Fees & insurance
What it costs, said plainly.
Every fee is listed here, along with how insurance, superbills and the sliding scale work. If something isn’t clear, ask me on the free call.
Session fees
Fees are the same in person and online. Payment is due at each session by card or HSA/FSA card.
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Free consultation
15 min
Free
A 15-minute phone or video call to see if we're a fit
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Individual session
50 min
$165
Weekly or fortnightly, in person or online
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Couples session
80 min
$220
Both partners, with occasional individual check-ins
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Extended first session
80 min
$240
Optional — for people who'd rather tell the whole story at once
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Sliding-scale session
50 min
$95–$140
A few weekly spots, no proof of income needed
Insurance & the sliding scale.
In network
Aetna, Providence Health Plan and Regence BlueCross BlueShield. Bring your card to the first session and we'll check your benefits together.
Out of network
I provide a monthly superbill you can submit for reimbursement. Many plans return 50–80% of the fee — worth a call to yours.
Sliding scale
A few weekly spots are held at $95–$140 for students, artists, and anyone between jobs. Just ask — no paperwork to prove it.
Questions, answered honestly.
The things people most often want to know before a first session. Anything else, ask on the free call.
How do I know if therapy is right for me?
You don't need a diagnosis or a crisis to start. If something has felt heavy for a while, or you keep circling the same problem, that's reason enough. The free consultation is a low-stakes way to find out.
What happens in the first session?
Mostly talking and listening. I'll ask about what brought you in, your history, and what you'd like to be different. You can share as much or as little as you want — there's no test to pass.
Do you offer online sessions?
Yes. Online sessions happen over a secure, HIPAA-compliant video platform for anyone living in Oregon or Washington. Many clients mix online and in-person sessions as their weeks change.
Is what I share kept confidential?
Yes, with a few legal exceptions — mainly if someone is at serious risk of harm. I'll walk you through these in the first session so there are no surprises.
How long does therapy usually take?
It depends on what you're working on. Some people come for eight to twelve sessions around a specific problem; others stay longer. We'll check in regularly about whether it's still helping.
What is your cancellation policy?
Please give 24 hours' notice to cancel or reschedule. Late cancellations are charged the full session fee, though I'll always waive it for illness or a genuine emergency.
Questions about cost? Let’s talk it through.
Money is a fair thing to worry about. Tell me what you can manage and we’ll find something that works — including the sliding scale.
- Office
- 2130 SE Division Street, Suite 3
Portland, OR 97202
Get directions - Online
- In person in Portland · Online across Oregon & Washington
- Hours
- Mon–Thu 9am–7pm · Fri 9am–1pm
Sessions by appointment. No weekend sessions. - hello@tend.example
Tend is not an emergency service. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.