self-pay clients. This option allows me to offer services without restrictions on the duration of treatment or reason(s) for seeking therapy. If finances are a concern, I also offer a sliding-scale option. Eligibility is determined on a case-by-case basis and upon availability. 



I offer a free 15-minute phone consultation for new clients to determine if we are a good fit. This in an opportunity to ask questions and to learn how best I might be able to help.


Intake Session

This important first session is 60-minutes, allowing time to review new client paperwork, establish general expectations and a framework for working together; and to further identify reasons for seeking out therapy at this particular time in your life.


Individual Therapy

Designed for established clients, these 50-minute sessions are for individual therapy and can be booked through the client portal. 

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