I don’t bill insurance directly, and there’s an intentional reason for that. One of the problems in our healthcare system is how reimbursement works—psychiatrists are often financially rewarded for seeing as many patients as possible, which leads to rushed, surface-level care. A lot is lost in that system.

To give people the time, presence, and thoughtful care they truly deserve, I had to step outside the insurance model. I understand this means a significant financial investment, and I don’t take that lightly—but it’s the only way to offer care that is truly sustainable and aligned with my values.

That said, I’m considered an out-of-network provider, and many clients are able to get partial reimbursement using superbills—which I’m happy to provide monthly or quarterly. If you're not sure whether your insurance offers out-of-network benefits, you can call the number on the back of your card and ask:

• Do I have out-of-network coverage for psychiatry (CPT code 99205 or 99214)?

• What percentage is reimbursed?

• Is there a deductible I need to meet first?

First of all, you’re not alone. Many of my clients are new to medication or cautious about it—and I welcome that. We’ll spend our first session getting to know your story and exploring what you’re hoping for. If medication might be helpful, I’ll walk you through:

• What the options are and how they work

• What the side effects might be (and how we’d manage them)

• What alternatives exist if you’re not ready to try medication yet

• How we’ll monitor and adjust things together over time

There’s no pressure—you’ll never be pushed into a decision before you’re ready.

Yes. Many of my clients are curious, cautious, or even skeptical about psychiatric medication. We’ll explore your options together—including therapy, lifestyle changes, integrative testing, and other supports. If medication is part of your treatment, it will always be collaborative and at your pace.

Yes—if it’s safe and clinically appropriate. I often work with clients who feel overmedicated, rushed through past care, or unsure if their current prescriptions are still serving them. We’ll go slow and stay in close communication throughout the process.

I've actually intentionally built my practice around the downfalls I've seen in other psychiatric care—both from my own training and from the stories my clients have shared. I pride myself on learning from those mistakes. And when I realized I couldn’t offer the kind of care people deserve within the limitations of the insurance system, I created this practice to do it differently.

Many of my clients come to me after feeling hurt, dismissed, or rushed in past care. I see part of my role as helping people heal from those experiences—and showing them what psychiatry can be when it's practiced with slowness, respect, and a deep desire to understand.

This depends on your treatment goals, but here’s a general guideline:

• If we’re starting or changing medication, I’ll typically see you every 2–4 weeks during the adjustment period

• Once things are stable, we can space visits out to every 1–3 months

• My policy is to have at least one appointment every 3 months if you’re on medication, and every 6 months if we’re not using medication but still working together

• Some clients choose to meet more often to integrate therapy and values-based work into their care

We’ll tailor the schedule based on what feels right for you.

Yes. I see clients in person in Boulder, Colorado—and also offer virtual sessions for clients located in Colorado or California. On occasion, I meet clients in alternative settings like a café, park, or home, depending on your needs and comfort.

I integrate psychotherapy into my psychiatric work, but I do not typically function as a patient’s primary, ongoing therapist.

My sessions often include meaningful therapeutic conversation within our scheduled appointments. However, I do not usually provide weekly, standalone psychotherapy or serve as the sole therapist for patients who need high-frequency or intensive therapy. Many patients benefit most from working with me in collaboration with a dedicated therapist, where I focus on the psychiatric and integrative aspects of care while another clinician provides ongoing therapy.

In some cases—depending on clinical fit, goals, and scope—I may provide more therapy-forward care within psychiatric visits for a short period of time. This is something we can discuss during an initial consultation. If you’re unsure what level of therapy support you need, I’m happy to talk it through and help you determine the best structure for your care.