Life happens, and plans sometimes need to change. If you need to cancel, please do so at least 24 hours in advance to avoid any fees.

• Cancellations within 24 hours of your appointment will incur a 50% charge of your session rate.

• No-show appointments will be charged 100% of your session rate. If your session was part of a pre-paid package, it will be considered used or forfeited with a no-show.

If you experience an emergency or technical issue, please reach out to me as soon as possible to see if a no-show fee may be waived and if your appointment can be rescheduled.

Please note that worsening symptoms related to your presenting concern do not qualify as an emergency under this policy. Living with chronic pain means some days are harder than others. Therapy is about learning how to navigate those difficult days. If you're in the middle of a flare, that doesn’t mean you have to push through a full session, but it also doesn’t mean you have to cancel. Maybe we spend our time doing a guided relaxation practice, or we switch to a phone session if that feels more manageable. The goal isn’t to force anything—it’s to help you build confidence that you can get through tough moments with support. Therapy is here to help you find solutions, even on the hard days.

Thank you for your understanding and cooperation!

To reschedule or cancel an appointment, you can contact me by calling or texting 775-235-2406, OR reschedule via the client portal under “appointments” in the menu.

Yes, in compliance with the No Surprises Act, I provide a Good Faith Estimate for all clients. This written estimate will be shared with you before services begin, outlining expected charges for therapy and any other associated services. If you ever have questions about your estimate or experience unexpected charges, I encourage you to reach out so we can address your concerns.

If it helps, a typical course of CBT for Chronic pain is 12 to 16 individual sessions, following the intake.

Open Path is a nonprofit network for affordable therapy. If you qualify and register with them, you’ll pay a lower fixed rate ($60/session) through a one-time membership.

My sliding scale is offered directly through my practice, with flexible rates based on your current financial situation. It’s trust-based, with a brief request form—no income paperwork required.

Not sure which is a better fit? Feel free to reach out.

If therapy at the full fee isn’t accessible to you, you’re welcome to fill out a short sliding scale request form. I don’t require financial documents—just an honest reflection of what’s sustainable for you right now.

Sliding scale rates are reviewed periodically, typically every 6 months or when there is a significant change in financial circumstances. You’re always welcome to reach out sooner if your needs shift. These check-ins are collaborative and designed to keep care accessible while also maintaining fairness across clients who rely on reduced-fee options.

Please note, there are limited spots available for sliding scale. When you complete the form, I’ll be sure to let you know about current availability.

I’m an out-of-network provider, which means I don’t bill insurance directly. However, many clients with out-of-network benefits are able to receive partial reimbursement for sessions.

I can provide a monthly superbill—or, if you prefer, I can submit claims on your behalf through a secure service called Reimbursify. This makes it easier to access your out-of-network benefits without the paperwork hassle. You're always in control of how you’d like to handle it.

Yes, you’re welcome to use out-of-network (OON) benefits if your insurance plan offers them. I understand that even with reimbursement, therapy can still feel like a financial stretch—especially with high deductibles or delayed payments.

If that’s your situation, I invite you to reach out. The sliding scale exists to help bridge gaps in affordability, and I trust that if you’re exploring both options, you’re doing so with care and thoughtfulness about what’s sustainable for you.

There’s no need to submit financial documents—just a brief form and your honest reflection about what makes care possible right now. My goal is to keep the process simple and grounded in trust, while also honoring the importance of keeping reduced-rate spots available for those who truly need them.

Yes. Therapy is typically an eligible expense, and I accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. Just be sure to check with your plan provider for any specific requirements.

Yes! I offer discounted rates for therapy bundles (e.g., pre-paid sessions) and flexible pricing for the Empowered Relief class. You can learn more about the class rates here, or reach out about session packages.