Please go to this link for more information: What is EFT?

Before scheduling your first session, I like to begin with a brief phone consultation. This 20-minute call gives us a chance to connect, ask questions, and make sure we’re a good fit before diving in.

For couples: I ask to speak with both of you—either together in the same location or via a 3-way call—so we can all be on the same page from the start.

During our conversation, you’ll share a bit about what’s bringing you in, what you hope to work on, and where you’d like to go. I’ll explain how I structure therapy, outline what the first few sessions will look like, and answer any questions you may have.

If it feels like a good fit on both sides, we’ll go ahead and schedule your first appointment.

Our first session is all about laying the foundation.
We’ll review the paperwork you submitted through the client portal and begin exploring what brings you to therapy, what’s been feeling stuck, and what you’re hoping to shift.

For couples:
We’ll start together as a unit in the first session, then I’ll meet with each of you individually for one session to understand your perspectives more deeply. This structure helps me get a fuller picture of your relationship dynamics, individual experiences, and shared goals.

Sessions are 50 minutes, though many clients—especially couples—find that extended sessions offer more room to explore without feeling rushed. If you’d prefer longer appointments, we can schedule back-to-back sessions or use one of my extended formats (80 or 110 minutes).

My goal in these early sessions is to help you feel heard, supported, and clear on the path ahead.

When we begin working together, I typically meet with couples for a joint session first, followed by one individual session with each partner. This structure helps me get a well-rounded understanding of your relationship, individual experiences, and shared goals.

Most clients choose to meet weekly at the start—especially in the first few months. Weekly sessions help build momentum, create consistency, and support deeper progress. As therapy unfolds, we’ll check in regularly to determine what cadence works best. Many couples eventually shift to biweekly or monthly sessions for maintenance or as they near the end of their work.

For clients with especially full schedules or who travel often, I also offer longer session options (80 or 110 minutes). These extended appointments allow for deeper work while offering more scheduling flexibility.

We’ll collaborate to create a rhythm that works for your life and your relationship.

I use a Reschedule-Only policy to support consistency and protect your progress.

Here’s what that means:
Once a session is booked, you are financially responsible for it—whether or not you attend. However, you’re always welcome to reschedule the appointment as long as:

You notify me before the session start time, and
The rescheduled session takes place within one week before or after the original appointment

💡 Have a sick kid, a last-minute surgery call, or a travel hiccup? No problem—we can find a new time.

If you're unable or choose not to reschedule, the full session fee will apply.

Monday through Thursday 6am to 2pm PST.

Yes! All appointments are conducted remotely through video sessions.

Online therapy is very similar to in-person therapy, while being even more convenient and accessible. You may engage in therapy from any location in the state of Washington, avoiding the need to cancel or reschedule appointments due to transportation concerns, as well as the need to drive to and from your appointments. Rather than meeting in an office, we will meet on a secure, HIPAA compliant video conferencing platform. Detailed instructions regarding how to access the platform will be provided during your initial consultation.

See the “Why Remote Couples Therapy?” page for further information.

Not at this time.
All therapy sessions are currently conducted via secure, HIPAA-compliant video conferencing.

This fully virtual model allows you to access high-quality, relationship-focused care from the comfort of your home—without the stress of traffic, parking, or rearranging your day. Many clients appreciate the added flexibility and privacy remote therapy provides.

Payment is due at the time of each session and can be made by credit card, debit card, HSA/FSA card, or check. A credit card is securely stored on file and will be automatically charged after each appointment unless you request an alternative method in advance.

If you'd prefer to use a different form of payment, just let me know prior to your session—we’re happy to accommodate whenever possible.

🗓 Consultation Call: No charge
All new clients begin with a free 20-minute phone consultation to explore fit and answer any questions.

🧠 Individual Therapy

50-minute session — $350

💞 Couples Therapy

Initial Couples Assessment (2.5 hours total):
This one-time intake includes:

One 50-minute couples session
One 50-minute individual session with each partner

Choose your preferred format:

Three separate 50-minute sessions — $350 each
Single 2.5-hour block — $900 (discounted rate)

Ongoing Couples Sessions:

50-minute session — $350
80-minute session — $480
110-minute session — $660

✨ Many couples find that extended sessions allow for deeper, more productive work in less time—often leading to faster results. For clients concerned about cost, an 80-minute session every other week is a highly effective option.

I am not in-network with any insurance providers. Most of my clients choose to pay out-of-pocket and, if they have out-of-network benefits, pursue reimbursement independently.

If you'd like to use your out-of-network mental health benefits, here’s how it works:

You pay for sessions at the time of your appointment.
I provide you with a monthly superbill containing all necessary codes and documentation.
You submit the superbill to your insurance company and receive any reimbursement directly.

👫 What About Couples Counseling?

Couples therapy may be partially reimbursed by insurance—but there are important limitations.
Insurance requires that one partner carry a qualifying mental health diagnosis, which must be determined at the outset. If no diagnosis is appropriate, I will use the Z63.0 code (“Relationship distress with spouse or partner”), which some insurance companies do not reimburse.

If you’re considering submitting for couples work, we’ll discuss this during your consultation so you understand your options.

👤 What About Individual Therapy?

Individual therapy is more commonly reimbursed if you have out-of-network mental health benefits and meet diagnostic criteria. Many clients are able to receive partial reimbursement, depending on their plan.

📞 Before You Submit

Coverage varies widely from plan to plan. I strongly recommend calling your insurance company to clarify what your out-of-network mental health benefits include.

📄 Click here for a list of questions to ask your insurance provider.

📋 What Is a Good Faith Estimate?

A Good Faith Estimate (GFE) is a federally required document that outlines your expected costs for care—so you’re never surprised by a bill.

As part of the No Surprises Act, all healthcare providers must offer a written estimate of fees to clients who are not using insurance. This is intended to improve transparency and protect your rights as a client.

What to Expect

I’ll provide you with a Good Faith Estimate before we begin services.
My standard session rate is $350, $480 or $660, as outlined on my Fees page.
You’ll receive your estimate in writing at least one business day before your first appointment.
If your actual bill is $400 or more above the estimate, you have the right to dispute it.

This document doesn’t lock you into services—it’s simply part of informed consent and ensures you're clear on the financial aspects of care.

More Info

You can learn more about your rights under the No Surprises Act at:
🌐 www.cms.gov/nosurprises
📧 Or email me directly at rachel@meaningfuljourneycounseling.com