Frequently Asked Q’s

Therapy shouldn’t have to be intimidating! Here are some questions I answer often.

  • My standard session rate is $195 per 50 minute session for individuals and $225 per 50 minute session for couples. I offer a limited number of reduced fee sessions with priority to queer, gender expansive, BIPOC folks, and activists focused on anti-oppression organizing. Please inquire with me about an equitable rate should my standard rate prevent you from accessing therapy.


  • Although I do not accept insurance, if you have insurance benefits I may be considered an out-of network-provider. In this case, you will need to contact your insurance company directly and ask if you can be reimbursed for LMHC psychotherapy sessions. If so, I can provide a super-bill to you which you can submit to your insurance company for reimbursement. Additionally, I am able to accept FSA or HSA cards as payment.

  • At this time I offer virtual session via Telehealth.

  • Sessions are 50 minutes in length and 90 minute sessions can be accommodated upon request from time to time. Sessions are required to be weekly at the start of therapy while we are still getting to know one another. Greater or lesser frequency is usually dependent on severity of symptoms and progress in therapy.

  • Due to state laws, Washington requires therapists licensed in Washington state to only meet with clients who are located in Washington state.

  • I require at least 48 hours advance notice to cancel appointments. If you notify me less than 48 hours before the appointment, you are required to pay the full cost of the session.

  • I take a very client-centered approach to my sessions, letting the client lead with what feels most important to process. I often use IFS parts language throughout this process to slow down and connect with feelings and sensations. For targeted trauma work, I use a more structured approach to ensure we are processing safely.

  • Under Section 2799B-6 of the Public Health Service Act, health care providers and facilities are required to provide individuals who do not have health insurance or who are not using insurance an estimate of the anticipated bill for medical items and services upon request or at the time of scheduling. This is called a “Good Faith Estimate.”
    Note: This does not currently apply to any clients who are using insurance benefits, including "out of network benefits” (i.e., submitting superbills to insurance for reimbursement).

    Clients have the right to receive a “Good Faith Estimate” which outlines the total expected cost of services. The Good Faith Estimate works to show the cost of services that are reasonably expected for your health care needs. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.

    You have the right to receive a “Good Faith Estimate” at least 1 business day before your service. You can also ask your provider, and any other provider you choose, for a “Good Faith Estimate” before you schedule service

    Be sure to save a copy of your “Good Faith Estimate.” For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

You do not have to be fearless. Doing it afraid is just as brave.

-Andrea Gibson