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    Starting Therapy

    Individual Intake Assessment (First Appointment)

    New clients receive a holistic review and customized treatment plan during the intake process, including:

    • Private access to a secure client portal for digital intake paperwork, scheduling and billing
    • A bio-psycho-social-spiritual assessment (a holistic, high-level view of you as a whole person, historically and in the present moment)
    • Customized treatment plan to address both your current symptoms and your desired therapy outcomes.
    • An introduction to treatment modalities (i.e. what we actually do in therapy).

    Individual Therapy Sessions

    Therapy sessions are typically scheduled for 53-minutes, once weekly.

    However, some clients find great benefit from longer sessions, especially those who prefer more time to settle into depth work.

    In addition, clients who prefer to make more rapid shifts may choose twice weekly appointments, and may slow to weekly or bi-weekly sessions as changes begin to stabilize.


    When I work with couples, I recommend scheduling longer sessions either weekly or bi-weekly.

    Couples therapy sessions are extended compared to individual sessions because they involve navigating the intricate interplay of each partner’s unique history, experiences from past relationships, and the shared history of their current relationship, making it a more complex and nuanced process.

    It’s important to me that each partner gets ample space to be heard, without the rush of fitting everything into one therapy hour. 

    (Please note: only the first hour of an extended session can be covered by insurance. The remaining balance can be paid out of pocket.)


    Neurofeedback rates are established separately. Reach out to Regina to get more info if interested. 

    Insurance vs. Private Pay

    I am in network with the following insurance companies:

    1. Wellmark BCBS
    2. Sanford Health
    3. Avera Health Plans

    I work with both Private Pay and Insurance Pay clients, and encourage clients to consider the advantages and disadvantages of both approaches. 

    Advantages of Using Insurance:

    1. Lower Out-of-Pocket Costs: Depending on your insurance plan, copays and deductibles can make therapy more affordable.
    2. Consistency: Fewer interruptions in receiving therapy due to financial resources.

    Disadvantages of Using Insurance:

    1. Diagnosis Requirement: Insurance companies require a formal diagnosis, which becomes part of your permanent health record.
    2. Session Limitations: Insurance plans often limit session lengths (e.g., no sessions over 60 minutes) and the number of sessions covered per year.
    3. Privacy Concerns: Using insurance means that your therapy records are shared with the insurance company, which may impact your privacy.
    4. Restricted Choice of Therapists: You may be limited to choosing therapists who are within your insurance network.
    5. Treatment Limitations: Insurance companies may dictate the type and length of treatment based on their guidelines, not necessarily what is best for you.

    Advantages of Private Pay:

    1. Greater Privacy: Your therapy records remain confidential between you and your therapist, with no third-party access.
    2. No Diagnosis Needed: You do not need a formal diagnosis to receive therapy, maintaining more privacy over your mental health status.
    3. Flexibility: You can choose the length and frequency of your sessions without restrictions from insurance companies.
    4. Therapist Choice: You have the freedom to select any therapist, not just those within an insurance network.
    5. Customized Treatment: Therapy can be tailored specifically to your needs without insurance-imposed limitations.

    Disadvantages of Private Pay:

    1. Higher Out-of-Pocket Costs: Paying out of pocket can be more expensive without the financial support of insurance.
    2. Accessibility: Higher costs may limit the ability to access therapy for those with budget constraints, and may interrupt therapy services if financial availability runs dry. 

    Understanding these pros and cons can help you make an informed decision about the best payment option for your therapy.



    Wellmark BCBS, Sanford Health, and Avera Health Plans.

    Copay is due at time of session.

    Intake Assessment (first appointment)


    Subsequent therapy sessions (53 minutes)


    Private Pay

    Credit card, HSA, FSA

    As a token of appreciation for reducing administrative time, I am pleased to offer a $40 discount on each session for those who opt for private pay.

    Intake Assessment (first appointment)


    Subsequent therapy sessions (53 minutes)