Women 18 and older who are experiencing psychiatric symptoms connected to reproductive health, hormonal changes, or life transitions. This includes PMDD, the perinatal period, postpartum, and the menopause transition. If you have been told your labs are normal but you still don't feel right, this practice was built for you.

We are not in-network with any insurance companies. This allows us to give you longer, deeper sessions without the restrictions that come with insurance-based care. We focus on your needs, not on what an insurance company will approve.

You can pay out-of-pocket and submit a superbill to your insurance for potential reimbursement. Many clients receive partial reimbursement this way.

Being out-of-network means we can:

• Spend real time with you, sessions run 45 to 90 minutes, not 15.

• Build a care plan that fits your needs, not insurance limits.

• Keep your personal health information between you and your provider.

• Make treatment decisions based on what is right for you, not what is approved.

A superbill is a detailed receipt with the billing codes your insurance company uses to process out-of-network claims. We provide one for every psychotherapy and psychiatric medication management session.

Yes. Health Savings Accounts and Flexible Spending Accounts can typically be used to cover therapy and psychiatric care. It is one of the most straightforward ways to manage the cost.

Payment is due on the day of your appointment. We accept credit cards, debit cards, HSA cards, and FSA cards. Your card is processed automatically on the day of your session.

No. Therapy and psychiatric care are not subject to sales tax in Washington.

Possibly. Out-of-pocket costs for therapy and psychiatric care may be deductible depending on your situation. We recommend speaking with a tax professional to find out what applies to you.

Coverage varies by plan. We recommend calling your insurance provider directly and asking about your out-of-network benefits, your deductible, and which services and procedure codes are covered. We are happy to help you understand the superbill process once you are a client.

• Psychotherapy and counseling: Intake 90791, follow-ups 90837

• Psychiatric medication management: Intake 90792, follow-ups 99214