Practice Parameters and Common Questions

Clinical Approach & Fit

Do I need to be newly sober, or identify as an "addict," to work with you?

No. I do not require adherence to specific labels or recovery frameworks. I work with professionals across the spectrum—from individuals navigating acute inflection points or early abstinence to those decades into sustained recovery who are managing burnout, isolation, or the internal strain of high achievement. You define the objectives; we focus on what is driving the behavior and what needs to change.

What if I am still using or ambivalent about total abstinence?

Ambivalence is a standard component of this work. You do not need absolute certainty to begin. We evaluate your circumstances directly, examine the functional impact of your coping mechanisms, and establish realistic strategies to build stability and accountability.

Do you incorporate 12-Step programs, peer groups, or spiritual frameworks?

I do not impose programmatic philosophies, clinical homework, or uniform templates. If 12-Step or peer communities are a constructive component of your recovery, we integrate them. If they are not, our work remains a grounded, peer-level clinical dialogue focused entirely on your individual challenges and objectives.

What if my primary struggle is burnout, perfectionism, or shame rather than substance dependence?

A significant portion of my practice focuses on high-responsibility professionals who do not present with chemical dependency. Chronic depletion, emotional detachment, imposter anxiety, and the psychological burden of sustaining an external reputation require the same level of rigorous, direct examination.

Discretion, Confidentiality, & Records

How is confidentiality handled for licensed professionals and executives?

Client privacy is strictly protected under federal and state confidentiality statutes. Communications are privileged and never disclosed to employers, institutional credentialing committees, or professional licensing boards without explicit, written authorization—subject only to standard statutory mandates regarding imminent safety.

Note on Record Privacy: Clients seeking complete documentation sovereignty often opt for out-of-pocket payment to prevent mandatory diagnostic submissions and administrative audits by third-party insurers.

Scheduling, Policies, & Practice Boundaries

How are sessions conducted?

All appointments are conducted via a secure, HIPAA-compliant telehealth platform. Sessions are scheduled within standard outpatient hours, with early morning and evening availability designed to integrate cleanly with demanding executive and clinical schedules.

What is your attendance and cancellation policy?

Therapeutic consistency is a core requirement of this practice. Cancellations require a minimum of 24 hours’ advance notice. Cancellations made within the 24-hour window, as well as missed appointments, incur a $90 late cancellation fee.

What are the expectations regarding continuity of care?

To maintain an active clinical slot, outpatient engagement requires attending at least one session every 30 calendar days. Three consecutive late cancellations or missed sessions will result in formal discharge and transition to archive status to preserve schedule integrity.

How is communication managed between sessions?

Communications outside of scheduled clinical hours are strictly administrative (scheduling adjustments, platform logistics) and handled via secure email or the client portal. This practice provides scheduled outpatient psychotherapy; it does not offer 24/7 crisis response or on-call services. Immediate psychiatric emergencies must be directed to standard crisis resources (988, local emergency services).

Administrative & Getting Started

Do you accept insurance?

Services are provided on a direct, private-pay basis ($200 per session).

Many licensed and executive professionals specifically elect private pay to ensure maximum confidentiality, full autonomy over treatment length and frequency, and total freedom from mandatory psychiatric diagnoses on third-party medical records.

For clients with out-of-network behavioral health benefits through a commercial plan, a detailed monthly superbill is provided upon request for direct submission to your insurer.

What is the initial intake process?

You can schedule an initial appointment directly through the portal below. The first session serves as a mutual consultation to assess clinical alignment, evaluate the scope of your goals, and ensure the practice structure fits your operational needs.