Frequently Asked Questions

Fees

  • Current fees:

    • Individual session (53 minutes): $195

    • Initial intake session (60 minutes): $225

    Note that fees are based on session time, not the number of people in the session, i.e., all non-intake, 53-minute sessions are charged at $195 regardless of whether we are working with an individual, parents only, or youth with parent(s).

    You are entitled to a good faith estimate of how much your treatment will cost. Read about the No Surprises Act here.

  • We offer a limited number of sliding payment scale spots for clients with limited incomes or who are experiencing temporary financial hardship. If you are interested in this option and feel you qualify, please contact us to discuss eligibility.

  • We understand that life happens. If you need to cancel or reschedule, please let us know at least 48 hours before your session to avoid a cancellation fee.

    Once an appointment is scheduled, you will be charged for the full session fee if you arrive late, miss an appointment, or cancel within 48 hours. This is necessary because your appointment time is set aside exclusively for you and Riverstone cannot fill that slot without sufficient notice.

Insurance & Billing

  • We are not contracted with any insurance companies, but you may be eligible for some amount of reimbursement for out-of-network services from your insurance plan. We recommend that you check with your insurance about out-of-network benefits for therapy before getting started so you understand your coverage and avoid surprises.

  • We will not bill your insurance directly, but we will provide superbills that you can submit to your insurance for any out-of-network reimbursements.

  • Operating as a private‑pay provider allows Riverstone to offer more personalized care with fewer limitations. Some of the key benefits include:

    • No pressure to diagnose you or your child: Insurance reimbursement typically requires a formal diagnosis. This requirement can create pressure to assign diagnostic labels early in treatment and can sometimes lead to diagnoses being assigned to satisfy insurance criteria rather than to fully reflect a client’s experience.

    • Care is based on your needs rather than on insurance limits: Insurance plans often place restrictions on the number and frequency of therapy sessions. Private pay allows therapy to move at a pace that best supports you or your child.

    • Increased privacy and confidentiality: Billing insurance requires certain details about your child’s mental health to be shared with outside companies and stored as part of their medical record. Some families prefer private pay to better protect their child’s privacy.

    • More time focused on quality care: Without the administrative requirements of insurance billing, therapists can focus fully on providing high-quality, individualized support rather than managing paperwork and insurance regulations.

    Of course, if you would like to pursue out‑of‑network reimbursement through your insurance plan, we are happy to provide superbills upon request so you can submit them to your insurance company.

  • When you set up your account in our secure client portal, you will be asked to store a credit or debit card. We process charges on the day of service. 

  • Yes! All major credit and debit cards are accepted; this includes FSA and HSA cards.

Office & Telehealth

  • Our office is conveniently located in northeast Seattle across the street from University Village. We are in the West Building of Northcut Landing on the 2nd floor.

    4915 25th Ave NE, Suite 208W
    Seattle, WA 98105

  • Northcut Landing has an attached underground garage where you can park free for the first hour.

  • Yes, our office is ADA accessible with elevators that provide access from all levels, including the parking garage, to our office on the 2nd floor.

  • If requested and clinically appropriate, we are happy to conduct sessions via telehealth for older adolescents, young adults, and parents—please note that you must be in Washington State for us to provide this option.

    We strongly encourage children and younger adolescents to come into the office for in-person sessions. Please ask us if you have questions about this.

What to Expect in Outpatient Psychotherapy

  • For children, teens, and young adults we will typically meet once a week for 53 minutes. When doing exposure therapy for anxiety or OCD, sometimes it is helpful to meet twice a week. This option will be customized to best support treatment goals. For example, a client may choose to have one in-person session per week in the office and one telehealth or phone session per week to support exposures and progress at home.

    When working with children and teens, occasional parent-only sessions will also be scheduled. The frequency of these sessions will depend on the age of the child and the treatment support needs.

    For parents doing SPACE treatment, we will meet weekly for 53-minute sessions.

  • When working with children, we are committed to providing the most effective, short-term, evidence-based interventions available to help children and families reach their treatment goals. As such, we reduce the frequency of therapy sessions and “graduate” children from therapy when treatment goals are met.

    Most families can expect their child to engage in weekly therapy sessions for about four to six months, though this estimate may vary based on the child’s age and severity of symptoms. After a child graduates from therapy we are always available to welcome families back for more support or treatment should new challenges arise.

    For older teens and young adults, therapy can be more flexible. Some choose to continue beyond initial treatment goals for ongoing support with anxiety or OCD, help during stressful times or life transitions, or maintaining progress. In these cases we regularly revisit the purpose and frequency of therapy to ensure it remains helpful, intentional, and aligned with each person’s needs.

  • Yes! When children or teens with anxiety or OCD are unwilling to attend therapy, meaningful help is still available.

    In these situations, we begin by working directly with parents using SPACE (Supportive Parenting for Anxious Childhood Emotions), a well‑researched, parent‑based approach for treating child anxiety and OCD. SPACE focuses on helping you respond differently to anxiety or OCD symptoms, gradually reduce accommodations that may be maintaining your child’s anxiety or OCD, and support your child in building confidence and independence—without requiring your child to attend individual therapy sessions.

    Many parents find that as they make these changes, their child’s anxiety decreases and openness to support increases over time. If and when individual therapy becomes appropriate, we’ll revisit that together. Our approach is flexible and designed to support your child and family where you are right now.

    Read more about SPACE here.

  • We regularly check in on how therapy is going and look at progress in several ways. This includes changes in anxiety or OCD symptoms, how your child is functioning at home, school, and with peers, and how confident your child—and your family—feels managing challenges. We also use brief, age‑appropriate measures at regular intervals to help assess symptoms and track progress over time.

    Just as importantly, we’ll talk openly with you about what you’re noticing and what feels harder or easier in daily life. Keep in mind that progress is usually not linear, and it can look different for each child. If we’re not seeing meaningful improvement, we’ll review the plan together and discuss adjustments or additional support to make sure your child is getting the care they need.

  • Outpatient therapy isn’t the right level of care for every situation. If your child isn’t making meaningful progress, or if symptoms are significantly interfering with daily life or safety, we’ll talk openly with you about what we’re seeing and review options together.

    When needed, we will provide referrals to a higher level of care—such as intensive outpatient, partial hospitalization, or other specialized programs—and help guide you through next steps. Our goal is always to ensure your child receives the level of support that best meets their needs.

How to get started

  • Fill out the “New Client Inquiry” form on my “Reach Out” page (click the button below) and I will get back to you as soon as possible.

  • We will schedule a free 15-minute consultation call so I can learn why you are seeking therapy, answer your questions, and learn if we are a good fit to work together. If we decide to move forward we will schedule your first session.

  • We will likely start with weekly 53-minute sessions. We can meet in my office in Northeast Seattle near University Village, or online via telehealth.

Reach Out