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Common Queries

You Ask - I Answer

Do you take insurance and how does that work?

All sessions are self-pay, as I do not accept insurance. This allows me to be much more flexible in helping you in the way you need. It allows me to work in varied locations, and to be on call in special circumstances. I can also offer video sessions to more people, as well as not be constrained by the requirement of insurance companies to provide a diagnosis and thereby put a label on your personal difficulties. Self-pay also means that a diagnosis won't follow you around with your insurance company. There are many benefits to self-pay!

Ok, you don't take insurance. What are your rates?

For individuals, the rate is $200. For couples, $250. For polycule groups, please contact me.

Do you offer sliding scale rates?

I reserve a couple of spots for sliding scale. These are available during the daytime only, not after hours. They are often full and there may be a waiting list. Please inquire to see if there are any available and if your situation fits criteria.

Why don't you list AASECT certification?

I believe clients deserve therapists who are deeply trained, intellectually curious, and committed to lifelong learning. My professional development has focused on building competence through extensive specialized education, supervision, consultation, and clinical experience across multiple disciplines — medicine, psychology, trauma, neuroscience, embodiment work, kink and BDSM education, and relationship research — rather than through a single certifying organization.

I don't believe a set of initials after someone's name is what makes them an excellent sex therapist. Actual training hours, supervision, consultation, and clinical experience with real populations matter more to me than any single organization's approved pathway. I also value intellectual independence — I'd rather evaluate ideas and evidence on their own merits than have my professional development shaped by one body's approved curriculum.

While I respect colleagues who choose certification, I've intentionally taken a different path. My training exceeds the educational requirements for AASECT certification, but I'd rather invest my continuing education in work that reflects my clinical philosophy than in maintaining a specific credential — including some philosophical differences I have with aspects of how the field's dominant certifying organization approaches gatekeeping and certain populations and topics.

If you're evaluating any therapist's fit for this work, I'd encourage asking about actual training hours, supervision history, and clinical experience with the specific issues you're bringing — not just which acronym follows their name.

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